ON LOK INC HCSR: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ON LOK INC HCSR (EIN 94-3101464)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-01-16
- IRS object ID
- 201740179349300024
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-01-16T00:00:00-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 946214841 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Armanino LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12657 Alcosta Blvd Ste 500 | AddressLine1Txt |
| City | San Ramon | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 945834600 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943101464 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | On Lok Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ONLO | BusinessNameControlTxt |
| Phone | 4152928888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1333 Bush Street | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gary P Campanella | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4152928888 | PhoneNum |
| Signature | 2017-01-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN PANETTA | PreparerPersonNm |
| PTIN | P00365375 | PTIN |
| Phone | 9257902600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Grace Li Harper | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1333 Bush Street | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,650,951 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.onlok.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Develop & support health care models for the well-being and dignity of elderly & chronically ill. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 75 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | -$1,105,456 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,105,456 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $382,366 | PYContributionsGrantsAmt |
| CY Contributions Grants | $566,992 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,756,601 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,109,187 | CYProgramServiceRevenueAmt |
| PY Investment Income | $672,286 | PYInvestmentIncomeAmt |
| CY Investment Income | $501,093 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$79,350 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,397,719 | CYOtherRevenueAmt |
| PY Total Revenue | $7,731,903 | PYTotalRevenueAmt |
| CY Total Revenue | $7,779,553 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $750,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,298,893 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,349,182 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,429,788 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,289,062 | PYOtherExpensesAmt |
| CY Other Expenses | $4,002,565 | CYOtherExpensesAmt |
| PY Total Expenses | $8,587,955 | PYTotalExpensesAmt |
| CY Total Expenses | $11,101,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$856,052 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,322,194 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,639,434 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,175,878 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,065,105 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,284,733 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,574,329 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,891,145 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Develop & support health care models for the well-being and dignity of elderly & chronically ill. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,830,146 | ExpenseAmt |
| Grant | $750,000 | GrantAmt |
| Revenue | $7,025,323 | RevenueAmt |
| Desc | Provide various management support services (such as executive oversight, strategic planning, financial management and accounting, human resources management, information systems, fundraising) to affiliated 501(c)(3) nonprofit organizations, which provide housing and comprehensive health care to the frail elderly and other services to individuals age 60 and older. Approximately $3.3 million ($1.7 million in foundation grants and contributions and $1.6 million in city grants) was raised that went directly to these affiliated organizations. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,072,127 | ExpenseAmt |
| Revenue | $1,083,864 | RevenueAmt |
| Desc | Provide technical assistance and administrative support services to organizations developing or operating a PACE (Program of All-inclusive Care for the Elderly) program. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,902,273 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 75 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gary P Campanella | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4152928888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1333 Bush Street | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Wellman Tsang MD | ||||||||
| Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Irene Riley | ||||||||
| Vice Chair | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Jenks | ||||||||
| Treasurer | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kevin Gerber | ||||||||
| Secretary | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Joseph Barbaccia MD | ||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Gregory Chun | ||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Ferguson | ||||||||
| Director | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| Eric Harrison | ||||||||
| Director | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| William Lock | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Tom Rundall PhD | ||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Candy Rupp | ||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Sharon Yow | ||||||||
| Director | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Cynthia Yee ex-officio | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Grace Li Harper | ||||||||
| CEO, On Lok Inc. (Start 4/1/16) | 40.00 | 5.00 | Yes (X) | Yes (X) | $0 | $283,655 | $16,315 | |
| Robert Edmondson | ||||||||
| CEO, On Lok Inc. (Thru 3/31/16) | 40.00 | 7.00 | Yes (X) | Yes (X) | $424,354 | $0 | $37,944 | |
| Gary Campanella | ||||||||
| CFO (Start 5/16/16) | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| Kelly Walsh | ||||||||
| CFO (Thru 1/22/16) | 40.00 | Yes (X) | $267,464 | $0 | $10,664 | |||
| Jay Luxenberg | ||||||||
| Chief Medical Officer | 20.00 | 20.00 | Yes (X) | $304,627 | $0 | $17,939 | ||
| Robert Novelli | ||||||||
| Director of Marketing | 40.00 | $273,855 | $0 | $11,943 | Yes (X) | |||
| Deborah L Stuart-Middleton | ||||||||
| Director of Human Resources | 40.00 | $159,518 | $0 | $13,069 | Yes (X) | |||
| Robert E Connors | ||||||||
| Director of Alcara | 40.00 | $132,620 | $0 | $7,926 | Yes (X) | |||
| Michele C Forge | ||||||||
| Controller | 40.00 | $128,899 | $0 | $10,212 | Yes (X) | |||
| Ian Mccuaig | ||||||||
| Director of Development | 40.00 | $122,633 | $0 | $8,250 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,813,970 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $283,655 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $134,262 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| The Travelers Companies | |||||
| 91287 Collections Center Drive | Chicago | IL | 60693 | Insurance | $1,151,297 |
| TEK Systems | |||||
| 221 Main Street | San Francisco | CA | 94105 | Employment Agency | $468,377 |
| Resources Global Professionals | |||||
| 90 New Montgomery Street | San Francisco | CA | 94104 | Consulting | $354,504 |
| Oracle America Inc | |||||
| 110 Allen Road | Basking Ridge | NJ | 07920 | Software Support | $238,889 |
| Armanino LLP | |||||
| 44 Montgomery Street | San Francisco | CA | 94104 | Audit / Tax Preparation | $120,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $334,836 | FundraisingAmt |
| All Other Contributions | $232,156 | AllOtherContributionsAmt |
| Total Contributions | $566,992 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Mgmt Support Contract | 561000 | $7,381,328 | $7,381,328 |
| Other Program Revenue | 900099 | $516,279 | $516,279 |
| Technical Assistance | 541900 | $211,580 | $211,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,109,187 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $220,232 | TotalRevenueColumnAmt |
| Exclusion | $220,232 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,586,711 | SecuritiesAmt |
| Other | $273,285 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,579,135 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,576 | SecuritiesAmt |
| Other | $273,285 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $280,861 | TotalRevenueColumnAmt |
| Exclusion | $280,861 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $334,836 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $292,263 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$292,263 | TotalRevenueColumnAmt |
| Exclusion | -$292,263 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | S-Corp Income | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | -$1,105,456 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$1,105,456 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$1,105,456 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,779,553 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,109,187 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,105,456 | UnrelatedBusinessRevenueAmt |
| Exclusion | $208,830 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750,000 | TotalAmt |
| Program Services | $750,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,337,922 | TotalAmt |
| Program Services | $1,059,794 | ProgramServicesAmt |
| Management And General | $278,128 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,269,447 | TotalAmt |
| Program Services | $2,855,928 | ProgramServicesAmt |
| Management And General | $111,474 | ManagementAndGeneralAmt |
| Fundraising | $302,045 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,417 | TotalAmt |
| Program Services | $69,281 | ProgramServicesAmt |
| Management And General | $3,257 | ManagementAndGeneralAmt |
| Fundraising | $2,879 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,328,086 | TotalAmt |
| Program Services | $1,237,434 | ProgramServicesAmt |
| Management And General | $63,744 | ManagementAndGeneralAmt |
| Fundraising | $26,908 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,310 | TotalAmt |
| Program Services | $299,424 | ProgramServicesAmt |
| Management And General | $17,534 | ManagementAndGeneralAmt |
| Fundraising | $21,352 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,491,168 | TotalAmt |
| Program Services | $704,062 | ProgramServicesAmt |
| Management And General | $26,353 | ManagementAndGeneralAmt |
| Fundraising | $760,753 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,998 | TotalAmt |
| Program Services | $93,881 | ProgramServicesAmt |
| Management And General | $8,117 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,373 | TotalAmt |
| Management And General | $84,373 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,500 | TotalAmt |
| Fundraising | $24,500 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,043 | TotalAmt |
| Program Services | $58,632 | ProgramServicesAmt |
| Management And General | $5,069 | ManagementAndGeneralAmt |
| Fundraising | $11,342 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,369 | TotalAmt |
| Program Services | $361,254 | ProgramServicesAmt |
| Management And General | $31,234 | ManagementAndGeneralAmt |
| Fundraising | $69,881 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,819 | TotalAmt |
| Program Services | $145,183 | ProgramServicesAmt |
| Management And General | $12,552 | ManagementAndGeneralAmt |
| Fundraising | $28,084 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,101,703 | TotalAmt |
| Program Services | $986,459 | ProgramServicesAmt |
| Management And General | $87,892 | ManagementAndGeneralAmt |
| Fundraising | $27,352 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,536 | TotalAmt |
| Fundraising | $81,536 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,569 | TotalAmt |
| Program Services | $162,587 | ProgramServicesAmt |
| Management And General | $15,982 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,723 | TotalAmt |
| Program Services | $68,978 | ProgramServicesAmt |
| Management And General | $6,745 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Expenses | Desc |
| Total | $139,764 | TotalAmt |
| Program Services | $49,376 | ProgramServicesAmt |
| Management And General | $17,232 | ManagementAndGeneralAmt |
| Fundraising | $73,156 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,101,747 | TotalAmt |
| Program Services | $8,902,273 | ProgramServicesAmt |
| Management And General | $769,686 | ManagementAndGeneralAmt |
| Fundraising | $1,429,788 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,008,126 | BOYAmt |
| EOY | $524,442 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,413 | BOYAmt |
| EOY | $30,055 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,546 | BOYAmt |
| EOY | $2,345,043 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,322 | BOYAmt |
| EOY | $334,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,255,296 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $947,276 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,572 | BOYAmt |
| EOY | $1,308,020 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,840,115 | BOYAmt |
| EOY | $8,080,778 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,553,340 | BOYAmt |
| EOY | $1,553,340 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,639,434 | BOYAmt |
| EOY | $14,175,878 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,042,655 | BOYAmt |
| EOY | $1,265,233 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,450 | BOYAmt |
| EOY | $19,500 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,065,105 | BOYAmt |
| EOY | $1,284,733 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,551,626 | BOYAmt |
| EOY | $12,861,042 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,703 | BOYAmt |
| EOY | $10,103 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,574,329 | BOYAmt |
| EOY | $12,891,145 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,639,434 | BOYAmt |
| EOY | $14,175,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,322,194 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$466,446 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,105,456 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $522,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $237,840 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $363,544 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $382,366 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $566,992 | CurrentTaxYearAmt |
| Total | $2,073,270 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $522,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $237,840 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $363,544 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $382,366 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $566,992 | CurrentTaxYearAmt |
| Total | $2,073,270 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $190,007 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,883,263 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $183,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $176,161 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,718 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $223,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $220,232 | CurrentTaxYearAmt |
| Total | $883,056 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $422,068 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $383,279 | CurrentTaxYearMinus3YearsAmt |
| Total | $805,347 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,761,673 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $32,399,186 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.50060 | PublicSupportCY170Pct |
| Public Support PY170 | 0.44000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $20,016 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $57 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $20,073 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $20,000 | ContributionsAmt |
| Investment Earnings Or Losses | $16 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $20,016 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,271 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,132 | DepreciationAmt |
| Book Value | $4,139 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,270,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $860,744 | DepreciationAmt |
| Book Value | $410,074 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $898,207 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,400 | DepreciationAmt |
| Book Value | $893,807 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,308,020 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Care at Home | Desc |
| Book Value | $1,553,340 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,553,340 | TotalBookValueProgramRltdAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,710,826 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$466,446 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,000,000 | OtherRevenueAmt |
| Revenue Not Reported | $2,533,554 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,177,272 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$1,397,719 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,397,719 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,779,553 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,394,010 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,394,010 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$292,263 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$292,263 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,101,747 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowment funds are intended to generate investment income to be used for operating support, according to the board's discretion. |
| Part X, Line 2: | The Organization is exempt from income taxes under Section 501(a) subsection (c)(3) of the Internal Revenue Code and section 23701(d) of the California Revenue and Taxation Code whereby only unrelated business income, as defined by Section 512(a)(1) of the Internal Revenue Code and similar code sections of the California Revenue and Taxation code is subject to income tax. Accordingly, no provision for income taxes has been provided for in the accompanying financial statements. The Organization is required to file annual informational returns with the Internal Revenue Service and the California Franchise Tax Board. Management has evaluated its current tax position and has concluded as of June 30, 2016, the Organization does not have any significant uncertain tax positions for which a reserve would be necessary. The tax returns are subject to examination by the taxing authorities generally for three years and four years for federal and state, respectively, starting with the date of filing or the due date of the tax return, whichever is later. |
