PATHWAYS HOME HEALTH AND HOSPICE: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PATHWAYS HOME HEALTH AND HOSPICE (EIN 94-2823240)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-09
- IRS object ID
- 202201299349300835
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-09T10:29:45-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W MARCH LN STE 200 | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 952192367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942823240 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATHWAYS HOME HEALTH AND HOSPICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PATH | BusinessNameControlTxt |
| Phone | 5135760262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 N MARY AVENUE | AddressLine1Txt |
| City | SUNNYVALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94085 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACK HAWKINS | PersonNm |
| Person Title | INTERIM CFO | PersonTitleTxt |
| Phone | 5135760262 | PhoneNum |
| Signature | 2022-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JACK | PersonFirstNm |
| Person Last | HAWKINS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Preparation | 2022-05-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAN DIETZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 EDISON DR | AddressLine1Txt |
| City | MILFORD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45150 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,295,327 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.PATHWAYSHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME WITH KINDNESS AND DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 263 | TotalEmployeeCnt |
| Total Volunteers | 161 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,742,359 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,876,755 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,000,057 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,365,601 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$74,086 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,332,147 | CYInvestmentIncomeAmt |
| PY Other Revenue | $150,715 | PYOtherRevenueAmt |
| CY Other Revenue | $98,731 | CYOtherRevenueAmt |
| PY Total Revenue | $34,819,045 | PYTotalRevenueAmt |
| CY Total Revenue | $33,673,234 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,313,520 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,181,137 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $48,999 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $614,618 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,560,633 | PYOtherExpensesAmt |
| CY Other Expenses | $12,408,921 | CYOtherExpensesAmt |
| PY Total Expenses | $37,880,153 | PYTotalExpensesAmt |
| CY Total Expenses | $31,639,057 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,061,108 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,034,177 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $62,771,044 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,582,123 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,164,269 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,670,124 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $51,606,775 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $61,911,999 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PATHWAYS PROVIDES HIGH-QUALITY PATIENT AND FAMILY-CENTERED CARE IN THE HOME, WITH KINDNESS AND RESPECT, PROMOTING COMFORT, INDEPENDENCE AND DIGNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $26,272,911 | ExpenseAmt |
| Revenue | $30,365,601 | RevenueAmt |
| Desc | SEE SCHEDULE O PATHWAYS HOME HEALTH & HOSPICE IS A NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATION THAT PROVIDES HOME HEALTH AND HOSPICE SERVICES. FOUNDED IN 1977, PATHWAYS SERVES FAMILIES IN FIVE BAY AREA COUNTIES. WE CARE FOR PATIENTS IN THEIR PLACE OF RESIDENCE - IN HOSPICE THAT MAY ALSO BE A HOSPITAL OR NURSING HOME. PATHWAYS IS MEDICARE CERTIFIED, LICENSED BY THE STATE OF CALIFORNIA AND ACCREDITED BY THE JOINT COMMISSION. THE ORGANIZATIONAL FOCUS OF HOME HEALTH IS TO PROVIDE EXCELLENT CARE TO HOMEBOUND PATIENTS, AND IN HOSPICE TO SUPPORT AND CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. HOSPICE SERVICES ARE INTERDISCIPLINARY AND INCLUDE NURSES, SOCIAL WORKERS, PERSONAL CARE AIDES, PHYSICIANS, CHAPLAINS, VOLUNTEERS. PATHWAYS HOME HEALTH PROVIDES SUPPORT TO HOMEBOUND PATIENTS INCLUDING THOSE RECOVERING FROM SURGERY, ILLNESS OR INJURY THROUGH THE SUPPORT OF NURSES; PHYSICAL, OCCUPATIONAL, RESPIRATORY AND SPEECH THERAPISTS; SOCIAL WORKERS; DIETITIANS; AND PERSONAL CARE AIDES. PATHWAYS HAS SPECIALTY PROGRAMS THAT INCLUDE: PALLIATIVE CARE, HEART FAILURE, TELE-MONITORING, INFUSION THERAPY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE MANAGEMENT, AND WOUND MANAGEMENT AMONG OTHERS. PATHWAYS HOSPICE IS HOLISTIC CARE THAT PROVIDES SYMPTOM MANAGEMENT, AS WELL AS SPIRITUAL AND EMOTIONAL SUPPORT FROM NURSES, PHYSICIANS, SOCIAL WORKERS, VOLUNTEERS, CHAPLAINS, AND PERSONAL CARE AIDES TO PEOPLE WITH SIX MONTHS OR LESS TO LIVE. PATHWAYS HOSPICE CARE ALSO PROVIDES ROUND-THE-CLOCK NURSING AND MEDICAL SUPPORT. WE PROVIDE EXTENSIVE BEREAVEMENT SUPPORT TO FAMILY AND FRIENDS OF PATIENTS. | Desc |
