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CENTRAL COAST VNA & HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTRAL COAST VNA & HOSPICE INC (EIN 94-1205572)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-07
IRS object ID
201332199349301093
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2013-08-07T14:40:52-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hutchinson and Bloodgood LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1579 Auto Center DriveAddressLine1
CityWatsonvilleCity
StateCAState
ZIP Code95076ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941205572EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL COAST VNA & HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone8317588302Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2480AddressLine1
CityMONTEREYCity
StateCAState
ZIP Code93942ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN A JOHNSONName
TitleCHAIR/CEOTitle
Date Signed2013-08-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN E SEMINGSON CPAName
PTINP00319226PTIN
Phone8317242441Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts25216581GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteCCVNA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionCENTRAL COAST VNA & HOSPICE, INC. IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HOME CARE TO THE RESIDENTS OF THE CENTRAL COAST BY MEETING THEIR INDIVIDUAL NEEDS IN AN ETHICAL, EFFECTIVE, CARING, AND FISCALLY RESPONSIBLE MANNER.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees203TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year710004ContributionsGrantsPriorYear
Contributions Grants Current Year593174ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19510833ProgramServiceRevenuePriorYear
Program Service Revenue CY23647331ProgramServiceRevenueCY
Investment Income Prior Year59466InvestmentIncomePriorYear
Investment Income Current Year133746InvestmentIncomeCurrentYear
Other Revenue Prior Year34771OtherRevenuePriorYear
Other Revenue Current Year140384OtherRevenueCurrentYear
Total Revenue Prior Year20315074TotalRevenuePriorYear
Total Revenue Current Year24514635TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13888108SalariesEtcPriorYear
Salaries Etc Current Year13842054SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year180928TotalFundrsngExpCurrentYear
Other Expense Prior Year7264311OtherExpensePriorYear
Other Expenses Current Year9160201OtherExpensesCurrentYear
Total Expenses Prior Year21152419TotalExpensesPriorYear
Total Expenses Current Year23002255TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-837345RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1512380RevenuesLessExpensesCY
Total Assets BOY7506833TotalAssetsBOY
Total Assets EOY9480764TotalAssetsEOY
Total Liabilities BOY2492301TotalLiabilitiesBOY
Total Liabilities EOY2682636TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5014532NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6798128NetAssetsOrFundBalancesEOY
Mission DescriptionCENTRAL COAST VNA & HOSPICE, INC. IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HOME CARE TO THE RESIDENTS OF THE CENTRAL COAST BY MEETING THEIR INDIVIDUAL NEEDS IN AN ETHICAL, EFFECTIVE, CARING, AND FISCALLY RESPONSIBLE MANNER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15010984Expense
Revenue16792716Revenue
DescriptionHOMECARE: PROVIDES PATIENT CARE FOR THE ILL OR CONVALESCENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5514624Expense
Revenue6854615Revenue
DescriptionHOSPICE BENEFIT: PROVIDES PATIENT CARE FOR THE TERMINALLY ILL.Description
FieldValueIRS element (for citing)
Total Program Service Expense20525608TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees203NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBARBARA GRUBERNamePerson
Telephone Number8317588302TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15 LOWER RAGSDALE DRIVEAddressLine1
CityMONTEREYCity
StateCAState
ZIP Code93940ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MIKE LEE
Director2.000.00000
LAURIE PRIMAVERA
Secretary40.000.00110126014104XX
BARBARA GRUBER
Director2.0040.00010759613968X
DARRIN MOONEYHAM
Treasurer5.000.00000XX
JAMES GRIFFITH
VICE CHAIR5.000.00000XX
STEVEN A JOHNSON
CHAIR/CEO5.0040.00026745618764XX
JACQUELINE SHANE
REGISTERED NURSE40.000.00135239014407X
DARREN MARKUS
PHYSICAL THERAPIST40.000.0012105504039X
ANNA MARTINEZ
REGISTERED NURSE40.000.00114353014231X
SUNGLIM KIM
REGISTERED NURSE40.000.00111135014134X
DONNA TREMENTOZZI
REGISTERED NURSE40.000.0010811503243X
FieldValueIRS element (for citing)
Total Reportable Comp From Org700023TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs375052TotalReportableCompFrmRltdOrgs
Total Other Compensation96890TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FUSION MEDICAL STAFFING LLC
11506 NICHOLAS ST SUITE 110OMAHANE68154CLINICAL STAFFING308556
DELTA FLEX TRAVELERS
PO BOX 202940DALLASTX75320CLINICAL STAFFING158100
CROSS COUNTRY STAFFING
LA LOCKBOX FILE 50941LOS ANGELESCA900740941CLINICAL STAFFING149857
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions593174AllOtherContributions
Total Contributions593174TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPICE62161068546156854615
HOMECARE6216101679271616792716
FieldValueIRS element (for citing)
Total Program Service Revenue23647331TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87514TotalRevenueColumn
Exclusion$87,514ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities748178Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities701946Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities46232Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column46232TotalRevenueColumn
Related Or Exempt Function Income46232RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column140384TotalRevenueColumn
Related Or Exempt Function Income140384RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue140384TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24514635TotalRevenueColumn
