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Nonprofiteer
← TRICORE LABORATORY SERVICES CORPORATION

Form 990 for tax year 2023

Filed by TRICORE LABORATORY SERVICES CORPORATION.

Totals

Total revenue
$122,938,121
Total expenses
$122,938,121
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$122,945,986
Investment income
-$7,865
Other revenue
$0
Total assets, end of year
$24,397,024
Total liabilities, end of year
$10,960,109
Net assets or fund balances, end of year
$13,436,915
Program services expenses (Part IX)
$105,857,721
Management and general expenses
$17,080,400
Fundraising expenses
$0
Program service expenses (Part III)
$105,857,721

Program services were 86.1% 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 $122,945,986 · related or exempt $122,945,986

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

    other assets $7,865

  • 7c · Gain or loss

    other assets -$7,865

  • 7d · Net gain or loss

    total -$7,865 · excluded -$7,865

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,277,746 · management and general $1,277,746

  • 7 · Other salaries and wages

    total $42,210,829 · program services $36,804,701 · management and general $5,406,128

  • 8 · Pension plan contributions

    total $1,675,943 · program services $1,506,839 · management and general $169,104

  • 9 · Other employee benefits

    total $8,199,650 · program services $6,915,105 · management and general $1,284,545

  • 10 · Payroll taxes

    total $3,909,236 · program services $3,373,785 · management and general $535,451

  • 11b · Fees: legal

    total $176,400 · program services $25,570 · management and general $150,830

  • 11c · Fees: accounting

    total $234,818 · management and general $234,818

  • 11g · Fees: other

    total $16,519,905 · program services $15,372,662 · management and general $1,147,243

  • 12 · Advertising and promotion

    total $17,107 · program services $16,241 · management and general $866

  • 13 · Office expenses

    total $1,537,683 · program services $1,279,610 · management and general $258,073

  • 14 · Information technology

    total $4,644,425 · program services $960,122 · management and general $3,684,303

  • 16 · Occupancy

    total $1,882,762 · program services $1,017,455 · management and general $865,307

  • 17 · Travel

    total $165,997 · program services $117,952 · management and general $48,045

  • 20 · Interest

    total $221,396 · management and general $221,396

  • 22 · Depreciation, depletion and amortization

    total $3,870,072 · program services $3,018,790 · management and general $851,282

  • 23 · Insurance

    total $378,003 · management and general $378,003

  • 24a · Other expenses: SUPPLIES

    total $33,328,314 · program services $33,328,314

  • 24b · Other expenses: EQUIPMENT EXPENSES

    total $2,331,147 · program services $1,939,842 · management and general $391,305

  • 24c · Other expenses: FEES

    total $229,067 · program services $170,810 · management and general $58,257

  • 24e · All other expenses

    total $127,621 · program services $9,923 · management and general $117,698

Balance sheet

Part X, book values.

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,782,891 · end of year $2,133,650

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

    $18,723,598

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

    $15,627,351

  • 10c · Land, buildings and equipment, net

    beginning of year $3,711,271 · end of year $3,096,247

  • 15 · Other assets

    beginning of year $20,154,504 · end of year $19,167,127

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,174,086 · end of year $3,198,557

  • 25 · Other liabilities

    beginning of year $9,037,665 · end of year $7,761,552

  • 27 · Net assets without donor restrictions

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

Mission and programs · 2023

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 $105,857,721 · Revenue $122,945,986

As filed on the 2023 return.

Listed in Part VII

  • Jill Klar

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Bonnie White

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Chris Spencer

    FINANCE COMMITTEE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Nancy Joste MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Dale Maxwell

    BOARD MEMBER (THRU 8/1/23)

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Alexei Bakhirev MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Dr Michael Richards

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Jason Mitchell MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Lauren Madigan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Robin Divine

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $533,324
    From this org
    $0
    From related orgs
    $497,939
    Other
    $35,385
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $406,034 related
    Bonus
    $0 + $91,125 related
    Other
    $0 + $780 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $18,885 related
    Filer's total
    $0 + $533,324 related
  • Nicholas Dayan

    CHIEF PEOPLE OFFICER

    Total calculated
    $405,260
    From this org
    $0
    From related orgs
    $389,317
    Other
    $15,943
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $305,359 related
    Bonus
    $0 + $37,804 related
    Other
    $0 + $46,154 related
    Deferred
    $0 + $10,448 related
    Nontaxable benefits
    $0 + $5,495 related
    Filer's total
    $0 + $405,260 related
  • Eric Carbonneau