| Total Program Service Expenses | $26,272,911 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 263 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | Yes (1) | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACK HAWKINS | PersonNm |
| Phone | 5135768478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 N MARY AVE | AddressLine1Txt |
| City | SUNNYVALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94085 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CHERYL REINKING | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DIETER BRUNO | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KIM OSBORNE | |||||||
| TREASURER (THRU 4/21) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM HARSHMAN | |||||||
| SECRETARY/VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DEB MURO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CINDY MURPHY | |||||||
| DIRECTOR (THRU 4/21) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM COSTELLO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARLOS BOHORQUEZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELEANOR EBERHARD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| W SCOTT HERDTNER | |||||||
| CFO | 10.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL S DIETZ | |||||||
| CEO | 10.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA BURGESS | |||||||
| FORMER CEO (THRU 11/19) | 40.00 | $384,612 | $0 | $0 | Yes (X) | ||
| SCOTT ROBINSON | |||||||
| FORMER COO/CCO (THRU 11/19) | 40.00 | $354,617 | $0 | $0 | Yes (X) | ||
| SATWANT JOHAL | |||||||
| FORMER CFO/CAO (THRU 11/19) | 40.00 | $313,163 | $0 | $0 | Yes (X) | ||
| JAGMOHAN KHAIRA | |||||||
| MEDICAL DIRECTOR | 40.00 | $183,446 | $0 | $23,251 | Yes (X) | ||
| YAN QIN | |||||||
| RN HOME CARE-SCHLD | 40.00 | $180,748 | $0 | $11,907 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,416,586 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $35,158 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 58 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN NURSING CARE (CONSOLIDATED HEAL | |||||
| 1700 EDISON DR | MILFORD | OH | 45150 | MANAGEMENT FEES | $3,168,794 |
| MEDEFIS CONSOLIDATED | |||||
| PO BOX 5068 | NEW YORK | NY | 10087 | FIELD STAFF CONTRACTOR | $975,945 |
| JEWISH HOME OF SAN FRANCISCO | |||||
| 302 SILVER AVE | SAN FRANCISCO | CA | 94112 | MEDICAL PROVIDER | $488,593 |
| RAKHI YADAV | |||||
| 203 MONTCLAIR RD | LOS GATOS | CA | 95032 | MEDICAL DIRECTOR | $323,600 |
| CHAPARRAL HOUSE | |||||
| 1309 ALLSTON WAY | BERKELEY | CA | 94702 | MEDICAL PROVIDER | $310,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $272,666 | FundraisingAmt |
| Government Grants | $753,818 | GovernmentGrantsAmt |
| All Other Contributions | $850,271 | AllOtherContributionsAmt |
| Noncash Contributions | $5,109 | NoncashContributionsAmt |
| Total Contributions | $1,876,755 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $30,365,601 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,365,601 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,365,601 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,071,037 | TotalRevenueColumnAmt |
| Exclusion | $1,071,037 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,951 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,143 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,808 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,808 | TotalRevenueColumnAmt |
| Exclusion | $17,808 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,858,614 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,438,132 | SecuritiesAmt |
| Other | $159,372 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $420,482 | SecuritiesAmt |
| Other | -$159,372 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $261,110 | TotalRevenueColumnAmt |
| Exclusion | $261,110 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $272,666 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $20,446 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,446 | TotalRevenueColumnAmt |
| Exclusion | -$20,446 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $101,369 | TotalRevenueColumnAmt |
| Exclusion | $101,369 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $101,369 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,673,234 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,365,601 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,430,878 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,856 | TotalAmt |