Related Or Exempt Function Income23833947RelatedOrExemptFunctionIncome
Exclusion$87,514ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total124230Total
Program Services124230ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10475153Total
Program Services10385705ProgramServices
Fundraising89448Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2352016Total
Program Services2340441ProgramServices
Fundraising11575Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total890655Total
Program Services882949ProgramServices
Fundraising7706Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1907801Total
Management And General1907801ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total819645Total
Program Services691620ProgramServices
Management And General127742ManagementAndGeneral
Fundraising283Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total92681Total
Program Services88732ProgramServices
Fundraising3949Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total74686Total
Program Services55568ProgramServices
Management And General15571ManagementAndGeneral
Fundraising3547Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total616158Total
Program Services480623ProgramServices
Management And General127761ManagementAndGeneral
Fundraising7774Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total167700Total
Program Services129742ProgramServices
Management And General37958ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total28909Total
Program Services23243ProgramServices
Management And General5666ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EQUIPMENT RENTAL & MAINTENANCE199043154052409514040
SUPPLIES90476788839616371
ANCILLARY SERVICES9191489155673581
CONTRACT STAFFING3099766307712422642

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total329897Total
Program Services287616ProgramServices
Management And General32269ManagementAndGeneral
Fundraising10012Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23002255Total
Program Services20525608ProgramServices
Management And General2295719ManagementAndGeneral
Fundraising180928Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2935BOY
EOY194988EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1755998BOY
EOY1962152EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1924530BOY
EOY2320448EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14308BOY
EOY36157EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2798027LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1594074LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY397800BOY
EOY1203953EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2517696BOY
EOY2713900EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY236382BOY
EOY246472EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY657184BOY
EOY802694EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7506833BOY
EOY9480764EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1987017BOY
EOY2155579EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY505284BOY
EOY527057EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2492301BOY
EOY2682636EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3283930BOY
EOY5163310EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY526263BOY
EOY425673EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1204339BOY
EOY1209145EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5014532BOY
EOY6798128EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7506833BOY
EOY9480764EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1512380ReconcilationRevenueExpenses
Reconciliation Unrealized Invest199228ReconciliationUnrealizedInvest
Reconcilation Other Changes71988ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years744548CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years405194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years972801CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year745004CurrentTaxYearMinus1Year
Current Tax Year645674CurrentTaxYear
Total3513221Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17003170CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17658763CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18258099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19510833CurrentTaxYearMinus1Year
Current Tax Year23647331CurrentTaxYear
Total96078196Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17747718CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18063957CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19230900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20255837CurrentTaxYearMinus1Year
Current Tax Year24293005CurrentTaxYear
Total99591417Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50999591417PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28714CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years147542CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year82997CurrentTaxYearMinus1Year
Current Tax Year87514CurrentTaxYear
Total374072Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28714CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years147542CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year82997CurrentTaxYearMinus1Year
Current Tax Year87514CurrentTaxYear
Total374072Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years481CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years3293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34771CurrentTaxYearMinus1Year
Current Tax Year140384CurrentTaxYear
Total178929Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17776913CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18091262CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19381735CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20373605CurrentTaxYearMinus1Year
Current Tax Year24520903CurrentTaxYear
Total100144418Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99450PublicSupportPercentage509
Prior Year Support Percentage0.99590PriorYearSupportPercentage