    CHIEF OPERATING OFFICER

    Total calculated
    $326,348
    From this org
    $0
    From related orgs
    $295,237
    Other
    $31,111
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,551 related
    Bonus
    $0 + $18,906 related
    Other
    $0 + $780 related
    Deferred
    $0 + $14,695 related
    Nontaxable benefits
    $0 + $16,416 related
    Filer's total
    $0 + $326,348 related
  • Ella Watt

    CHIEF FINANCIAL OFFICER

    Total calculated
    $339,294
    From this org
    $0
    From related orgs
    $322,438
    Other
    $16,856
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,033 related
    Bonus
    $0 + $20,625 related
    Other
    $0 + $780 related
    Deferred
    $0 + $10,262 related
    Nontaxable benefits
    $0 + $6,594 related
    Filer's total
    $0 + $339,294 related
  • David Grenache

    CHIEF SCIENTIFIC OFFICER

    Total calculated
    $358,770
    From this org
    $0
    From related orgs
    $328,482
    Other
    $30,288
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,733 related
    Bonus
    $0 + $20,969 related
    Other
    $0 + $780 related
    Deferred
    $0 + $16,298 related
    Nontaxable benefits
    $0 + $13,990 related
    Filer's total
    $0 + $358,770 related
  • Arand Pierce

    CHIEF MEDICAL OFFICER (THRU 6/2/23)

    Total calculated
    $219,333
    From this org
    $0
    From related orgs
    $205,902
    Other
    $13,431
    Hours/week
    22 + 18 related

    Schedule J breakdown matched by us

    Base
    $0 + $189,573 related
    Bonus
    $0 + $16,004 related
    Other
    $0 + $325 related
    Deferred
    $0 + $5,223 related
    Nontaxable benefits
    $0 + $8,208 related
    Filer's total
    $0 + $219,333 related
  • Kathryn Fort

    OPERATIONS CONTROLLER

    Total calculated
    $242,488
    From this org
    $0
    From related orgs
    $224,721
    Other
    $17,767
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,150 related
    Bonus
    $0 + $11,571 related
    Other
    $0
    Deferred
    $0 + $11,173 related
    Nontaxable benefits
    $0 + $6,594 related
    Filer's total
    $0 + $242,488 related
  • Karissa McCall Culbreath

    CHIEF MEDICAL DIRECTOR

    Total calculated
    $224,104
    From this org
    $0
    From related orgs
    $213,478
    Other
    $10,626
    Hours/week
    15 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $203,514 related
    Bonus
    $0 + $9,184 related
    Other
    $0 + $780 related
    Deferred
    $0 + $10,626 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $224,104 related
  • Hongyan Xie

    SCIENTIFIC DIRECTOR CYTOGENICS

    Total calculated
    $242,461
    From this org
    $0
    From related orgs
    $221,464
    Other
    $20,997
    Hours/week
    25 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $210,894 related
    Bonus
    $0
    Other
    $0 + $10,570 related
    Deferred
    $0 + $9,103 related
    Nontaxable benefits
    $0 + $11,894 related
    Filer's total
    $0 + $242,461 related
  • Aaron Frankel

    DIRECTOR, INFORMATION SECURITY

    Total calculated
    $211,591
    From this org
    $0
    From related orgs
    $187,930
    Other
    $23,661
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,654 related
    Bonus
    $0 + $6,026 related
    Other
    $0 + $250 related
    Deferred
    $0 + $9,161 related
    Nontaxable benefits
    $0 + $14,500 related
    Filer's total
    $0 + $211,591 related
  • Michelle Neel

    SENIOR DIRECTOR, COMPLIANCE

    Total calculated
    $214,893
    From this org
    $0
    From related orgs
    $188,458
    Other
    $26,435
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,517 related
    Bonus
    $0 + $6,161 related
    Other
    $0 + $780 related
    Deferred
    $0 + $9,366 related
    Nontaxable benefits
    $0 + $17,069 related
    Filer's total
    $0 + $214,893 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
  • 4a · Severance or change-of-control payment
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 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 4A
NICHOLAS DAYAN RECEIVED SEVERANCE PAY OF $46,154 IN 2023.
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
2023
Filed
28 October 2024
IRS schema version
2023v5.1
Source object
202433139349302913

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