2024-05-01T12:06:06-05:00 2023-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990 2022-10-01 200178425 CHI MANAGEMENT INC CHIM 2095786300 4368 SPYRES WAY MODESTO CA 95356 ALISA BETTIS CEO 2095786300 2024-04-11 1 ALISA BETTIS 999009999 1 JACQUELYN HOWELL P01327223 2095774800 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ALISA BETTIS 4368 SPYRES WAY MODESTO CA 953569259 10023152 0 X WWW.HOSPICEHEART.ORG X 2003 CA OPERATES THRIFT STORES AND PROVIDES MANAGEMENT SERVICES TO TAX EXEMPT ORGANIZATIONS. 5 5 128 94 0 0 7248069 6900488 2634992 2797311 622 7560 21953 317793 9905636 10023152 1880960 1383061 0 0 5316181 5812377 0 0 37701 2555131 2779725 9752272 9975163 153364 47989 2491158 6342856 529374 4333083 1961784 2009773 OPERATES THRIFT STORES AND PROVIDES MANAGEMENT SERVICES TO TAX EXEMPT ORGANIZATIONS. 0 0 3396454 0 2797311 PROVIDED PROFESSIONAL SERVICES (MANAGEMENT, ACCOUNTING, HUMAN RESOURCES, INFORMATION SYSTEMS, COMMUNITY RELATIONS) FOR TWO RELATED NON-PROFIT ORGANIZATIONS. 6541008 1383061 0 RAISED FUNDS THROUGH THRIFT STORES TO SUPPORT THE OPERATIONS OF COMMUNITY HOSPICE INC., A RELATED NONPROFIT CORPORATION. COMMUNITY HOSPICE, INC. USES THESE FUNDS TO PROVIDE SERVICES AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES. 9937462 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 14 0 128 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MARK MALTUN 2095786300 4368 SPYRES WAY MODESTO CA 953569259 CHAD VAN HOUTEN CHAIRMAN 0.50 1.00 X X 0 0 0 FATIMA SEWARD VICE CHAIRMAN 0.50 1.00 X X 0 0 0 MICHAEL GIANELLI SECRETARY 0.50 1.00 X X 0 0 0 CHERYL HARLESS TREASURER 0.50 1.00 X X 0 0 0 SUSAN DONKER PAST CHAIRMAN 0.50 1.00 X X 0 0 0 MARK MALTUN CHIEF FINANCIAL OFFICER 40.00 2.00 X 161885 0 10990 ALISA BETTIS CHIEF EXECUTIVE OFFICER 1.00 41.00 X 0 74187 1605 MONICA OJCIUS INTERIM CHF EXECUTIVE DIRECTOR 40.00 2.00 X 136491 0 21107 PETER LAI MEDICAL DIRECTOR 1.00 41.00 X 0 312156 28202 MANINDERDEEP KAHLON NURSE PRACTITIONER 1.00 41.00 X 0 192681 15713 SOVICHEA MONEY MEAS TRIAGE RN 1.00 41.00 X 0 212855 19294 RAJVINDER KAUR NURSE PRACTITIONER 1.00 41.00 X 0 193947 14153 JATINDERJIT HUNDAL ACHH ADMINISTRATOR 1.00 41.00 X 0 191698 7728 JOHN RENNER FORMER INTERIM CEO 1.00 41.00 X 0 177562 0 298376 1355086 118792 5 1 1 0 OAKDALE SHOPPING CENTER LLC 7831 SE STARK ST 103 PORTLAND OR 97215 RENT 172348 JAGENDER SINGH 2017 KENDALL AVE MODESTO CA 95355 RENT 144000 OWEN ONEIL 4101 EMERALD STREET OAKLAND CA 94609 RENT 129321 INDER PAL PAHWA 2323 MONTE VISTA DRIVE PINOLE CA 94564 RENT 122636 B&F SNIDER ENTERPRISE DBA BREDKKE REAL E 1500 STANDIFORD AVE BLDG D MODESTO CA 95350 RENT 100962 5 807379 6093109 6009865 6900488 MANAGEMENT FEES 900099 2797311 2797311 2797311 7560 7560 INSURANCE PROCEEDS 900099 301885 301885 OTHER REVENUE 900099 15908 15908 317793 10023152 2797311 0 325353 X 1383061 1383061 152275 152275 4823027 4823027 116170 116170 358047 358047 362858 362858 51685 51685 37701 37701 99685 99685 1257843 1257843 73411 73411 49177 49177 237462 237462 INTERNET AND TELEPHONE 280834 280834 PROFESSIONAL FEES 168692 168692 REPAIRS AND MAINTENANCE 167935 167935 STAFF RECRUITMENT, TRAI 92250 92250 263050 263050 9975163 9937462 0 37701 327450 425228 770152 577714 14173 16812 964648 1023261 135239 162837 1421557 1258870 170468 162687 109028 3974317 2491158 6342856 528353 637445 1021 0 0 3695638 529374 4333083 X 1961784 2009773 1961784 2009773 2491158 6342856 47989 0 X X 0 1 X 1 0 X 7981632 7844955 8280511 9883061 9697799 43687958 7981632 7844955 8280511 9883061 9697799 43687958 0 0 0 43687958 145 656 622 7560 8983 145 656 622 7560 8983 2614 43671 111077 21953 317793 497108 7984246 7888771 8392244 9905636 10023152 44194049 0.98850 0.99560 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 214784 155174 59610 564080 548381 15699 642693 555315 87378 162687 RELATED PARTY RECEIVABLES 201653 DEPOSITS 87526 EMPLOYEE RETENTION CREDIT RECEIVABLE 807379 OPERATING LEASE RIGHT-OF-USE ASSETS 2877759 3974317 RELATED PARTY PAYABLE 686272 SBA LOAN PAYABLE 121107 OPERATING LEASE LIABILITIES 2888259 3695638 X 10023152 0 10023152 0 10023152 8592102 0 8592102 1383061 1383061 9975163 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR TAX YEARS ENDING SEPTEMBER 30, 2019 AND PRIOR. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION TO COMMUNITY HOSPICE NOT INCLUDED AS FINANCIAL STATEMENT EXP. PART XII, LINE 4B CONTINUED THESE ARE GRANTS TO A RELATED ENTITY. 1 COMMUNITY HOSPICE INC 4368 SPYRES WAY MODESTO CA 95356 942638213 501(C)(3) 1383061 0 TO SUPPORT THE MISSION OF COMMUNITY HOSPICE, INC. PART I, LINE 2: ALL FUNDS ARE DISTRIBUTED TO COMMUNITY HOSPICE, INC., WHICH IS A RELATED ENTITY. X X X X X 0 0 0 0 0 0 0 0 0 PETER LAI MEDICAL DIRECTOR 0 312156 0 0 0 0 0 14078 0 14124 0 340358 0 0 SOVICHEA MONEY MEAS TRIAGE RN 0 212855 0 0 0 0 0 6992 0 12302 0 232149 0 0 MANINDERDEEP KAHLON NURSE PRACTITIONER 0 192681 0 0 0 0 0 9562 0 6151 0 208394 0 0 RAJVINDER KAUR NURSE PRACTITIONER 0 193947 0 0 0 0 0 7733 0 6420 0 208100 0 0 JATINDERJIT HUNDAL ACHH ADMINISTRATOR 0 191698 0 0 0 0 0 1577 0 6151 0 199426 0 0 JOHN RENNER FORMER INTERIM CEO 0 177562 0 0 0 0 0 0 0 0 0 177562 0 0 MARK MALTUN CHIEF FINANCIAL OFFICER 161885 0 0 0 0 0 4839 0 6151 0 172875 0 0 0 MONICA OJCIUS INTERIM CHF EXECUTIVE DIRECTOR 136491 0 0 0 0 0 8267 0 12840 0 157598 0 0 0 X 237570 NET REALIZABLE VALUE X 5516004 NET REALIZABLE VALUE X 11 10429 NET REALIZABLE VALUE X 0 79001 NET REALIZABLE VALUE X COMMERCIAL ITEMS 0 166861 NET REALIZABLE VALUE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 COMMUNITY HOSPICE INC. IS THE MEMBER OF COMMUNITY HOSPICE MANAGEMENT AND IS A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER WITH THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. THE MEMBER IS COMMUNITY HOSPICE INC., A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS BY THE ORGANIZATION MAY BE SUBJECT TO APPROVAL BY COMMUNITY HOSPICE, INC. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND IS PROVIDED WITH AN OPPORTUNITY TO COMMENT ON THE TAX RETURN PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES, VOLUNTEERS, AND MEMBERS OF THE BOARD OF DIRECTORS AND ADVISORY COMMITTEES WILL SIGN A CONFLICT OF INTEREST DOCUMENT UPON EMPLOYMENT, APPOINTMENT, OR REAPPOINTMENT AT LEAST ANNUALLY AND MONITORED BY THE CORPORATE COMPLIANCE OFFICER, INDICATING THAT THEY HAVE READ AND UNDERSTOOD THE RELEVANT POLICIES AND THAT THEY WILL OBSERVE THEM. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS WHERE THE VOTE OF EACH MEMBER IS COUNTED. COMPENSATION ANALYSIS OF SIMILAR ORGANIZATIONS (TAXABLE AND TAX-EXEMPT) WITH RESPECT TO SIZE AND RESPONSIBILITIES OF EACH POSITION ARE COMPARED ANNUALLY. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES, PERSONAL ACTION FORMS, AND THE EMPLOYEE'S PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST IN PUBLIC BINDERS. FORM 990, PART IX, LINE 24E COST OF GOODS SOLD: PROGRAM SERVICE EXPENSES 75,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,238. SUPPLIES: PROGRAM SERVICE EXPENSES 73,353. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,353. STAFF RELATIONS: PROGRAM SERVICE EXPENSES 44,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,021. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 17,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,783. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 15,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,870. FIRE: PROGRAM SERVICE EXPENSES 12,539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,539. DUES AND MEMBERSHIPS: PROGRAM SERVICE EXPENSES 10,991. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,991. JANITORIAL: PROGRAM SERVICE EXPENSES 7,961. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,961. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 5,294. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,294. FORM 990, PART XII, LINE 2C MEMBERS OF THE BOARD OF DIRECTORS FROM COMMUNITY HOSPICE, INC., CHI MANAGEMENT, INC. AND COMMUNITY HOSPICE FOUNDATION MAKE UP THE AUDIT COMMITTEE CHARGED WITH THE RESPONSIBILITY OF OVERSIGHT IN CONNECTION TO THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITORS. COMMUNITY HOSPICE INC 4368 SPYRES WAY MODESTO CA 95356 942638213 TO PROVIDE HOSPICE CARE FOR THE TERMINALLY ILL CA 501(C)(3) 509(A)(2) N/A 0 COMMUNITY HOSPICE FOUNDATION 4368 SPYRES WAY MODESTO CA 95356 770562224 TO RAISE FUNDS TO SUPPORT THE OPERATIONS OF COMMUNITY HOSPICE, INC. CA 501(C)(3) 509(A)(3) N/A 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0