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 KlarJILL KLAR
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Bonnie WhiteBONNIE WHITE
BOARD VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Chris SpencerCHRIS SPENCER
FINANCE COMMITTEE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Nancy Joste MDNANCY JOSTE MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Dale MaxwellDALE MAXWELL
BOARD MEMBER (THRU 8/1/23)
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Alexei Bakhirev MDALEXEI BAKHIREV MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Dr Michael RichardsDR MICHAEL RICHARDS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Jason Mitchell MDJASON MITCHELL MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Lauren MadiganLAUREN MADIGAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Robin DivineROBIN 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 DayanNICHOLAS 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 CarbonneauERIC 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 WattELLA 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 GrenacheDAVID 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 PierceARAND 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 FortKATHRYN 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 CulbreathKARISSA 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 XieHONGYAN 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 FrankelAARON 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 NeelMICHELLE 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.
-
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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