| Part XI, Line 2d - Other Adjustments: | Transfer from related organization 3,000,000. |
| Part XI, Line 4b - Other Adjustments: | Fundraising Expenses -292,263. S-corp passthrough loss -1,105,456. |
| Part XII, Line 4b - Other Adjustments: | Fundraising Expenses -292,263. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Spring Banquet | Event1Nm |
| Gross Receipts Event1 | $186,705 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $186,705 | CharitableContriEvent1Amt |
| Rent Facility Costs Event1 | $149,000 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $22,974 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Classic | Event2Nm |
| Gross Receipts Event2 | $67,125 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $67,125 | CharitableContriEvent2Amt |
| Rent Facility Costs Event2 | $24,900 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $22,083 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $81,006 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $81,006 | CharitableContriOtherEventsAmt |
| Cash Prizes Other Events | $500 | CashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $11,825 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $26,563 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $34,418 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $334,836 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $334,836 | CharitableContributionsTotAmt |
| Cash Prizes Total Events | $500 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $185,725 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $26,563 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $79,475 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $292,263 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$292,263 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | On Lok Day Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1333 Bush Street | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 943101292 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $750,000 | CashGrantAmt |
| Purpose Of Grant | General program support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Grace Li Harper | ||||||||||||||
| CEO, On Lok Inc. (Start 4/1/16) | $0 | $283,655 | $0 | $0 | $0 | $0 | $0 | $8,157 | $0 | $8,158 | $0 | $299,970 | $0 | $0 |
| Robert Edmondson | ||||||||||||||
| CEO, On Lok Inc. (Thru 3/31/16) | $424,354 | $0 | $0 | $0 | $0 | $0 | $25,950 | $0 | $11,994 | $0 | $462,298 | $0 | $0 | $0 |
| Kelly Walsh | ||||||||||||||
| CFO (Thru 1/22/16) | $267,464 | $0 | $0 | $0 | $0 | $0 | $2,826 | $0 | $7,838 | $0 | $278,128 | $0 | $0 | $0 |
| Jay Luxenberg | ||||||||||||||
| Chief Medical Officer | $304,627 | $0 | $0 | $0 | $0 | $0 | $7,950 | $0 | $9,989 | $0 | $322,566 | $0 | $0 | $0 |
| Robert Novelli | ||||||||||||||
| Director of Marketing | $273,855 | $0 | $0 | $0 | $0 | $0 | $323 | $0 | $11,620 | $0 | $285,798 | $0 | $0 | $0 |
| Deborah L Stuart-Middleton | ||||||||||||||
| Director of Human Resources | $159,518 | $0 | $0 | $0 | $0 | $0 | $4,911 | $0 | $8,158 | $0 | $172,587 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | REVIEW OF THE FORM 990 HAS BEEN DELEGATED TO THE CHIEF FINANCIAL OFFICER OF ON LOK, INC. UPON REVIEW AND APPROVAL, THE 990 WILL BE PROVIDED TO ALL MEMBERS OF THE BOARD AND DIRECTORS AFTER FILING. |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest policy is distributed annually to directors, officers and senior management, along with annual disclosure of conflict of interest forms which are required to be completed, signed and returned to the compliance officer each year. These forms are reviewed carefully by the compliance officer and the Chief Executive Officer so that any potential conflicts are handled appropriately. |
| Form 990, Part VI, Section B, line 15 | The Executive Committee determines the compensation of the CEO and CFO of the organization, based on comparability data provided by a firm specializing in compensation. In addition to the base compensation, the Executive Committee may also establish incentive compensation at a pre-determined level based on specific goals to be achieved by year-end. |
| Form 990, Part VI, Section C, line 19 | Available upon request. |
| Form 990, Part XI, line 9: | Transfer from related organization 3,000,000. S-corp passthrough income not recorded in financial statements 1,105,456. |
| Form 990, Part XII, Line 2c: | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ON LOK SENIOR HEALTH SERVICES | ||||||||||
| 1333 Bush Street | San Francisco | CA | 94109 | 942162549 | MEDICAL & SUPPORTIVE CARE FOR FRAIL ELDERLY | CA | 501(c)(3) | Line 9 | On Lok Inc | Yes (1) |
| ON LOK DAY SERVICES | ||||||||||
| 1333 Bush Street | San Francisco | CA | 94109 | 943101292 | VARIOUS SERVICES FOR SENIORS | CA | 501(c)(3) | Line 9 | On Lok Inc | Yes (1) |
| ON LOK COMMUNITY HOUSING INC | ||||||||||
| 1333 Bush Street | San Francisco | CA | 94109 | 943053383 | HOUSING FOR LOW-INCOME SENIORS | CA | 501(c)(3) | Line 9 | On Lok Inc | Yes (1) |
| ON LOK HOUSE | ||||||||||
| 1333 Bush Street | San Francisco | CA | 94109 | 942326678 | HOUSING FOR LOW-INCOME FRAIL ELDERLY | CA | 501(c)(3) | Line 7 | On Lok Inc | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Care at Home Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1333 Bush Street | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770578465 | EIN |
| Primary Activities | Assist with Adult and pediatric care within the patient's home | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | On Lok Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | S | EntityTypeTxt |
| Share Of Total Income | -$1,105,515 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $540,387 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| On Lok House Inc | ||
| L | $65,059 | Cash |
| On Lok Community Housing Inc | ||
| K | $164,740 | CASH |
| On Lok Community Housing Inc | ||
| M | $37,415 | CASH |
| On Lok Community Housing Inc | ||
| L | $136,534 | CAsh |
| On Lok Senior Health Services | ||
| L | $6,746,702 | CASH |
| On Lok Senior Health Services | ||
| M | $87,982 | CASH |
| On Lok Senior Health Services | ||
| C | $3,000,000 | Cash |
| On Lok Day Services | ||
| B | $750,000 | CASH |
| On Lok Day Services | ||
| L | $171,614 | CASH |