| Management And General | $121,856 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,361,171 | TotalAmt |
| Program Services | $12,783,033 | ProgramServicesAmt |
| Management And General | $2,271,914 | ManagementAndGeneralAmt |
| Fundraising | $306,224 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,493,057 | TotalAmt |
| Program Services | $1,651,009 | ProgramServicesAmt |
| Management And General | $786,966 | ManagementAndGeneralAmt |
| Fundraising | $55,082 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205,053 | TotalAmt |
| Program Services | $792,793 | ProgramServicesAmt |
| Management And General | $390,991 | ManagementAndGeneralAmt |
| Fundraising | $21,269 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,432 | TotalAmt |
| Management And General | $18,432 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,844 | TotalAmt |
| Management And General | $100,844 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,999 | TotalAmt |
| Fundraising | $48,999 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,105 | TotalAmt |
| Management And General | $21,105 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,175,249 | TotalAmt |
| Program Services | $7,137,572 | ProgramServicesAmt |
| Fundraising | $37,677 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,101 | TotalAmt |
| Program Services | $8,964 | ProgramServicesAmt |
| Management And General | $57,278 | ManagementAndGeneralAmt |
| Fundraising | $2,859 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,771,144 | TotalAmt |
| Program Services | $1,359,545 | ProgramServicesAmt |
| Management And General | $281,056 | ManagementAndGeneralAmt |
| Fundraising | $130,543 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,055 | TotalAmt |
| Program Services | $108,668 | ProgramServicesAmt |
| Management And General | $241,387 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,400 | TotalAmt |
| Program Services | $317,773 | ProgramServicesAmt |
| Management And General | $3,627 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,288 | TotalAmt |
| Management And General | $24,288 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,196 | TotalAmt |
| Program Services | $443,196 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,296 | TotalAmt |
| Management And General | $149,596 | ManagementAndGeneralAmt |
| Fundraising | $2,700 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $1,655,882 | $1,655,882 | ||
| REPAIRS AND MAINTENANCE | $132,485 | $132,485 | ||
| DUES AND SUBSCRIPTIONS | $20,373 | $14,650 | $5,723 | |
| SALES TAX | $11,283 | $11,283 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,788 | TotalAmt |
| Program Services | $14,476 | ProgramServicesAmt |
| Management And General | $123,770 | ManagementAndGeneralAmt |
| Fundraising | $3,542 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,639,057 | TotalAmt |
| Program Services | $26,272,911 | ProgramServicesAmt |
| Management And General | $4,751,528 | ManagementAndGeneralAmt |
| Fundraising | $614,618 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,934,197 | BOYAmt |
| EOY | $2,546,237 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,597,370 | BOYAmt |
| EOY | $6,362,030 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,676 | BOYAmt |
| EOY | $3,458 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,237,971 | BOYAmt |
| EOY | $3,466,235 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,919 | BOYAmt |
| EOY | $264,562 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,293,708 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,618,492 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,160,124 | BOYAmt |
| EOY | $3,675,216 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,537,237 | BOYAmt |
| EOY | $53,497,446 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,825,550 | BOYAmt |
| EOY | $2,766,939 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,771,044 | BOYAmt |
| EOY | $72,582,123 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,590,097 | BOYAmt |
| EOY | $6,385,807 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,965 | BOYAmt |
| EOY | $324,094 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,160,000 | BOYAmt |
| EOY | $3,960,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,372,207 | BOYAmt |
| EOY | $223 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,164,269 | BOYAmt |
| EOY | $10,670,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,275,475 | BOYAmt |
| EOY | $60,178,599 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,331,300 | BOYAmt |
| EOY | $1,733,400 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,606,775 | BOYAmt |
| EOY | $61,911,999 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,771,044 | BOYAmt |
