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Nonprofiteer
← CPLC HEALTH INC

Form 990 for tax year 2022

Filed by CPLC HEALTH INC.

Totals

Total revenue
$132,435
Total expenses
$367,410
Contributions and grants received
$132,435
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$215,693
Total liabilities, end of year
$930,672
Net assets or fund balances, end of year
-$714,979
Program services expenses (Part IX)
$328,401
Management and general expenses
$39,009
Fundraising expenses
$0
Program service expenses (Part III)
$328,401

Program services were 89.4% 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.

  • 1e · Government grants (contributions)

    $132,435

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $166,215 · program services $166,215

  • 8 · Pension plan contributions

    total $3,208 · program services $3,208

  • 9 · Other employee benefits

    total $16,956 · program services $16,956

  • 10 · Payroll taxes

    total $15,221 · program services $15,221

  • 11c · Fees: accounting

    total $4,111 · management and general $4,111

  • 11g · Fees: other

    total $94,612 · program services $94,612

  • 13 · Office expenses

    total $6,278 · program services $6,278

  • 14 · Information technology

    total $7,075 · program services $7,075

  • 16 · Occupancy

    total $10,713 · program services $10,713

  • 17 · Travel

    total $4,840 · program services $4,840

  • 22 · Depreciation, depletion and amortization

    total $2,335 · program services $2,335

  • 24a · Other expenses: ALLOCATED INDIRECT COST

    total $34,898 · management and general $34,898

  • 24b · Other expenses: MISCELLANEOUS

    total $948 · program services $948

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $41,355 · end of year $100,863

  • 4 · Accounts receivable

    beginning of year $126,052 · end of year $112,300

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

    $7,006

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

    $4,476

  • 10c · Land, buildings and equipment, net

    beginning of year $4,865 · end of year $2,530

  • 17 · Accounts payable and accrued expenses

    beginning of year $652,276 · end of year $930,672

  • 27 · Net assets without donor restrictions

    beginning of year -$480,004 · end of year -$714,979

Mission and programs · 2022

Mission

PROVIDE HOME HEALTHCARE SERVICES TO UNDERSERVED PATIENTS.

Activities or mission (Part I)

PROVIDING HOME HEALTHCARE TO RESIDENTS OF THE PHOENIX AREA.

  • HOME HEALTH CARE: AZRA ELDERLY HOME HEALTHCARE IS A NONPROFIT HOME HEALTH AGENCY UNDER CPLC HEALTH, INC. THE GOAL OF AZRA IS TO PROVIDE THE NECESSARY AT HOME MEDICAL SUPPORT TO THE AGING POPULATION IN ARIZONA. SOME OF THE HOME HEALTH SERVICES WILL INCLUDE HEALTH EDUCATION; CHRONIC DISEASE MANAGEMENT; MEDICATION RECONCILIATION; WOUND CARE; AND PHYSICAL, OCCUPATIONAL OR SPEECH THERAPY. THESE SERVICES WILL BE PROVIDED WITHIN CHICANOS POR LA CAUSA'S (CPLC), RELATED ENTITY, HUD 202 SENIOR HOUSING PROPERTIES AND LOW INCOME COMMUNITIES IN PHOENIX. AZRA HAS A STATE LICENSE TO OPERATE AS A HOME HEALTH AGENCY AND IS CURRENTLY IN THE PROCESS OF OBTAINING MEDICARE AND MEDICAID CERTIFICATION; CHAP ACCREDITATION; AND CONTRACTS WITH COMMERCIAL HEALTH INSURANCE PLANS TO BILL FOR HOME HEALTH SERVICES.

    Expenses $328,401 · Revenue $132,435

As filed on the 2022 return.

Listed in Part VII

  • DAVID ADAME

    CHAIRMAN

    Total calculated
    $880,385
    From this org
    $0
    From related orgs
    $809,241
    Other
    $71,144
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $665,653 related
    Bonus
    $0 + $143,588 related
    Other
    $0
    Deferred
    $0 + $41,885 related
    Nontaxable benefits
    $0 + $29,259 related
    Filer's total
    $0 + $880,385 related

  • ALICIA NUNEZ

    TREASURER/CFO

    Total calculated
    $411,725
    From this org
    $0
    From related orgs
    $374,100
    Other
    $37,625
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $360,305 related
    Bonus
    $0 + $4,315 related
    Other
    $0 + $9,480 related
    Deferred
    $0 + $6,262 related
    Nontaxable benefits
    $0 + $31,363 related
    Filer's total
    $0 + $411,725 related

  • MAX GONZALES

    SECRETARY

    Total calculated
    $428,368
    From this org
    $0
    From related orgs
    $404,377
    Other
    $23,991
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $366,789 related
    Bonus
    $0 + $28,108 related
    Other
    $0 + $9,480 related
    Deferred
    $0 + $5,123 related
    Nontaxable benefits
    $0 + $18,868 related
    Filer's total
    $0 + $428,368 related

  • ANDRES CONTRERAS

    DIRECTOR

    Total calculated
    $424,014
    From this org
    $0
    From related orgs
    $382,956
    Other
    $41,058
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,448 related
    Bonus
    $0 + $10,028 related
    Other
    $0 + $9,480 related
    Deferred
    $0 + $11,799 related
    Nontaxable benefits
    $0 + $29,259 related
    Filer's total
    $0 + $424,014 related

  • JOSE MARTINEZ

    DIRECTOR

    Total calculated
    $395,913
    From this org
    $0
    From related orgs
    $383,093
    Other
    $12,820
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $369,808 related
    Bonus
    $0 + $3,805 related
    Other
    $0 + $9,480 related
    Deferred
    $0 + $10,554 related
    Nontaxable benefits
    $0 + $2,266 related
    Filer's total
    $0 + $395,913 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

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)

PART I, LINE 3
THE INDIVIDUALS LISTED ARE COMPENSATED BY THE PARENT NONPROFIT, CPLC, WHO USES AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN DETERMINING COMPENSATION.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • AZRA HOME HEALTHCARE LLC

    HOME HEALTHCARE · AZ · income $132,435 · assets $215,693

    Directly controlled by CPLC HEALTH INC

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202431349349306298

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