2025-08-15T18:34:19-05:00 2024-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990 2023-10-01 942638213 COMMUNITY HOSPICE INC COMM 2095786300 4368 SPYRES WAY MODESTO CA 953569259 MATHEW FRANCIS CEO 2095786300 2025-08-13 1 1 JACQUELYN HOWELL P01327223 2095774800 2025-07-21 X 2023 2025-03-06 01:10:19Z MATHEW FRANCIS 4368 SPYRES WAY MODESTO CA 95356 29142482 0 X WWW.HOSPICEHEART.ORG X 1979 CA HOSPICE CARE FOR THE TERMINALLY ILL. 13 13 231 353 0 0 5126947 3951820 25151245 24370026 12828 109845 576743 662084 30867763 29093775 0 0 0 0 17520900 16936398 0 0 0 13054125 11989816 30575025 28926214 292738 167561 16144826 16148116 6367738 6203467 9777088 9944649 TO PROVIDE COMPASSIONATE, QUALITY CARE, EDUCATION AND SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES, REGARDLESS OF ABILITY TO PAY. 0 0 24616225 0 25027134 TO PROVIDE AID AND COMFORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES ON A PHYSICAL AND SPIRITUAL LEVEL. 24616225 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 36 0 231 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 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 CHAIR 1.00 0.50 X X 0 0 0 FATIMA SEWARD VICE CHAIR 1.00 0.50 X X 0 0 0 DAVID BENN SECRETARY 1.00 0.50 X X 0 0 0 SUSAN DONKER PAST CHAIR 1.00 0.50 X X 0 0 0 AMBER CAMPBELL DIRECTOR 1.00 X 0 0 0 CHUCK MITTEN TREASURER 1.00 X X 0 0 0 EUGENE PATRIZIO DIRECTOR 1.00 X 0 0 0 GREGORY D FIELDS DIRECTOR 1.00 X 0 0 0 KRISTIN REZA DIRECTOR 1.00 X 0 0 0 TRACEY KERR DIRECTOR 1.00 X 0 0 0 CHRISTINE SCHWEININGER DIRECTOR 1.00 X 0 0 0 BENJAMIN JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 SUE CIPPONERI DIRECTOR 1.00 X 0 0 0 MARK MALTUN CHIEF FINANCIAL OFFICER THRU 5/19/24 1.00 41.00 X 0 160125 12716 ALISA BETTIS CHIEF EXECUTIVE OFFICER 40.00 2.00 X 245373 0 23551 MONICA OJCIUS CHF INTERIM EXECUTIVE DIRECTOR 1.00 41.00 X 0 157783 23968 TOBY BENGUEREL CHIEF FINANCIAL OFFICER AS OF 5/20/24 1.00 41.00 X 0 0 0 RAJVINDER KAUR NURSE PRACTITIONER 40.00 2.00 X 193254 0 0 MANINDERDEEP KAHLON NURSE PRACTITIONER 40.00 2.00 X 195877 0 0 PETER LAI MEDICAL DIRECTOR 40.00 2.00 X 328576 0 0 SOVICHEA MONY MEAS TRIAGE RN 40.00 2.00 X 162436 0 0 KARIE CROUCH TRIAGE RN 40.00 2.00 X 165956 0 0 1291472 317908 60235 46 0 1 0 DREW HO MD PO BOX 2386 OAKDALE CA 95361 MEDICAL SERVICES 216897 MIGUEL HERNANDEZ MD 1448 FLORIDA AVE MODESTO CA 95350 MEDICAL SERVICES 120227 HUMAYUN ABBAS 1018 S WEDGEWOOD RD SAN RAMON CA 94582 MEDICAL SERVICES 107479 3 3951820 3951820 PATIENT SERVICES 621610 24370026 24370026 24370026 24821 24821 90000 0 90000 90000 90000 133731 48707 85024 85024 85024 MISCELLANEOUS 900099 572084 572084 572084 29093775 25027134 0 114821 X 280994 280994 15192838 14791799 401039 399213 388271 10942 1063353 1022480 40873 2749314 2749314 235884 113541 122343 18823 18823 220933 192487 28446 361043 158557 202486 486222 486222 135972 135972 361479 56203 305276 554868 459796 95072 DIRECT PATIENT EXPENSES 5493086 5493086 EQUIPMENT RENTAL AND MA 448696 335919 112777 PROVISION FOR BAD DEBTS 222696 222696 MISCELLANEOUS 158347 151167 7180 542453 444184 98269 28926214 24616225 4309989 0 345521 504026 453790 89612 4008150 4398178 123332 132302 487300 554928 14978165 7738991 7614270 7239174 3112463 3229896 16144826 16148116 2123901 2024071 141132 102160 1911206 1717571 24189 0 2167310 2359665 6367738 6203467 X 9328982 8689120 448106 1255529 9777088 9944649 16144826 16148116 167561 0 X X 0 1 X 1 1 1 X 1753542 3573624 2661008 5126947 3951820 17066941 23975979 23706594 23370588 25591338 24942110 121586609 25729521 27280218 26031596 30718285 28893930 138653550 0 0 0 138653550 140194 145276 145029 149478 114821 694798 140194 145276 145029 149478 114821 694798 25869715 27425494 26176625 30867763 29008751 139348348 0.99500 0.99470 0.00500 0.00530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1293195 553 280453 9576 1564625 1133925 348 158922 1293195 1409600 1339 -201492 1133925 1204287 1767 225932 1409600 1142324 1640 60323 1204287 0.38560 0.61440 0.00000 0 1 1 1511422 1511422 5839763 2818633 3021130 7626980 4920358 2706622 7239174 DEPOSITS 4620 RELATED PARTY RECEIVABLE 1205847 OPERATING LEASE RIGHT-OF-USE ASSETS 43686 EMPLOYEE RETENTION CREDIT RECEIVABLE 1975743 3229896 RELATED PARTY PAYABLE 585789 OPERATING LEASE LIABILITIES 47306 SBA LOAN PAYABLE 296361 RELATED PARTY LOAN PAYABLE 1430209 2359665 X 31706428 2612653 2612653 29093775 0 29093775 28926214 0 28926214 0 28926214 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO FUND FUTURE OPERATING EXPENSES. PART X, LINE 2: MANAGEMENT HAS EVALUATED HOSPICE'S TAX POSITIONS AND CONCLUDED THAT HOSPICE 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. HOSPICE 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. X X X X X 0 0 0 0 0 0 0 0 0 PETER LAI MEDICAL DIRECTOR 328576 0 0 0 0 0 0 0 0 0 328576 0 0 0 ALISA BETTIS CHIEF EXECUTIVE OFFICER 245373 0 0 0 0 0 0 0 23551 0 268924 0 0 0 MANINDERDEEP KAHLON NURSE PRACTITIONER 195877 0 0 0 0 0 0 0 0 0 195877 0 0 0 RAJVINDER KAUR NURSE PRACTITIONER 193254 0 0 0 0 0 0 0 0 0 193254 0 0 0 MONICA OJCIUS CHF INTERIM EXECUTIVE DIRECTOR 0 157783 0 0 0 0 0 8267 0 15701 0 181751 0 0 MARK MALTUN CHIEF FINANCIAL OFFICER THRU 5/19/24 0 160125 0 0 0 0 0 4839 0 7877 0 172841 0 0 KARIE CROUCH TRIAGE RN 165956 0 0 0 0 0 0 0 0 0 165956 0 0 0 SOVICHEA MONY MEAS TRIAGE RN 162436 0 0 0 0 0 0 0 0 0 162436 0 0 0 A CALIFORNIA ENTERPRISE DEVELOPMENT AUTHORITY 352273601 13067RAD5 2006-11-01 5200000 REFINANCE BUILDING LOAN 0 0 0 A 5200000 129022 2006 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE PERFORMED BY CHI MANAGEMENT, INC. WHICH IS A RELATED PARTY EXEMPT ORGANIZATION. 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 SITUATED ORGANIZATIONS (TAXABLE AND TAX-EXEMPT) WITH RESPECT TO SIZE AND RESPONSIBILITIES OF EACH POSITION ARE COMPARED. THIS ANALYSIS IS PREPARED ANNUALLY. THE PROCESS OF ARRIVING AT EACH INDIVIDUAL'S COMPENSATION ARRANGEMENT IS DOCUMENTED IN BOARD MINUTES, PERSONAL ACTION FORMS, AND THE EMPLOYEE'S PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT AVAILABLE TO THE PUBLIC UPON REQUEST IN PUBLIC BINDERS. FORM 990, PART IX, LINE 24E PROGRAM SPECIFIC: PROGRAM SERVICE EXPENSES 116,342. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,342. PROMOTION: PROGRAM SERVICE EXPENSES 100,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,806. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 88,585. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,585. MEMBERSHIP, DUES, AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 49,244. MANAGEMENT AND GENERAL EXPENSES 22,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,386. STAFF RECRUITMENT, TRAINING, AND EDUCATION: PROGRAM SERVICE EXPENSES 57,470. MANAGEMENT AND GENERAL EXPENSES 3,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,035. KITCHEN SUPPLIES: PROGRAM SERVICE EXPENSES 3,673. MANAGEMENT AND GENERAL EXPENSES 50,314. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,987. LICENSES: PROGRAM SERVICE EXPENSES 415. MANAGEMENT AND GENERAL EXPENSES 18,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,454. JANITORIAL: PROGRAM SERVICE EXPENSES 15,796. MANAGEMENT AND GENERAL EXPENSES 2,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,399. SUPPLIES & MINOR EQUIPMENT: PROGRAM SERVICE EXPENSES 11,853. MANAGEMENT AND GENERAL EXPENSES 1,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,459. 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. FORM 990, PART VIII, LINE 8 FUNDRAISING INCOME AND EXPENSES DO NOT APPEAR ON THE FORM 990 FOR COMMUNITY HOSPICE, INC. ALL FUNDRAISING ACTIVITIES ARE CONDUCTED AND REPORTED ON THE FORM 990 OF COMMUNITY HOSPICE FOUNDATION, A TYPE 1 SUPPORTING ORGANIZATION. CHI MANAGEMENT INC 4368 SPYRES WAY MODESTO CA 95351 200178425 TO PROVIDE PROFESSIONAL SERVICES FOR NONPROFIT ORGANIZATIONS. CA 501(C)(3) 509(A)(2) N/A 1 COMMUNITY HOSPICE FOUNDATION 4368 SPYRES WAY MODESTO CA 95351 770562224 TO RAISE FUNDS TO SUPPORT THE OPERATION OF COMMUNITY HOSPICE, INC. CA 501(C)(3) 509(A)(3) N/A 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 COMMUNITY HOSPICE FOUNDATION C 3006247 FAIR MARKET VALUE CHI MANAGEMENT INC C 945573 FAIR MARKET VALUE CHI MANAGEMENT INC M 2749314 FAIR MARKET VALUE CHI MANAGEMENT INC J 72000 FAIR MARKET VALUE COMMUNITY HOSPICE FOUNDATION J 18000 FAIR MARKET VALUE