| EOY | $72,582,123 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,034,177 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,271,047 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,859,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,293,599 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,985,781 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,742,359 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,876,755 | CurrentTaxYearAmt |
| Total | $13,758,069 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,595,302 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,551,738 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,523,317 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,000,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,365,601 | CurrentTaxYearAmt |
| Total | $178,036,015 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,630 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,430 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,319 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $216,699 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,518,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,904,767 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,559,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,785,735 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,242,356 | CurrentTaxYearAmt |
| Total | $192,010,783 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $345,900 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,943,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $302,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $285,000 | CurrentTaxYearAmt |
| Total | $5,159,950 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $345,900 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,943,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $302,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $285,000 | CurrentTaxYearAmt |
| Total | $5,159,950 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $186,850,833 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $789,122 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $977,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,062,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,470,655 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,092,988 | CurrentTaxYearAmt |
| Total | $5,392,259 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $789,122 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $977,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,062,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,470,655 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,092,988 | CurrentTaxYearAmt |
| Total | $5,392,259 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $204,292 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,859 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113,506 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,369 | CurrentTaxYearAmt |
| Total | $500,247 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,511,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,945,066 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,639,693 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,369,896 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,436,713 | CurrentTaxYearAmt |
| Total | $197,903,289 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94420 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95030 | PublicSupportPY509Pct |
| Investment Income CY | 0.02720 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02320 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,314,406 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $417,846 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $16,035 | AdministrativeExpensesAmt |
| End Year Balance | $1,716,217 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,303,520 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,023 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,137 | AdministrativeExpensesAmt |
| End Year Balance | $1,314,406 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,298,965 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $18,337 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $13,782 | AdministrativeExpensesAmt |
| End Year Balance | $1,303,520 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,205,839 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $110,370 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $17,244 | AdministrativeExpensesAmt |
| End Year Balance | $1,298,965 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $883,889 | BeginningYearBalanceAmt |
| Contributions | $199,783 | ContributionsAmt |
| Investment Earnings Or Losses | $134,964 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $12,797 | AdministrativeExpensesAmt |
| End Year Balance | $1,205,839 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,524,100 | OtherCostOrOtherBasisAmt |
| Book Value | $1,524,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,750,900 | OtherCostOrOtherBasisAmt |
| Depreciation | $953,267 | DepreciationAmt |
| Book Value | $797,633 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,242,491 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,204,766 | DepreciationAmt |
| Book Value | $1,037,725 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $882,382 | DepreciationAmt |
| Book Value | $158,165 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $735,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $578,077 | DepreciationAmt |
| Book Value | $157,593 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,675,216 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE REIMB RECON | -$226,680 |
| 457B PLAN | $226,903 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $223 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $42,128,300 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,271,047 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $179,818 | OtherRevenueAmt |
| Revenue Not Reported | $8,450,865 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,677,435 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$4,201 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$4,201 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,673,234 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,823,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $179,818 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $179,818 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,643,182 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$4,125 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$4,125 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $31,639,057 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUND ARE TO BE REINVESTED AND USED FOR OPERATIONAL SUPPORT. |
| PART X, LINE 2: | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 2370(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2021 AND 2020, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE FIXED ASSETS 159,372. RECLASSIFIED SPECIAL EVENT EXPENSES TO REVENUE 20,446. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFIED RENTAL INCOME FROM EXPENSES -4,201. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASSIFIED SPECIAL EVENT EXPENSES TO REVENUE 20,446. LOSS ON SALE FIXED ASSETS 159,372. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFIED RENTAL INCOME FROM EXPENSES -4,125. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERRY BEUTHIN CFRE | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 LEIMERT BLVD | AddressLine1Txt |
| City | OAKLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GRANT WRITER & GRANTS MANAGER | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $412,800 | GrossReceiptsAmt |
| Retained By Contractor | $48,999 | RetainedByContractorAmt |
| Net To Organization | $363,801 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $412,800 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $48,999 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $363,801 | TotalNetToOrganizationAmt |
| Licensed States | CA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL BREAKFAST | Event1Nm |
| Gross Receipts Event1 | $272,666 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $272,666 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $20,446 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $272,666 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $272,666 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $20,446 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $20,446 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$20,446 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA BURGESS | ||||||||||||||
| FORMER CEO (THRU 11/19) | $0 | $0 | $0 | $0 | $384,612 | $0 | $0 | $0 | $0 | $0 | $384,612 | $0 | $0 | $0 |
| SCOTT ROBINSON | ||||||||||||||
| FORMER COO/CCO (THRU 11/19) | $0 | $0 | $0 | $0 | $354,617 | $0 | $0 | $0 | $0 | $0 | $354,617 | $0 | $0 | $0 |
| SATWANT JOHAL | ||||||||||||||
| FORMER CFO/CAO (THRU 11/19) | $0 | $0 | $0 | $0 | $313,163 | $0 | $0 | $0 | $0 | $0 | $313,163 | $0 | $0 | $0 |
| JAGMOHAN KHAIRA | ||||||||||||||
| MEDICAL DIRECTOR | $183,271 | $0 | $0 | $0 | $175 | $0 | $0 | $0 | $23,251 | $0 | $206,697 | $0 | $0 | $0 |
| YAN QIN | ||||||||||||||
| RN HOME CARE-SCHLD | $180,515 | $0 | $0 | $0 | $233 | $0 | $0 | $0 | $11,907 | $0 | $192,655 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | BARBARA BURGESS, SCOTT ROBINSON AND SATWANT JOHAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. AMOUNTS ARE REPORTED IN SCHEDULE J, PART II COLUMN (B)(III). | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABAG FINANCE AUTHORITY FOR NONPROFIT ORGANIZATIONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 943130123 | BondIssuerEIN |
