2025-08-15T18:35:11-05:00 2024-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990 2023-10-01 200178425 CHI MANAGEMENT INC CHIM 2095786300 4368 SPYRES WAY MODESTO CA 95356 MATHEW FRANCIS CEO 2095786300 2025-08-13 1 1 JACQUELYN HOWELL P01327223 2095774800 X 2023 2025-03-06 01:10:19Z MATHEW FRANCIS 4368 SPYRES WAY MODESTO CA 953569259 9148480 0 X WWW.HOSPICEHEART.ORG X 2003 CA OPERATES THRIFT STORES AND PROVIDES MANAGEMENT SERVICES TO TAX EXEMPT ORGANIZATIONS. 5 5 119 94 0 0 6900488 6337597 2797311 2802579 7560 6714 317793 1590 10023152 9148480 1383061 945573 0 0 5812377 5750346 0 0 32563 2779725 2751607 9975163 9447526 47989 -299046 6342856 6129923 4333083 4419196 2009773 1710727 OPERATES THRIFT STORES AND PROVIDES MANAGEMENT SERVICES TO TAX EXEMPT ORGANIZATIONS. 0 0 3284593 0 2802579 PROVIDED PROFESSIONAL SERVICES (MANAGEMENT, ACCOUNTING, HUMAN RESOURCES, INFORMATION SYSTEMS, COMMUNITY RELATIONS) FOR TWO RELATED NON-PROFIT ORGANIZATIONS. 6130370 945573 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. 9414963 1 0 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 9 0 119 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 TOBY BENGUEREL 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 DAVID BENN SECRETARY 0.50 1.00 X X 0 0 0 CHERYL HARLESS TREASURER 0.50 X X 0 0 0 SUSAN DONKER PAST CHAIRMAN 0.50 1.00 X X 0 0 0 MARK MALTUN CHIEF FINANCIAL OFFICER THRU 5/19/24 40.00 2.00 X 160125 0 12716 ALISA BETTIS CHIEF EXECUTIVE OFFICER 1.00 41.00 X 0 245373 23551 MONICA OJCIUS CHF INTERIM EXECUTIVE DIRECTOR 40.00 2.00 X 157783 0 23968 TOBY BENGUEREL CHIEF FINANCIAL OFFICER AS OF 5/20/24 40.00 2.00 X 0 0 0 PETER LAI MEDICAL DIRECTOR 1.00 41.00 X 0 328576 0 MANINDERDEEP KAHLON NURSE PRACTITIONER 1.00 41.00 X 0 195877 0 SOVICHEA MONEY MEAS TRIAGE RN 1.00 41.00 X 0 162436 0 RAJVINDER KAUR NURSE PRACTITIONER 1.00 41.00 X 0 193254 0 KARIE CROUCH TRIAGE RN 1.00 41.00 X 0 165956 0 317908 1291472 60235 6 0 1 0 OAKDALE SHOPPING CENTER LLC 7831 SE STARK ST 103 PORTLAND OR 97215 RENT 183381 JAGENDER SINGH 2017 KENDALL AVE MODESTO CA 95355 RENT 144000 OWEN ONEIL 4101 EMERALD STREET OAKLAND CA 94609 RENT 132449 INDER PAL PAHWA 2323 MONTE VISTA DRIVE PINOLE CA 94564 RENT 123038 4 6337597 6234971 6337597 MANAGEMENT FEES 900099 2802579 2802579 2802579 6714 6714 OTHER REVENUE 900099 1590 1590 1590 9148480 2802579 0 8304 X 945573 945573 198918 198918 4745661 4745661 104809 104809 316220 316220 384738 384738 53466 53466 32563 32563 107035 107035 1325784 1325784 89220 89220 54353 54353 222923 222923 INTERNET AND TELEPHONE 313452 313452 REPAIRS AND MAINTENANCE 174328 174328 COST OF GOODS SOLD 92132 92132 PROFESSIONAL FEES 74134 74134 212217 212217 9447526 9414963 0 32563 425228 136736 577714 2428 16812 44672 1023261 1023177 162837 152547 1534114 1329973 162687 204141 61845 3974317 4504377 6342856 6129923 637445 688344 3695638 3730852 4333083 4419196 X 2009773 1710727 2009773 1710727 6342856 6129923 -299046 0 X X 0 1 X 1 0 X 7844955 8280511 9883061 9697799 9140176 44846502 7844955 8280511 9883061 9697799 9140176 44846502 0 0 0 44846502 145 656 622 7560 6714 15697 145 656 622 7560 6714 15697 43671 111077 21953 317793 1590 496084 7888771 8392244 9905636 10023152 9148480 45358283 0.98870 0.98850 0.00030 0.00020 X 228120 173421 54699 583676 553010 30666 722318 603542 118776 204141 RELATED PARTY RECEIVABLES 278258 DEPOSITS 109497 EMPLOYEE RETENTION CREDIT RECEIVABLE 807379 OPERATING LEASE RIGHT-OF-USE ASSETS 3309243 4504377 RELATED PARTY PAYABLE 62018 SBA LOAN PAYABLE 121107 OPERATING LEASE LIABILITIES 3336665 LINE OF CREDIT 150000 FINANCE LEASE OBLIGATIONS 61062 3730852 X 9148480 0 9148480 0 9148480 8501953 0 8501953 945573 945573 9447526 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, 2020 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) 945573 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 328576 0 0 0 0 0 0 0 0 0 328576 0 0 ALISA BETTIS CHIEF EXECUTIVE OFFICER 0 245373 0 0 0 0 0 0 0 23551 0 268924 0 0 MANINDERDEEP KAHLON NURSE PRACTITIONER 0 195877 0 0 0 0 0 0 0 0 0 195877 0 0 RAJVINDER KAUR NURSE PRACTITIONER 0 193254 0 0 0 0 0 0 0 0 0 193254 0 0 MONICA OJCIUS CHF INTERIM EXECUTIVE DIRECTOR 157783 0 0 0 0 0 8267 0 15701 0 181751 0 0 0 MARK MALTUN CHIEF FINANCIAL OFFICER THRU 5/19/24 160125 0 0 0 0 0 4839 0 7877 0 172841 0 0 0 KARIE CROUCH TRIAGE RN 0 165956 0 0 0 0 0 0 0 0 0 165956 0 0 SOVICHEA MONEY MEAS TRIAGE RN 0 162436 0 0 0 0 0 0 0 0 0 162436 0 0 X 254004 NET REALIZABLE VALUE X 5720978 NET REALIZABLE VALUE X 11 5951 NET REALIZABLE VALUE X 0 90531 NET REALIZABLE VALUE X COMMERCIAL ITEMS 0 163507 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 SUPPLIES: PROGRAM SERVICE EXPENSES 68,483. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,483. STAFF RELATIONS: PROGRAM SERVICE EXPENSES 44,582. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,582. STAFF RECRUITMENT, TRAINING AND EDUCATION: PROGRAM SERVICE EXPENSES 40,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,844. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 26,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,407. DUES AND MEMBERSHIPS: PROGRAM SERVICE EXPENSES 11,503. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,503. JANITORIAL: PROGRAM SERVICE EXPENSES 7,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,880. AMORTIZATION: PROGRAM SERVICE EXPENSES 5,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,868. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 4,397. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,397. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,253. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,253. 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