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Nonprofiteer
← AVOW CARE SERVICES INCORPORATED

Form 990 for tax year 2022

Filed by AVOW CARE SERVICES INCORPORATED.

Totals

Total revenue
$636,946
Total expenses
$659,119
Contributions and grants received
$514,000
Grants paid
$0
Program service revenue
$122,890
Investment income
$38
Other revenue
$18
Total assets, end of year
$2,104,453
Total liabilities, end of year
$42,412
Net assets or fund balances, end of year
$2,062,041
Program services expenses (Part IX)
$532,007
Management and general expenses
$127,112
Fundraising expenses
$0
Program service expenses (Part III)
$532,007

Program services were 80.7% 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.

  • 1d · Related organizations

    $514,000

  • 2a · Program service revenue: Net Patient Service revenue

    total $122,890 · related or exempt $122,890

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $38 · excluded $38

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Miscellaneous Revenue

    total $18 · related or exempt $18

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $18

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $253,515 · program services $253,515

  • 8 · Pension plan contributions

    total $975 · program services $975

  • 9 · Other employee benefits

    total $49,809 · program services $49,809

  • 10 · Payroll taxes

    total $17,690 · program services $17,690

  • 11c · Fees: accounting

    total $3,691 · management and general $3,691

  • 11g · Fees: other

    total $64,477 · program services $0 · management and general $64,477 · fundraising $0

  • 13 · Office expenses

    total $7,627 · program services $7,608 · management and general $19

  • 16 · Occupancy

    total $124,841 · program services $124,841

  • 17 · Travel

    total $17,543 · program services $16,620 · management and general $923

  • 19 · Conferences, conventions and meetings

    total $1,753 · program services $1,753

  • 22 · Depreciation, depletion and amortization

    total $1,261 · program services $1,261

  • 24a · Other expenses: Salary Allocation

    total $103,286 · program services $46,258 · management and general $57,028

  • 24b · Other expenses: Licenses & Fees

    total $7,061 · program services $7,061

  • 24e · All other expenses

    total $5,590 · program services $4,616 · management and general $974 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $30,510 · end of year $10,564

  • 4 · Accounts receivable

    beginning of year $2,973 · end of year $20,053

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $383 · end of year $4,813

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

    $12,030

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

    $9,095

  • 10c · Land, buildings and equipment, net

    beginning of year $3,053 · end of year $2,935

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $1,050,339 · end of year $2,066,088

  • 17 · Accounts payable and accrued expenses

    beginning of year $26,468 · end of year $37,047

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $5,365

  • 27 · Net assets without donor restrictions

    beginning of year $19,991 · end of year -$2,686

  • 28 · Net assets with donor restrictions

    beginning of year $1,040,799 · end of year $2,064,727

Mission and programs · 2022

Mission

The organization provides palliative and pain management services regardless of ability to pay.

  • Avow Care Services provides outpatient palliative consults from referring physicians caring for patients with acute or chronic illnesses that may not necessarily be terminal. Symptomatic and supportive disease management and counseling is provided to this patient population until they qualify and choose to transition to hospice care or choose to remain under palliative care with continued disease modifying treatments. During 2022, the organization provided 1,578 care and counseling visits to patients and their families.

    Expenses $532,007 · Revenue $122,908

As filed on the 2022 return.

Listed in Part VII

  • Charles Hoffman

    Chair (Began April 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 1.7 related
  • Dana Hall

    Vice Chair (Ending April 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 0.7 related
  • Darren Gersch

    Treasurer (Began September 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 0.8 related
  • Jaysen Roa

    President and CEO

    Total calculated
    $416,585
    From this org
    $0
    From related orgs
    $388,535
    Other
    $28,050
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $299,754 related
    Bonus
    $0 + $61,643 related
    Other
    $0 + $27,138 related
    Deferred
    $0 + $12,026 related
    Nontaxable benefits
    $0 + $16,024 related
    Filer's total
    $0 + $416,585 related
  • Kathryn Schillreff Rev

    Vice Chair (Began May 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 1.2 related
  • Patrick Neale

    Secretary (Began April 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 0.9 related
  • Roger Lipitz

    Treasurer (Ended September 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 1.9 related
  • Vipul Grover

    Chair (Ended April 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 1.2 related
  • Cherry Smith

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Cindy Schingler

    Director (Began April 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 0.4 related
  • Clifford Olson

    Director (Began July 2022)

    Total calculated
    $0
    Hours/week
    0.1
  • Gerald Lanz

    Director

    Total calculated
    $0
    Hours/week
    0.1
  • Patrick Martin

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 1.1 related
  • Russell Budd

    Director (Began April 2022)

    Total calculated
    $0
    Hours/week
    0.1 + 0.3 related
  • Kerri Ervin

    Chief Compliance Officer

    Total calculated
    $202,269
    From this org
    $0
    From related orgs
    $172,191
    Other
    $30,078
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,387 related
    Bonus
    $0 + $5,804 related
    Other
    $0
    Deferred
    $0 + $5,540 related
    Nontaxable benefits
    $0 + $24,538 related
    Filer's total
    $0 + $202,269 related
  • Phyllis Hall

    Chief Financial Officer

    Total calculated
    $241,398
    From this org
    $0
    From related orgs
    $214,731
    Other
    $26,667
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,323 related
    Bonus
    $0 + $7,408 related
    Other
    $0
    Deferred
    $0 + $7,904 related
    Nontaxable benefits
    $0 + $18,763 related
    Filer's total
    $0 + $241,398 related
  • Lisa Gonzalez

    Nurse Practioner

    Total calculated
    $154,717
    From this org
    $118,980
    From related orgs
    $0
    Other
    $35,737
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $113,535
    Bonus
    $5,445
    Other
    $0
    Deferred
    $3,855
    Nontaxable benefits
    $31,882
    Filer's total
    $154,717

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

None.

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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
Compensation for the organization's president is paid by Avow Hospice, Inc., a related tax exempt organization. Avow Hospice, Inc. uses the following methods to determine the president's compensation: -Compensation committee -Form 990 of other organizations -Compensation survey or study -Approval by the board or compensation committee

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.

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.

  • Avow Home Care Inc

    C Corporation · Home Health Care Services · FL · 0% owned

    Directly controlled by Avow Inc

Provenance

Return type
form_990
Tax year
2022
Filed
12 October 2023
IRS schema version
2022v5.0
Source object
202322859349300542

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