| CUSIP | 00037CGL8 | CUSIPNum |
| Bond Issued | 2004-10-19 | BondIssuedDt |
| Issue Price | $6,070,000 | IssuePriceAmt |
| Purpose | FINANCE COSTS OF THE ACQUISITION, RENOVATION AND EQUIPPING OF A FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,310,000 | RetiredAmt |
| Total Proceeds | $6,090,757 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $55,034 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $6,035,723 | CapitalExpendituresAmt |
| Substantial Completion | 2005 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART III, LINE 7: | FormAndLineReferenceDesc |
| Explanation | AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR RELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K, PART IV, LINE 2(C): THE REBATE COMPUTATION WAS PERFORMED AS OF JUNE 1, 2006. NO REBATE CALCULATION WAS PERFORMED AS OF JUNE 1, 2016 AS ALL BOND PROCEEDS WERE EXPENDED PRIOR TO THE JUNE 1, 2006 CALCULATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE NOVEMBER 1, 2019, CONSOLIDATED HEALTH SERVICES, INC, D/B/A CHI HEALTH AT HOME (CHAH) WAS GIVEN THE AUTHORITY AND RESPONSIBILITY TO CONDUCT, SUPERVISE, AND MANAGE THE DAY-TO-DAY OPERATIONS OF PATHWAYS HOME HEALTH AND HOSPICE (PHHH), INCLUDING BUT NOT LIMITED TO SUPERVISION, DIRECTION AND MANAGEMENT OF PHHS' EMPLOYEES OR CONTRACTORS, AND TO PERFORM ALL OF THE MANAGEMENT SERVICES NECESSARY FOR THE BUSINESS OPERATIONS OF PHHH, INCLUDING, BUT NOT LIMITED TO, BILLING, SCHEDULING OF VISITS, COLLECTION OF REVENUES, ACCOUNTS PAYABLE, DISBURSEMENT OF FUNDS, COORDINATION WITH THIRD-PARTY PAYERS, OBTAINING SUPPLIES, EQUIPMENT, AND SERVICES, NEGOTIATING MANAGED CARE AGREEMENTS, STRATEGIC PLANNING, OVERSIGHT OF RELEASE OF INFORMATION AND HEALTH INFORMATION MANAGEMENT SERVICES, PROVIDING ADMINISTRATIVE SUPPORT TO PHHH, OPERATING AND MAINTAINING INFORMATION SYSTEMS, AND PROVIDING SUCH OTHER SERVICES AS ARE REQUIRED FOR THE EFFICIENT OPERATION OF PHHH. THROUGH THIS MANAGEMENT AGREEMENT, DANIEL S. DIETZ-CEO, AND WILLIAM S. HERDTNER-CFO, OFFICERS OF CHAH, WHOM SERVE IN THEIR RESPECTIVE ROLES FOR PHHH, ARE COMPENSATED BY CHAH. THE PORTION OF THEIR COMPENSATION RELATED TO THEIR SERVICES PROVIDED TO PHHH FOR THE FISCAL YEAR ENDED JUNE 30, 2021 WERE AS FOLLOWS: DANIEL S. DIETZ-$127,386, WILLIAM S. HERDTNER $60,931. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS TWO MEMBERS; EL CAMINO HOSPITAL AND DIGNITY HEALTH, DBA SEQUOIA HOSPITAL; BOTH ARE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS AND EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH OF THE MEMBER HOSPITALS HAS THE RIGHT TO VOTE FOR ONE HALF OF THE CORPORATION'S DIRECTORS. AN ADDITIONAL MEMBER SHALL BE APPOINTED BY A MAJORITY VOTE OF THE CORPORATIONS ELECTED AND SERVING DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER HOSPITALS HAVE RESERVED POWERS, INCLUDING THE POWER TO APPROVE CHANGES IN THE ORGANIZATIONAL DOCUMENTS AND PURPOSES, THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS, MERGER OR OTHER REORGANIZATION, EXTRAORDINARY EXPENDITURES, AND DEBT INCURRENCE. |
| FORM 990, PART VI, SECTION B, LINE 11B | OUR PROCESS IS, UPON COMPLETION OF THE DRAFT COPY, THE 990 IS REVIEWED IN DETAIL BY A COMMITTEE OF THE BOARD ALONG WITH THE ORGANIZATION'S CEO, CFO, AND TAX AUDIT FIRM. THE DRAFT COPY IS PROVIDED TO THE COMMITTEE IN PAPER FORM. THE 990 IS REVIEWED PRIOR TO FILING. THE 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR FINAL REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS AND EXECUTIVE STAFF. THE POLICY IS REVIEWED ANNUALLY. IN THE CASE OF A POTENTIAL OR ACTUAL CONFLICT, THE MEMBER WOULD RECUSE HIMSELF/HERSELF FROM MANAGEMENT DECISIONS RELATED TO THAT CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY MANAGEMENT COMPANY WAS SET BY THE MANAGEMENT COMPANY'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS AND WRITTEN CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST; THE PUBLIC CAN COME IN AND REVIEW A COPY OF THE DOCUMENTS; HOWEVER IN SOME CASES WE WILL PROVIDE A BOUND COPY OR EMAIL THEM A PDF COPY. UPON REQUEST, AND IN PERSON, THE PUBLIC CAN COME IN AND REVIEW A COPY OF THE ORGANIZATION'S 990 AND GOVERNING DOCUMENTS. |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | W. SCOTT HERDTNER - 1700 EDISON DR., MILFORD, OH 45150. DANIEL S. DIETZ - 1700 EDISON DR., MILFORD, OH 45150. |
| FORM 990, PART IX, LINE 11G | OTHER DIRECTOR FEES FOR SERVICE (NON EMPLOYEES): PROGRAM SERVICE EXPENSES 3,037,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,037,856. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,617,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 37,677. TOTAL EXPENSES 2,655,657. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 991,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 991,640. MEDICAL PROFESSIONALS: PROGRAM SERVICE EXPENSES 490,096. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,096. |