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 KlarJILL KLAR
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Bonnie WhiteBONNIE WHITE
BOARD VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Chris SpencerCHRIS SPENCER
FINANCE COMMITTEE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Nancy Joste MDNANCY JOSTE MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Dale MaxwellDALE MAXWELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Alexei Bakhirev MDALEXEI BAKHIREV MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Richard Larson MDRICHARD LARSON MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jason Mitchell MDJASON MITCHELL MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
James Spigel MDJAMES SPIGEL MD
BOARD MEMBER (THROUGH 6/22)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Robin DivineROBIN 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 DayanNICHOLAS 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 MDMICHAEL 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 CarbonneauERIC 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 WattELLA 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 GrenacheDAVID 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 PierceARAND 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 FortKATHRYN 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 CulbreathKARISSA 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 XieHONGYAN 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 FrankelAARON 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 NeelMICHELLE 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.
-
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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