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Nonprofiteer
← TRICORE LABORATORY SERVICES CORPORATION

Form 990 for tax year 2022

Filed by TRICORE LABORATORY SERVICES CORPORATION.

Totals

Total revenue
$131,169,772
Total expenses
$131,169,772
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$131,180,332
Investment income
-$10,560
Other revenue
$0
Total assets, end of year
$26,648,666
Total liabilities, end of year
$13,211,751
Net assets or fund balances, end of year
$13,436,915
Program services expenses (Part IX)
$111,051,716
Management and general expenses
$20,118,056
Fundraising expenses
$0
Program service expenses (Part III)
$111,051,716

Program services were 84.7% 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.

  • 2a · Program service revenue: SALES, NET OF DISCOUNTS

    total $131,180,332 · related or exempt $131,180,332

  • 7b · Less cost or other basis and sales expenses

    other assets $10,560

  • 7c · Gain or loss

    other assets -$10,560

  • 7d · Net gain or loss

    total -$10,560 · excluded -$10,560

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,376,772 · management and general $1,376,772

  • 7 · Other salaries and wages

    total $38,439,679 · program services $33,731,283 · management and general $4,708,396

  • 8 · Pension plan contributions

    total $1,468,366 · program services $1,054,146 · management and general $414,220

  • 9 · Other employee benefits

    total $8,713,993 · program services $6,381,638 · management and general $2,332,355

  • 10 · Payroll taxes

    total $3,626,176 · program services $3,133,949 · management and general $492,227

  • 11b · Fees: legal

    total $158,975 · management and general $158,975

  • 11c · Fees: accounting

    total $102,911 · management and general $102,911

  • 11g · Fees: other

    total $18,051,536 · program services $17,064,009 · management and general $987,527

  • 12 · Advertising and promotion

    total $88,170 · management and general $88,170

  • 13 · Office expenses

    total $2,521,284 · program services $2,174,638 · management and general $346,646

  • 14 · Information technology

    total $8,288,359 · program services $1,496,144 · management and general $6,792,215

  • 16 · Occupancy

    total $1,762,324 · program services $1,126,964 · management and general $635,360

  • 17 · Travel

    total $147,437 · program services $89,477 · management and general $57,960

  • 20 · Interest

    total $129,844 · program services $129,844

  • 22 · Depreciation, depletion and amortization

    total $2,098,984 · program services $1,665,728 · management and general $433,256

  • 23 · Insurance

    total $308,785 · management and general $308,785

  • 24a · Other expenses: SUPPLIES

    total $41,112,886 · program services $41,112,886

  • 24b · Other expenses: EQUIPMENT EXPENSES

    total $2,445,111 · program services $1,735,525 · management and general $709,586

  • 24c · Other expenses: FEES

    total $188,005 · program services $121,823 · management and general $66,182

  • 24e · All other expenses

    total $140,175 · program services $33,662 · management and general $106,513

Balance sheet

Part X, book values.

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,149,852 · end of year $2,782,891

  • 10a · Land, buildings and equipment: cost or other basis

    $18,843,287

  • 10b · Land, buildings and equipment: accumulated depreciation

    $15,132,016

  • 10c · Land, buildings and equipment, net

    beginning of year $3,315,217 · end of year $3,711,271

  • 15 · Other assets

    beginning of year $11,789,337 · end of year $20,154,504

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,824,908 · end of year $4,174,086

  • 25 · Other liabilities

    beginning of year $1,992,583 · end of year $9,037,665

  • 27 · Net assets without donor restrictions

    beginning of year $13,436,915 · end of year $13,436,915

Mission and programs · 2022

Mission

THE ORGANIZATION PERFORMS LABORATORY SERVICES EXCLUSIVELY FOR ITS MEMBERS, EACH OF WHOM IS A HOSPITAL DESCRIBED IN SECTION 501(E)(1)(B) OF THE INTERNAL REVENUE CODE, AND FOR NO ONE ELSE.

Activities or mission (Part I)

THE ORGANIZATION WAS ORGANIZED AND IS OPERATED AS A COOPERATIVE HOSPITAL SERVICE ORGANIZATION.

  • THE ORGANIZATION PERFORMS LABORATORY SERVICES EXCLUSIVELY FOR ITS MEMBERS, EACH OF WHOM IS A HOSPITAL DESCRIBED IN SECTION 501(E)(1)(B) OF THE INTERNAL REVENUE CODE, AND FOR NO ONE ELSE.

    Expenses $111,051,716 · Revenue $131,180,332

As filed on the 2022 return.