Investment Income Percentage0.00370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis51393InvestmentCostOrOtherBasis
Depreciation18421Depreciation
Book Value32972BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2462099InvestmentCostOrOtherBasis
Depreciation1343201Depreciation
Book Value1118898BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis284535InvestmentCostOrOtherBasis
Depreciation232452Depreciation
Book Value52083BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1203953TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
TRUSTS RECEIVABLE438426
RECEIVABLE FROM AFFILIATES351817
DEPOSITS11400
ACCRUED INTEREST1051
FieldValueIRS element (for citing)
Total Book Value Other Assets802694TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
SALES TAX PAYABLE$2,233
PAYABLE TO AFFILIATES$513,887
AGENCY FUND$10,937
FieldValueIRS element (for citing)
Total Of Amounts527057TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt24838351TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments199228NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities52500DonatedSrvcAndUseOfFacilities
Other Revenues71988OtherRevenues
Revenue Not Rptd F990323716RevenueNotRptdF990
Revenue Subtotal24514635RevenueSubtotal
Total Revenue Per Form99024514635TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23054755TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities52500DonatedServicesUseOfFacilities
Expenses Not Rptd F99052500ExpensesNotRptdF990
Expenses Subtotal23002255ExpensesSubtotal
Total Expenses Per Form99023002255TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XI, Line 2dIdentifier
Return ReferencePart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990ReturnReference
ExplanationCHANGE IN VALUE OF TRUSTS RECEIVABLE $71988Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTEVEN A JOHNSONNamePerson
TitleCHAIR/CEOTitle
Comp Based On Related Orgs233996CompBasedOnRelatedOrgs
Bonus Related Orgs22714BonusRelatedOrgs
Other Compensation Related Orgs10746OtherCompensationRelatedOrgs
Deferred Comp Related Orgs8024DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs10740NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs286220TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other IncreasesCHANGE IN VALUE OF TRUSTS RECEIVABLE = $71988
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCOPIES OF GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST; AVAILABLE ON COMPANY INTRANET FOR ORGANIZATION STAFF AND BOARD
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSEE RESPONSE AT FORM 990,PART VI,LINE 15A
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementWHEN DETERMINING THE ANNUAL COMPENSATION FOR ANY INSIDER, THE ORGANIZATION SHALL ALWAYS UNDERTAKE AND SATISFY ALL THREE PRONGS OF THE REBUTTABLE PRESUMPTION SET FORTH IN THE INTERNAL REVENUE CODE REGARDING INTERMEDIATE SANCTIONS (IRC 4958).1. COMPENSATION ARRANGEMENT APPROVED IN ADVANCE BY INDEPENDENT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY (BOARD OF DIRECTORS OR A SUBCOMMITTEE THEREOF) THAT IS COMPOSED OF PERSONS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. 2. BEFORE MAKING THE REASONABLE COMPENSATION DETERMINATION, THE GOVERNING BODY (OR SUBCOMMITTEE THEREOF) RELIED UPON COMPARABILITY DATA (COMPARABILITY DATA INCLUDES COMPENSATION PAID BY COMPARABLE AND SIMILARLY SITUATED ENTITIES) IN DECIDING WHETHER TO APPROVE THE COMPENSATION. 3. GOVERNING BODY CONTEMPORANEOUSLY DOCUMENTS ITS BASIS FOR MAKING A REASONABLE COMPENSATION DETERMINATION AS FOLLOWS:A. TERMS OF THE APPROVED COMPENSATION AND THE DATE APPROVED BY THE BOARDB. MEMBERS OF THE BOARD PRESENT DURING DEBATE ON THE COMPENSATION AMOUNT AND THOSE WHO VOTED ON IT AND HOW THEY VOTED ON IT.C. DESCRIPTION OF THE COMPARABILITY DATA OBTAINED AND RELIED UPON AND HOW SUCH DATA WAS OBTAINED. D. ANY ACTIONS BY A BOARD MEMBER HAVING A CONFLICT OF INTEREST (E.G. DISCLOSURE OF THE CONFLICT OF INTEREST; RECUSE FROM THE DISCUSSION)E. DOCUMENTATION OF THE BASIS FOR THE COMPENSATION DETERMINATION BEFORE THE LATER OF THE NEXT BOARD MEETING OR 60 DAYS AFTER THE FINAL ACTIONS OF THE AUTHORIZED BODY ARE TAKEN
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS PROVIDE YEARLY STATEMENTS OF ANY CONFLICTS
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessCOPIES OF THE 990 ARE PROVIDED TO BOARD MEMBERS BY MANAGEMENT FOR REVIEW PRIOR TO THE FILING OF THE RETURN.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyCENTRAL COAST COMMUNITY HEALTH CARE, INC. IS A CORPORATION ESTABLISHED AS AN UMBRELLA COMPANY TO MANAGE THREE RELATED NONPROFIT ORGANIZATIONS, INCLUDING CENTRAL COAST VNA & HOSPICE, INC. DUTIES DELEGATED TO CENTRAL COAST COMMUNITY HEALTH CARE, INC. BY CENTRAL COAST VNA & HOSPICE, INC. INCLUDE RECORDING OF FINANCIAL TRANSACTIONS, MANAGING STAFF, AND PERFORMING VARIOUS OTHER MANAGEMENT DUTIES.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et3 OF THE VOTING MEMBERS ARE EMPLOYEES OF SALINAS VALLEY MEMORIAL HOSPITAL (SVMH). SVMH HAS AN AFFILIATION AGREEMENT WITH CCVNA. 2 OF THE VOTING MEMBERS ARE EMPLOYEES OF CENTRAL COAST COMMUNITY HEALTH CARE (CCCHC)(SEE SCHEDULE R FOR RELATED PARTIES). CCCHC HAS A MANAGEMENT AGREEMENT WITH CCVNA. 1 OF THE VOTING MEMBERS IS AN EMPLOYEE OF CCVNA. THE BOARD DOES NOT VOTE ON ISSUES SUCH AS WAGES AND BENEFITS FOR CCVNA. THIS IS DONE BY THE AFFILIATES BOARD IN CCCHC. THIS BOARD PURELY MONITORS OPERATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CCVNA FOUNDATION INC
5 LOWER RAGSDALE DRMONTEREYCA93940770441676FUNDRAISINGCA501(C)311AN/Afalse
VNA COMMUNITY SERVICES INC
5 LOWER RAGSDALE DRMONTEREYCA93940942903253HEALTH CARECA501(C)37N/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CENTRAL COAST COMMUNITY HEALTH CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 2480AddressLine1
CityMONTEREYCity
StateCAState
ZIP Code93940ZIPCode
FieldValueIRS element (for citing)
EIN770066666EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateCALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg