Form 990 for tax year 2022
Filed by GARY AND MARY WEST SENIOR SERVICES INC.
Totals
- Total revenue
- $30,042,325
- Total expenses
- $26,666,315
- Contributions and grants received
- $13,217
- Grants paid
- $0
- Program service revenue
- $30,005,120
- Investment income
- $23,341
- Other revenue
- $647
- Total assets, end of year
- $16,575,539
- Total liabilities, end of year
- $4,143,178
- Net assets or fund balances, end of year
- $12,432,361
- Program services expenses (Part IX)
- $24,980,350
- Management and general expenses
- $1,685,965
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $24,980,350
Program services were 93.7% 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
$13,217
-
2a · Program service revenue: CAPITATION REVENUE
total $28,577,945 · related or exempt $28,577,945
-
2b · Program service revenue: RESEARCH REVENUE
total $1,400,000 · related or exempt $1,400,000
-
2c · Program service revenue: DENTAL CENTER RENT
total $27,175 · related or exempt $27,175
-
3 · Investment income
total $23,341 · excluded $23,341
-
11a · Other revenue: OTHER REVENUE
total $647 · related or exempt $647
-
11e · Other revenue, total
$647
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $1,004,004 · program services $683,330 · management and general $320,674
-
7 · Other salaries and wages
total $5,670,681 · program services $5,056,899 · management and general $613,782
-
8 · Pension plan contributions
total $260,028 · program services $213,223 · management and general $46,805
-
9 · Other employee benefits
total $647,091 · program services $530,614 · management and general $116,477
-
10 · Payroll taxes
total $504,599 · program services $413,771 · management and general $90,828
-
11b · Fees: legal
total $38,754 · program services $17,878 · management and general $20,876
-
11c · Fees: accounting
total $36,500 · management and general $36,500
-
11g · Fees: other
total $1,943,076 · program services $1,783,709 · management and general $159,367
-
12 · Advertising and promotion
total $127,425 · program services $121,425 · management and general $6,000
-
16 · Occupancy
total $495,129 · program services $470,373 · management and general $24,756
-
17 · Travel
total $29,003 · program services $14,850 · management and general $14,153
-
19 · Conferences, conventions and meetings
total $43,288 · program services $38,767 · management and general $4,521
-
22 · Depreciation, depletion and amortization
total $447,837 · program services $425,445 · management and general $22,392
-
23 · Insurance
total $166,064 · program services $157,761 · management and general $8,303
-
24a · Other expenses: THIRD PARTY CONTRACTED
total $14,418,927 · program services $14,418,927
-
24b · Other expenses: EQUIPMENT & SUPPLIES
total $527,174 · program services $473,183 · management and general $53,991
-
24c · Other expenses: LICENSES & PERMITS
total $170,688 · program services $125,002 · management and general $45,686
-
24d · Other expenses: DUES & SUBSCRIPTIONS
total $136,047 · program services $35,193 · management and general $100,854
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $4,836,125 · end of year $8,872,936
-
4 · Accounts receivable
beginning of year $2,927,353 · end of year $2,809,574
-
9 · Prepaid expenses and deferred charges
beginning of year $204,735 · end of year $781,663
-
10a · Land, buildings and equipment: cost or other basis
$4,914,511
-
10b · Land, buildings and equipment: accumulated depreciation
$1,559,285
-
10c · Land, buildings and equipment, net
beginning of year $3,746,443 · end of year $3,355,226
-
14 · Intangible assets
beginning of year $91,235 · end of year $53,688
-
15 · Other assets
beginning of year $37,275 · end of year $702,452
-
17 · Accounts payable and accrued expenses
beginning of year $2,786,815 · end of year $4,143,178
-
27 · Net assets without donor restrictions
beginning of year $9,056,351 · end of year $12,432,361
Mission and programs · 2022
Mission
PRIMARILY TO OPERATE A HIGH-QUALITY, AFFORDABLE OUTPATIENT CLINIC FOR THE MEDICAL CARE OF SENIORS UNDER A FEDERAL AND STATE GOVERNMENTAL PROGRAM KNOWN AS PACE, IN ORDER TO ENABLE SENIORS TO LIVE IN THEIR COMMUNITIES AS INDEPENDENTLY AS POSSIBLE.
Activities or mission (Part I)
PRIMARILY TO OPERATE A HIGH-QUALITY, AFFORDABLE OUTPATIENT CLINIC FOR THE MEDICAL (CONT.) CARE OF SENIORS UNDER A FEDERAL AND STATE GOVERNMENTAL PROGRAM KNOWN AS PACE, IN ORDER TO ENABLE SENIORS TO LIVE IN THEIR COMMUNITIES AS INDEPENDENTLY AS POSSIBLE.
-
GARY AND MARY WEST SENIOR SERVICES, DOING BUSINESS AS GARY AND MARY WEST PACE (GMWP), ENABLES SENIORS TO SUCCESSFULLY AGE IN PLACE AND MAINTAIN THEIR HIGHEST LEVEL OF INDEPENDENCE THROUGH THE SERVICES OF THEIR PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) PROGRAM. AFTER A PERIOD OF CONSTRUCTION, PROGRAM SETUP, REGULATORY APPROVAL AND HIRING PROCESSES, THE FIRST PARTICIPANTS WERE WELCOMED TO OUR PACE PROGRAM IN 2019. WHEN A PARTICIPANT QUALIFIES AND ENROLLS IN OUR PACE PROGRAM, GMWP ASSUMES RESPONSIBILITY FOR PROVIDING 100% OF THE MEDICAL NEEDS OF THE ENROLLED INDIVIDUAL. THESE SENIORS ARE TYPICALLY VERY FRAIL, WITH LIMITED FINANCIAL RESOURCES AND IN NEED OF HELP IN COORDINATING THEIR ACCESS TO CARE. GMWP MEETS THESE NEEDS THROUGH A HIGHLY MANAGED CLINIC-BASED APPROACH, WHERE OUR OWN PHYSICIANS, MEDICAL, SOCIAL SERVICES AND OTHER STAFF SEE PARTICIPANTS FREQUENTLY, COORDINATING CARE AT EVERY LEVEL. SOME OF THE UNIQUE INCLUDED SERVICES ARE TRANSPORTATION, SOCIAL PROGRAMS, NUTRITIONAL ASSISTANCE, HOME CARE, AND ADULT DAY SERVICES, AMONG OTHERS. MANY OF THESE SERVICES WOULD NOT TYPICALLY BE PAID FOR BY EITHER MEDICARE OR MEDICAID BUT HAVE PROVEN TO BE VERY EFFECTIVE IN HELPING THE PARTICIPANT REMAIN AS HEALTHY AND INDEPENDENT AS POSSIBLE. IN 2019, GARY AND MARY WEST PACE ALSO WELCOMED A NON-PROFIT SENIOR DENTAL PROVIDER AS A TENANT IN OUR SPACE ALSO GIVING OUR PARTICIPANTS CONVENIENT ACCESS TO DENTAL CARE.
Expenses $24,980,350 · Revenue $30,005,768
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Michael M CaponettoMICHAEL M CAPONETTO
DIRECTOR/CHAIRMAN
- Total calculated
- $0
- Hours/week
- 5
-
Charles V SederstromCHARLES V SEDERSTROM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Pamela B SmithPAMELA B SMITH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 5
-
Timothy LashTIMOTHY LASH
OFFICER/PRESIDENT
- Total calculated
- $0
- Hours/week
- 5
-
Jon ZifferblattJON ZIFFERBLATT
SECRETARY
- Total calculated
- $0
- Hours/week
- 5
-
Dr Zia AghaDR ZIA AGHA
TREASURER
- Total calculated
- $0
- Hours/week
- 5
-
Renata R SmithRENATA R SMITH
EXECUTIVE DIRECTOR
- Total calculated
- $276,880
- From this org
- $263,611
- From related orgs
- $0
- Other
- $13,269
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $197,061
- Bonus
- $56,000
- Other
- $10,550
- Deferred
- $0
- Nontaxable benefits
- $13,269
- Filer's total
- $276,880
-
Dr Ross E ColtDR ROSS E COLT
MEDICAL DIRECTOR
- Total calculated
- $389,215
- From this org
- $387,872
- From related orgs
- $0
- Other
- $1,343
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $318,516
- Bonus
- $54,106
- Other
- $15,250
- Deferred
- $0
- Nontaxable benefits
- $1,343
- Filer's total
- $389,215
-
Robin JensenROBIN JENSEN
DIRECTOR OF BUS/FINANCE
- Total calculated
- $208,353
- From this org
- $188,868
- From related orgs
- $0
- Other
- $19,485
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $153,782
- Bonus
- $27,053
- Other
- $8,033
- Deferred
- $0
- Nontaxable benefits
- $19,485
- Filer's total
- $208,353
-
Samar HireishSAMAR HIREISH
CLINIC DIRECTOR
- Total calculated
- $164,219
- From this org
- $163,652
- From related orgs
- $0
- Other
- $567
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $132,520
- Bonus
- $24,102
- Other
- $7,030
- Deferred
- $0
- Nontaxable benefits
- $567
- Filer's total
- $164,219
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 · Written employment contract
- 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
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343199349322484
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