EAST BAY INTEGRATED CARE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- EAST BAY INTEGRATED CARE INC (EIN 94-2515405)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-10-26
- IRS object ID
- 201633009349300023
- Schema version
- 2015v2.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-10-26T08:41:08-07:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vavrinek Trine Day & Co LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 Hopyard Road Suite 335 | AddressLine1Txt |
| City | Pleasanton | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 945883351 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942515405 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST BAY INTEGRATED CARE INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA HOSPICE OF THE EAST BAY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 9258875678 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 BUSKIRK AVENUE | AddressLine1Txt |
| City | PLEASANT HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94523 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA HATTON | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2016-10-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI MONTGOMERY | PreparerPersonNm |
| PTIN | P00232100 | PTIN |
| Phone | 9257346600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,240,255 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HOSPICEEASTBAY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES THROUGHOUT CONTRA COSTA, SOLANO, AND ALAMEDA COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 301 | TotalEmployeeCnt |
| Total Volunteers | 130 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,497,197 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,401,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,582,693 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,333,658 | CYProgramServiceRevenueAmt |
| PY Investment Income | $334,726 | PYInvestmentIncomeAmt |
| CY Investment Income | $89,897 | CYInvestmentIncomeAmt |
| PY Other Revenue | $157,967 | PYOtherRevenueAmt |
| CY Other Revenue | $345,029 | CYOtherRevenueAmt |
| PY Total Revenue | $21,572,583 | PYTotalRevenueAmt |
| CY Total Revenue | $23,170,084 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,920,616 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,517,616 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $602,829 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,098,571 | PYOtherExpensesAmt |
| CY Other Expenses | $7,104,271 | CYOtherExpensesAmt |
| PY Total Expenses | $20,019,187 | PYTotalExpensesAmt |
| CY Total Expenses | $21,621,887 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,553,396 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,548,197 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,924,423 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,671,869 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,388,627 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,587,876 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,535,796 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,083,993 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES THROUGHOUT CONTRA COSTA, SOLANO, AND ALAMEDA COUNTIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,730,323 | ExpenseAmt |
| Desc | East Bay Integrated Care Inc., a not for profit organization provides services through Hospice of the East Bay that include medical, emotional and practical support for patients with life threatening illness and their families. Medically qualified patients are accepted regardless of their ability to pay and a sliding scale fee is available. Bereavement support is also offered to the entire community at no cost. A palliative care program was initiated to meet the needs of patients that do not qualify or are not ready for hospice services. The program services are supported by funds raised through soliciting donations, grants, events and the operation of 5 thrift stores. | Desc |
| Total Program Service Expenses | $16,730,323 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 86 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 301 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | Yes (true) | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID CALDWELL | PersonNm |
| Phone | 9258875678 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3470 BUSKIRK AVENUE | AddressLine1Txt |
| City | PLEASANT HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94523 | 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAMIE MCLANAHAN GERSON | |||||||||
| CHAIR | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CYNTHIA HATTON | |||||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $195,395 | $0 | $10,477 | ||
| FRANK PUGLISI | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB CARLSON | |||||||||
| Secretary | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERIC RUDNEY | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CINDY SILVA | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ERNIE WINTTER | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREA COLEMAN | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL EAMES | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA PRESTON MD | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY NOLAN | |||||||||
| VICE CHAIR | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN KOPCHIK | |||||||||
| Treasurer | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUSAN BURROUGHS | |||||||||
| PAST CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK MARTENS | |||||||||
| Secretary | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DEBORA MASIEL | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SMITH | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS ROSS | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID CALDWELL | |||||||||
| VP & CFO | 40.00 | 0.00 | $148,159 | $0 | $7,837 | Yes (X) | |||
| JOY FAVAEDI | |||||||||
| BRUNS HOUSE MGR | 40.00 | 0.00 | $122,095 | $0 | $9,837 | Yes (X) | |||
| BEV ANN HARMS | |||||||||
| QEC | 40.00 | 0.00 | $107,038 | $0 | $9,837 | Yes (X) | |||