Listed in Part VII

  • Jill Klar

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Bonnie White

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Chris Spencer

    FINANCE COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Nancy Joste MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dale Maxwell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Alexei Bakhirev MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Richard Larson MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jason Mitchell MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • James Spigel MD

    BOARD MEMBER (THROUGH 6/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Robin Divine

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $485,359
    From this org
    $0
    From related orgs
    $454,303
    Other
    $31,056
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $404,878 related
    Bonus
    $0 + $48,645 related
    Other
    $0 + $780 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $15,806 related
    Filer's total
    $0 + $485,359 related
  • Nicholas Dayan

    CHIEF PEOPLE OFFICER

    Total calculated
    $375,315
    From this org
    $0
    From related orgs
    $358,689
    Other
    $16,626
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,802 related
    Bonus
    $0 + $51,887 related
    Other
    $0
    Deferred
    $0 + $11,248 related
    Nontaxable benefits
    $0 + $5,378 related
    Filer's total
    $0 + $375,315 related
  • Michael Crossey MD

    INTERIM CMO (THOUGH 4/22)

    Total calculated
    $216,068
    From this org
    $0
    From related orgs
    $197,027
    Other
    $19,041
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $143,635 related
    Bonus
    $0 + $53,342 related
    Other
    $0 + $50 related
    Deferred
    $0 + $9,779 related
    Nontaxable benefits
    $0 + $9,262 related
    Filer's total
    $0 + $216,068 related
  • Eric Carbonneau

    CHIEF OPERATING OFFICER

    Total calculated
    $304,454
    From this org
    $0
    From related orgs
    $276,736
    Other
    $27,718
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,085 related
    Bonus
    $0 + $19,456 related
    Other
    $0 + $195 related
    Deferred
    $0 + $13,802 related
    Nontaxable benefits
    $0 + $13,916 related
    Filer's total
    $0 + $304,454 related
  • Ella Watt

    CHIEF FINANCIAL OFFICER

    Total calculated
    $359,227
    From this org
    $0
    From related orgs
    $344,586
    Other
    $14,641
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,033 related
    Bonus
    $0 + $42,773 related
    Other
    $0 + $780 related
    Deferred
    $0 + $9,263 related
    Nontaxable benefits
    $0 + $5,378 related
    Filer's total
    $0 + $359,227 related
  • David Grenache

    CHIEF SCIENTIFIC OFFICER

    Total calculated
    $377,981
    From this org
    $0
    From related orgs
    $350,998
    Other
    $26,983
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,033 related
    Bonus
    $0 + $43,485 related
    Other
    $0 + $1,480 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $11,733 related
    Filer's total
    $0 + $377,981 related
  • Arand Pierce

    CHIEF MEDICAL OFFICER

    Total calculated
    $296,441
    From this org
    $0
    From related orgs
    $287,292
    Other
    $9,149
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $274,209 related
    Bonus
    $0 + $12,563 related
    Other
    $0 + $520 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,149 related
    Filer's total
    $0 + $296,441 related
  • Kathryn Fort

    OPERATIONS CONTROLLER

    Total calculated
    $237,132
    From this org
    $0
    From related orgs
    $220,775
    Other
    $16,357
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,513 related
    Bonus
    $0 + $14,262 related
    Other
    $0
    Deferred
    $0 + $10,979 related
    Nontaxable benefits
    $0 + $5,378 related
    Filer's total
    $0 + $237,132 related
  • Karissa McCall Culbreath

    CHIEF MEDICAL DIRECTOR

    Total calculated
    $239,738
    From this org
    $0
    From related orgs
    $229,480
    Other
    $10,258
    Hours/week
    15 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $202,216 related
    Bonus
    $0 + $27,214 related
    Other
    $0 + $50 related
    Deferred
    $0 + $10,258 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $239,738 related
  • Hongyan Xie

    SCIENTIFIC DIRECTOR CYTOGENICS

    Total calculated
    $216,151
    From this org
    $0
    From related orgs
    $203,450
    Other
    $12,701
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $203,450 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,128 related
    Nontaxable benefits
    $0 + $4,573 related
    Filer's total
    $0 + $216,151 related
  • Aaron Frankel

    DIRECTOR INFORMATION SECURITY

    Total calculated
    $207,439
    From this org
    $0
    From related orgs
    $188,655
    Other
    $18,784
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,996 related
    Bonus
    $0 + $12,159 related
    Other
    $0 + $500 related
    Deferred
    $0 + $9,193 related
    Nontaxable benefits
    $0 + $9,591 related
    Filer's total
    $0 + $207,439 related
  • Michelle Neel

    SENIOR DIRECTOR, COMPLIANCE

    Total calculated
    $211,363
    From this org
    $0
    From related orgs
    $189,108
    Other
    $22,255
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,897 related
    Bonus
    $0 + $12,431 related
    Other
    $0 + $780 related
    Deferred
    $0 + $9,399 related
    Nontaxable benefits
    $0 + $12,856 related
    Filer's total
    $0 + $211,363 related

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

  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
ALTHOUGH THE FILING ORGANIZATION DOES NOT ISSUE FORMS W-2, IT DOES REPORT THE REIMBURSED SALARIES AND RELATED PAYROLL EXPENSES ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. AS SUCH, THE ORGANIZATION IS ANSWERING SCHEDULE J AS THOUGH THE COMPENSATION IS COMING FROM THE ORGANIZATION.
PART I, LINE 6
BONUS COMPENSATION IS PAID BASED ON A COMPARISON OF ACTUAL NET INCOME TO BUDGETED NET INCOME FOR EACH QUARTER.

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.

  • TRICORE INC

    501(C)(3) · MEDICAL REFERENCE & CLINICAL LABORATORIES · NM

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • TRICORE REFERENCE LABORATORIES

    C · LABORATORY TESTING · NM

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202303059349302720

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