Form 990 for tax year 2022

Filed by CALIFORNIA HOSPICE NETWORK.

Totals

Total revenue: $584,958
Total expenses: $539,076
Contributions and grants received: $70
Grants paid: $0
Program service revenue: $584,888
Investment income: $0
Other revenue: $0
Total assets, end of year: $325,146
Total liabilities, end of year: $300,511
Net assets or fund balances, end of year: $24,635
Program services expenses (Part IX): $443,423
Management and general expenses: $95,653
Fundraising expenses: $0
Program service expenses (Part III): $443,423

Program services were 82.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

1f · All other contributions, gifts and grants

$70
2a · Program service revenue: Service Contract Revenue

total $377,270 · related or exempt $377,270
2b · Program service revenue: Mission Support Revenue

total $207,618 · related or exempt $207,618
2f · All other program service revenue

total $0 · related or exempt $0 · unrelated business $0 · excluded $0
6c · Rental income or loss

real property $0 · personal property $0
7c · Gain or loss

securities $0 · other assets $0
11d · All other revenue

total $0 · related or exempt $0 · unrelated business $0 · excluded $0
11e · Other revenue, total

$0

Functional expenses

Part IX, the statement of functional expenses.

5 · Compensation of officers, directors and key employees

total $84,144 · program services $42,072 · management and general $42,072
11a · Fees: management

total $8,081 · program services $8,081
11b · Fees: legal

total $27,570 · management and general $27,570
11c · Fees: accounting

total $6,611 · management and general $6,611
11g · Fees: other

total $0 · program services $0 · management and general $0 · fundraising $0
12 · Advertising and promotion

total $16,000 · program services $16,000
14 · Information technology

total $2,841 · management and general $2,841
19 · Conferences, conventions and meetings

total $7,500 · management and general $7,500
23 · Insurance

total $6,258 · management and general $6,258
24a · Other expenses: Service Contract Expenses

total $377,270 · program services $377,270
24e · All other expenses

total $2,801 · program services $0 · management and general $2,801 · fundraising $0

Balance sheet

Part X, book values.

1 · Cash, non-interest-bearing

beginning of year $120,940 · end of year $148,990
4 · Accounts receivable

beginning of year $150,258 · end of year $115,291
5 · Loans and receivables from officers and key people

beginning of year $0 · end of year $0
6 · Loans and receivables from disqualified persons

beginning of year $0 · end of year $0
10a · Land, buildings and equipment: cost or other basis

$0
10b · Land, buildings and equipment: accumulated depreciation

$0
10c · Land, buildings and equipment, net

beginning of year $0 · end of year $0
12 · Investments: other securities

beginning of year $0
13 · Investments: program-related

beginning of year $0
15 · Other assets

beginning of year $0 · end of year $60,865
17 · Accounts payable and accrued expenses

beginning of year $284,182 · end of year $300,511
22 · Loans and payables to officers and key people

beginning of year $0 · end of year $0
25 · Other liabilities

beginning of year $0 · end of year $0
31 · Retained earnings, endowment or other funds

beginning of year -$12,984 · end of year $24,635

Mission and programs · 2022

Mission

Providing administrative, programmatic, and other support to charitable organizations that care for individuals and families living with serious illnesses, and to promote sustainable and innovative care for these individuals.

Program service accomplishments include the management of contracts for its affiliates, including electronic medical records management and other information technology, and the coordination of shared services amongst affiliates.

Expenses $443,423 · Revenue $584,888

As filed on the 2022 return.

Listed in Part VII

Richard Clark

Board Director, Treasurer, Secretary

Total calculated

$0

Hours/week

2 + 1 related
Robert Roe

Board Chair (Partial Year)

Total calculated

$0

Hours/week

2 + 1 related
Jeff Gerard

Board Director

Total calculated

$0

Hours/week

2 + 1 related
Julia Cowell

Board Director

Total calculated

$0

Hours/week

2 + 2 related
Julie Sheehan

Board Director

Total calculated

$0

Hours/week

2 + 1 related
Keith Volkerts

Board Director

Total calculated

$0

Hours/week

2 + 1 related
Sally Bergman

Board Director

Total calculated

$0

Hours/week

2 + 1 related
Virginia Joyce

Board Director (Partial Year)

Total calculated

$0

Hours/week

2 + 1 related
Adam Shore

Chief Financial Officer

Total calculated

$221,085

From this org

$0

From related orgs

$218,386

Other

$2,699

Hours/week

8 + 32 related

Schedule J breakdown matched by us

Base

$0 + $218,386 related

Bonus

$0

Other

$0

Deferred

$0 + $2,699 related

Nontaxable benefits

$0

Filer's total

$0 + $221,085 related
Michael Milward

Chief Executive Officer

Total calculated

$74,050

From this org

$0

From related orgs

$70,000

Other

$4,050

Hours/week

8

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

4a · Severance or change-of-control payment
4b · Supplemental nonqualified retirement plan
4c · Equity-based compensation arrangement
5a · Pay contingent on this organization's revenues
5b · Pay contingent on a related organization's revenues
6a · Pay contingent on this organization's net earnings
6b · Pay contingent on a related organization's net earnings

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Mission Hospice and Home Care

501(c)(3) · Hospice · CA

Directly controlled by na
Hospice of Santa Cruz County

501(c)(3) · Hospice · CA

Directly controlled by na
Yolo Hospice Inc

501(c)(3) · Hospice · CA

Directly controlled by na

Provenance

Return type: form_990
Tax year: 2022
Filed: 15 May 2024
IRS schema version: 2022v5.0
Source object: 202421369349304772

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