| CHRISTOPHER JOYCE | |||||||||
| VP HR/VOLUNTEERS | 40.00 | 0.00 | $130,182 | $0 | $10,071 | Yes (X) | |||
| DANIEL JORDAN | |||||||||
| VP FUND DEV/RETAIL | 40.00 | 0.00 | $111,789 | $0 | $9,837 | Yes (X) | |||
| MARYANN KACHUR | |||||||||
| TEAM MANAGER | 40.00 | 0.00 | $128,163 | $0 | $2,732 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $942,821 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $60,628 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CIRCHARO ACQUISITION CORP | |||||
| 2 KEEWAYDIN DRIVE | SALEM | NH | 03079 | MEDICAL | $309,936 |
| SALLY SAMPLE MD | |||||
| 658 BIANCO COURT | DAVIS | CA | 95616 | MEDICAL | $240,000 |
| MANOR CARE OF WALNUT CREEK | |||||
| 1226 ROSSMORE PKWY | WALNUT CREEK | CA | 94595 | SNF/NH | $154,288 |
| SANDRA COONEY - KARPENKO MD | |||||
| 20 LAYMAN COURT | WALNUT CREEK | CA | 94596 | MEDICAL | $130,418 |
| AMN HEALTHCARE INC | |||||
| FILE 56157 | LOS ANGELES | CA | 900746157 | MEDICAL | $308,515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,401,500 | AllOtherContributionsAmt |
| Total Contributions | $1,401,500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT FEES AND SERVICES | $20,709,460 | $20,709,460 |
| THRIFT SHOPS | $624,198 | $624,198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,333,658 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,897 | TotalRevenueColumnAmt |
| Exclusion | $89,897 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,453 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,453 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,453 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,453 | RelatedOrExemptFuncIncomeAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $330,747 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $70,171 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $260,576 | TotalRevenueColumnAmt |
| Exclusion | $260,576 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,170,084 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,418,111 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $350,473 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,868 | TotalAmt |
| Management And General | $361,868 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,064,588 | TotalAmt |
| Program Services | $9,191,393 | ProgramServicesAmt |
| Management And General | $1,577,473 | ManagementAndGeneralAmt |
| Fundraising | $295,722 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,725 | TotalAmt |
| Program Services | $344,222 | ProgramServicesAmt |
| Management And General | $19,842 | ManagementAndGeneralAmt |
| Fundraising | $50,661 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,682,857 | TotalAmt |
| Program Services | $1,411,972 | ProgramServicesAmt |
| Management And General | $219,850 | ManagementAndGeneralAmt |
| Fundraising | $51,035 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,578 | TotalAmt |
| Program Services | $824,670 | ProgramServicesAmt |
| Management And General | $139,101 | ManagementAndGeneralAmt |
| Fundraising | $29,807 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,605,239 | TotalAmt |
| Program Services | $2,089,381 | ProgramServicesAmt |
| Management And General | $511,415 | ManagementAndGeneralAmt |
| Fundraising | $4,443 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,048 | TotalAmt |
| Program Services | $47,832 | ProgramServicesAmt |
| Management And General | $72,695 | ManagementAndGeneralAmt |
| Fundraising | $40,521 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,398 | TotalAmt |
| Program Services | $58,979 | ProgramServicesAmt |
| Management And General | $549,419 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,504 | TotalAmt |
| Management And General | $65,504 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,405 | TotalAmt |
| Program Services | $57,661 | ProgramServicesAmt |
| Management And General | $236,744 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,176 | TotalAmt |
| Program Services | $1,502 | ProgramServicesAmt |
| Management And General | $129,674 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $981,453 | $981,453 | ||
| MISCELLANEOUS | $826,489 | $315,013 | $381,648 | $129,828 |
| PHARMACY COSTS | $788,434 | $788,434 | ||
| INPATIENT FACILITY | $298,595 | $298,595 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,530 | TotalAmt |
| Program Services | $319,216 | ProgramServicesAmt |
| Management And General | $23,502 | ManagementAndGeneralAmt |
| Fundraising | $812 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,621,887 | TotalAmt |
| Program Services | $16,730,323 | ProgramServicesAmt |
| Management And General | $4,288,735 | ManagementAndGeneralAmt |
| Fundraising | $602,829 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,858,767 | BOYAmt |
| EOY | $3,015,417 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,427 | BOYAmt |
| EOY | $566,744 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,591,927 | BOYAmt |
| EOY | $2,610,454 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,080 | BOYAmt |
| EOY | $465,851 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,294,358 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,563,272 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,978,464 | BOYAmt |
| EOY | $7,731,086 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,342,499 | BOYAmt |
| EOY | $7,061,773 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,259 | BOYAmt |
| EOY | $220,544 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,924,423 | BOYAmt |
| EOY | $21,671,869 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,231,525 | BOYAmt |
| EOY | $1,560,634 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,157,101 | BOYAmt |
| EOY | $2,027,242 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,388,627 | BOYAmt |
| EOY | $3,587,876 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,964,708 | BOYAmt |
| EOY | $17,542,155 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,088 | BOYAmt |
| EOY | $41,838 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,535,796 | BOYAmt |
| EOY | $18,083,993 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,924,423 | BOYAmt |
| EOY | $21,671,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,548,197 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $1,673,166 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $873,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,807,001 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,497,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,401,500 | CurrentTaxYearAmt |
| Total | $7,252,247 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,673,166 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $873,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,807,001 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,497,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,401,500 | CurrentTaxYearAmt |
| Total | $7,252,247 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $349,668 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,902,579 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $96 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $239,532 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $334,726 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $89,897 | CurrentTaxYearAmt |
| Total | $792,565 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $131,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $330,312 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $157,967 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $345,029 | CurrentTaxYearAmt |
| Total | $964,863 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,009,675 | TotalSupportAmt |
| Public Support CY170 | 0.76610 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76500 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $500,000 | BeginningYearBalanceAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,710 | BeginningYearBalanceAmt |
| Contributions | $28,290 | ContributionsAmt |
| End Year Balance | $500,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,710 | BeginningYearBalanceAmt |
| End Year Balance | $471,710 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $448,610 | BeginningYearBalanceAmt |
| Contributions | $23,100 | ContributionsAmt |
| End Year Balance | $471,710 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,875,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,875,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,025,008 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,097,878 | DepreciationAmt |
| Book Value | $2,927,130 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $798,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $525,231 | DepreciationAmt |
| Book Value | $273,503 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,595,616 | OtherCostOrOtherBasisAmt |
| Depreciation | $940,163 | DepreciationAmt |
| Book Value | $655,453 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,731,086 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $23,170,084 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $23,170,084 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $23,170,084 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,621,887 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $21,621,887 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $21,621,887 | TotalExpensesPerForm990Amt |
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 | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $225,766 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $225,766 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $54,863 | OtherDirectExpensesEvent1Amt |
| Event2 | TREE OF LIGHTS | Event2Nm |
| Gross Receipts Event2 | $104,981 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $104,981 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $15,308 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $330,747 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $330,747 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $70,171 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $70,171 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $260,576 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| CYNTHIA HATTON | ||||
| President & CEO | $195,395 | $2,000 | $8,477 | $205,872 |
| DAVID CALDWELL | ||||
| VP & CFO | $148,159 | $7,837 | $155,996 | |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | REVIEWED BY CFO AND FINANCE COMMITTEE. PRESENTED TO BOARD FOR REVIEW AND FOR THEIR INFORMATION. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | THE ADMINISTRATIVE POLICIES AND PROCEDURES MANUAL AND THE EMPLOYEE MANUAL INCLUDE A POLICY THAT PROHIBITS DIRECTORS AND EMPLOYEES FROM INVOLVEMENT IN ANY ACTIVITY THAT WOULD BE CONSIDERED A CONFLICT OF INTEREST TO THE AGENCY, ITS PROGRAMS, OR ITS PATIENTS. THE POLICY INCLUDES GUIDELINES AND EXAMPLES OF PROHIBITED CONDUCT. DIRECTORS ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. DIRECTORS AND STAFF ARE REQUIRED TO DISCLOSE AS SOON AS POSSIBLE, THE EXISTANCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO HUMAN RESOURCES, OR TO THE APPROPRIATE MEMBER OF THE SENIOR LEADERSHIP TEAM. CONFLICTS OF INTEREST ARE ALSO MONITORED THROUGH COMPLIANCE LINE REPORTS, UNUSUAL OCCURRENCE REPORTS, COMPLAINT REPORTS, AND FOLLOW UP INVESTIGATIONS. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | THE CEO'S SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE COMMITTEE OBTAINS INDEPENDENT SALARY DATA (SALARY RANGE)FOR THE COMPARABLE POSITIONS IN THE MARKET PLACE. THE COMMITTEE ALSO PREPARES A WRITTEN EVALUATION OF THE CEO'S PERFORMANCE AGAINST PREDETERMINED GOALS AND OBJECTIVES. BASED ON THE CEO'S PERFORMANCE DURING THE YEAR, THE COMMITTEE DETERMINES THE ANNUAL ADJUSTMENT FOR THE COMING YEAR.TOP MANAGEMENT SALARIES ARE RECOMMENDED BY THE CEO AND APPROVED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD. THE COMMITTEE OBTAINS INDEPENDENT SALARY DATA (SALARY RANGES) FROM COMPARABLE POSITIONS IN THE MARKET PLACE. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | MARKET STUDIES OF COMPARABLE POSITIONS, ANNUAL REVIEWS OF COMPENSATION LEVELS COMMENSURATE WITH JOB DESCRIPTIONS, REVIEW AND APPROVAL BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |