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Nonprofiteer
← INDEPENDENCE CARE SYSTEM INC

Form 990 for tax year 2023

Filed by INDEPENDENCE CARE SYSTEM INC.

Totals

Total revenue
$13,540,682
Total expenses
$14,875,810
Contributions and grants received
$570,014
Grants paid
$0
Program service revenue
$12,622,718
Investment income
$212,459
Other revenue
$135,491
Total assets, end of year
$12,382,855
Total liabilities, end of year
$6,631,250
Net assets or fund balances, end of year
$5,751,605
Program services expenses (Part IX)
$11,555,815
Management and general expenses
$3,319,995
Fundraising expenses
$0
Program service expenses (Part III)
$11,555,815

Program services were 77.7% 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.

  • 1f · All other contributions, gifts and grants

    $570,014

  • 2a · Program service revenue: MEDICAID PAYMENTS

    total $12,622,718 · related or exempt $12,622,718

  • 3 · Investment income

    total $203,912 · excluded $203,912

  • 6a · Gross rents

    real property $90,200

  • 6b · Less rental expenses

    real property $15,540

  • 6c · Rental income or loss

    real property $74,660

  • 6d · Net rental income or loss

    total $74,660 · excluded $74,660

  • 7a · Gross sales of assets other than inventory

    securities $5,647,000

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

    securities $5,638,453

  • 7c · Gain or loss

    securities $8,547

  • 7d · Net gain or loss

    total $8,547 · excluded $8,547

  • 11a · Other revenue: INSURANCE PREMIUM OVERPAYMENT

    total $60,346 · excluded $60,346

  • 11b · Other revenue: MISC. INCOME

    total $485 · excluded $485

  • 11e · Other revenue, total

    $60,831

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $600,081 · management and general $600,081

  • 7 · Other salaries and wages

    total $8,629,222 · program services $6,872,455 · management and general $1,756,767

  • 9 · Other employee benefits

    total $1,833,573 · program services $1,541,140 · management and general $292,433

  • 10 · Payroll taxes

    total $702,431 · program services $537,466 · management and general $164,965

  • 11b · Fees: legal

    total $22,389 · program services $18,145 · management and general $4,244

  • 11c · Fees: accounting

    total $65,850 · program services $53,960 · management and general $11,890

  • 11d · Fees: lobbying

    total $1,118 · program services $1,118

  • 11g · Fees: other

    total $698,879 · program services $619,495 · management and general $79,384

  • 12 · Advertising and promotion

    total $21,551 · management and general $21,551

  • 13 · Office expenses

    total $305,337 · program services $250,207 · management and general $55,130

  • 14 · Information technology

    total $280,691 · program services $230,010 · management and general $50,681

  • 16 · Occupancy

    total $971,212 · program services $804,432 · management and general $166,780

  • 17 · Travel

    total $33,960 · program services $27,828 · management and general $6,132

  • 22 · Depreciation, depletion and amortization

    total $299,679 · program services $245,569 · management and general $54,110

  • 23 · Insurance

    total $203,946 · program services $167,285 · management and general $36,661

  • 24a · Other expenses: CLEANING

    total $71,033 · program services $62,452 · management and general $8,581

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $52,490 · program services $50,317 · management and general $2,173

  • 24c · Other expenses: MISCELLANEOUS FEES

    total $31,059 · program services $25,492 · management and general $5,567

  • 24d · Other expenses: VEHICLE OPERATING EXPEN

    total $28,065 · program services $28,065

  • 24e · All other expenses

    total $23,244 · program services $20,379 · management and general $2,865

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $225,707 · end of year $751,979

  • 3 · Pledges and grants receivable

    beginning of year $105,570 · end of year $3,716

  • 4 · Accounts receivable

    beginning of year $970,945 · end of year $1,180,597

  • 9 · Prepaid expenses and deferred charges

    beginning of year $398,115 · end of year $255,055

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

    $4,979,118

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

    $4,153,556

  • 10c · Land, buildings and equipment, net

    beginning of year $923,856 · end of year $825,562

  • 11 · Investments: publicly traded securities

    beginning of year $1,898,137 · end of year $462,128

  • 15 · Other assets

    beginning of year $9,560,007 · end of year $8,903,818

  • 17 · Accounts payable and accrued expenses

    beginning of year $923,757 · end of year $1,063,504

  • 25 · Other liabilities

    beginning of year $6,275,294 · end of year $5,567,746

  • 27 · Net assets without donor restrictions

    beginning of year $6,688,916 · end of year $5,296,858

  • 28 · Net assets with donor restrictions

    beginning of year $194,370 · end of year $454,747

Listed in Part VII

  • JEFFREY M KRAUSS

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • THOMAS K SMALL

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • GERRY DICKERSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CHRIS DUFF

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CARLA BOUTIN- FOSTER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DONNA GALENO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • BILL GUERCI

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOSE HERNANDEZ

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JANINE KNUDSEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • GREGORY NERSESSIAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ADRIA POWELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • RICK SURPIN

    BOARD MEMBER

    Total calculated
    $22,000
    From this org
    $22,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • REGINA ESTELA

    CEO/PRESIDENT

    Total calculated
    $328,956
    From this org
    $304,145
    From related orgs
    $0
    Other
    $24,811
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $304,145
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,811
    Filer's total
    $328,956

  • KERRI O'NEILL

    SVP-OPERATIONS & INFORMATION

    Total calculated
    $271,126
    From this org
    $248,796
    From related orgs
    $0
    Other
    $22,330
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $248,796
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $22,330
    Filer's total
    $271,126

  • RACHAEL STACOM

    SVP, CLINIC PROG & POPULATION HEALTH

    Total calculated
    $175,809
    From this org
    $175,809
    From related orgs
    $0
    Other
    $0
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $175,809
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $175,809

  • HARRY K BONSU

    SVP, ADMINISTRATIVE & MEMBER SVCS

    Total calculated
    $225,651
    From this org
    $225,651
    From related orgs
    $0
    Other
    $0
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $225,651
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $225,651

  • DONNA LOONIE

    SVP, COMMUNICATIONS & MARKETING

    Total calculated
    $217,510
    From this org
    $217,510
    From related orgs
    $0
    Other
    $0
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $217,510
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $217,510

  • CATHERINE H BARUFALDI

    SVP, HUMAN RESOURCES

    Total calculated
    $220,200
    From this org
    $195,389
    From related orgs
    $0
    Other
    $24,811
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $195,389
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,811
    Filer's total
    $220,200

  • MEGAN ROGERS

    VP, OPERATIONS & INFORMATION SYSTEMS

    Total calculated
    $186,398
    From this org
    $173,993
    From related orgs
    $0
    Other
    $12,405
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $173,993
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,405
    Filer's total
    $186,398

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 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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

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.

Provenance

Return type
form_990
Tax year
2023
Filed
27 August 2024
IRS schema version
2023v5.1
Source object
202402409349300825

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