Skip to content
Nonprofiteer
← CAPITAL CARING STAY AT HOME SERVICES INC

Form 990 for tax year 2022

Filed by CAPITAL CARING STAY AT HOME SERVICES INC.

Totals

Total revenue
$658,554
Total expenses
$1,158,297
Contributions and grants received
$1,250
Grants paid
$0
Program service revenue
$657,304
Investment income
$0
Other revenue
$0
Total assets, end of year
$270,391
Total liabilities, end of year
$1,322,878
Net assets or fund balances, end of year
-$1,052,487
Program services expenses (Part IX)
$717,085
Management and general expenses
$381,562
Fundraising expenses
$59,650
Program service expenses (Part III)
$717,085

Program services were 61.9% 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

    $1,250

  • 2a · Program service revenue: PATIENT SERVICES

    total $657,304 · related or exempt $657,304

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $332,175 · program services $209,359 · management and general $122,816

  • 7 · Other salaries and wages

    total $477,089 · program services $300,694 · management and general $176,395

  • 8 · Pension plan contributions

    total $336 · program services $212 · management and general $124

  • 9 · Other employee benefits

    total $143,926 · program services $90,712 · management and general $53,214

  • 10 · Payroll taxes

    total $57,822 · program services $36,443 · management and general $21,379

  • 13 · Office expenses

    total $4,918 · management and general $4,918

  • 16 · Occupancy

    total $516 · program services $516

  • 17 · Travel

    total -$1,523 · management and general -$1,523

  • 19 · Conferences, conventions and meetings

    total $10,000 · program services $6,303 · management and general $3,697

  • 21 · Payments to affiliates

    total $48,591 · program services $48,591

  • 24a · Other expenses: BAD DEBT

    total $59,650 · fundraising $59,650

  • 24b · Other expenses: MEALS FOR PATIENTS

    total $14,270 · program services $14,270

  • 24c · Other expenses: OTHER EXPENSES

    total $10,527 · program services $9,985 · management and general $542

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $22,262 · end of year $5,622

  • 4 · Accounts receivable

    beginning of year $26,958 · end of year $81,241

  • 15 · Other assets

    beginning of year $5,120 · end of year $183,528

  • 25 · Other liabilities

    beginning of year $607,084 · end of year $1,322,878

  • 27 · Net assets without donor restrictions

    beginning of year -$837,711 · end of year -$1,200,251

  • 28 · Net assets with donor restrictions

    beginning of year $284,967 · end of year $147,764

Mission and programs · 2022

Mission

CAPITAL CARING STAY AT HOME SERVICES, INC. PROVIDES SERVICES THAT SEEK TO IMPROVE PATIENTS SOCIAL AND PHYSICAL ENVIRONMENTS AS A MEANS OF BETTERING THEIR CARE AND QUALITY OF LIFE SO THAT THEY CAN ULTIMATELY STAY AT HOME, WHERE THE VAST MAJORITY OF FAMILIES WOULD WANT TO RECEIVE CARE AS THEY AGE AND THEIR MEDICAL AND FUNCTIONAL CONDITION DETERIORATES.

  • CAPITAL CARING STAY AT HOME SERVICES (CCSHS) PROVIDES CONTRACTED MEDICAL SERVICES TO ORGANIZATIONS NEEDING SUCH SERVICES. CAPITAL CARING STAY AT HOME SERVICES PROVIDED 1,643 HOURS OF MEDICAL SERVICES SUPPORT FOR THE YEAR ENDING DECEMBER 31, 2022.

    Expenses $341,863 · Revenue $357,304

  • CCSHS PROVIDES PATIENT MANGEMENT SERVICES TO THE RENAL ADVANCED ILLNESS NETWORK (RAIN) PROGRAM FOR DAVITA HEALTHCARE FOR PATIENTS WITH ADVANCED RENAL DISEASE. DURING THE YEAR ENDED DECEMBER 31, 2022, CCSHS PROVIDED APPROXIMATELY 1,219 HOURS OF MEDICAL DIRECTOR SERVICE TO THE PROGRAM.

    Expenses $183,418 · Revenue $300,000

  • CCSHS PROVIDES SUPPORT TO IMPROVE PATIENTS SOCIAL AND PHYSICAL ENVIROMENTS ALLOWING THE PATIENT TO STAY AT HOME TO RECEIVE CARE. AS PART OF THIS SUPPORT, CCSHS PROVIDES MEALS TO PATIENTS IN NEED OF ASSISTANCE TO INSURE THAT PATIENTS HAVE PROPER NUTRITION WHILE RECEIVING CARE. FOR THE YEAR ENDED DECEMBER 31, 2022 CCSHS PROVIDED 2,457 MEALS TO PATIENTS IN NEED OF ASSISTANCE.

    Expenses $191,804

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • TOM KOTSOUMPAS

    PRESIDENT AND CEO

    Total calculated
    $509,973
    From this org
    $0
    From related orgs
    $496,429
    Other
    $13,544
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $496,429 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $11,548 related
    Nontaxable benefits
    $0 + $1,996 related
    Filer's total
    $0 + $509,973 related

  • LYNN MENTO

    CEO

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • REV DR TYRONE PITTS

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ANGELA WEBB

    INTERIM TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JOHN ADAMS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CLIFFORD BARNES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JEANINE ENGLISH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • BILL NOVELLI

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • DIANE TY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CLIFFORD E BARNES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • DR J CAMERON MUIR

    CHIEF INNOVATIONS OFFICER

    Total calculated
    $332,175
    From this org
    $322,452
    From related orgs
    $0
    Other
    $9,723
    Hours/week
    35 + 5 related

    Schedule J breakdown matched by us

    Base
    $297,984
    Bonus
    $0
    Other
    $24,468
    Deferred
    $0
    Nontaxable benefits
    $9,723
    Filer's total
    $332,175

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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
DURING THE 2022 CALENDAR YEAR, CAPITAL HOSPICE MAINTAINED A SUPPLEMENTAL NON-QUALIFIED 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: -JAMES CAMERON MUIR MD DURING 2022, THE THERE WERE NO CONTRIBUTIONS MADE BY CAPITAL HOSPICE TO THE PLAN. DURING 2022, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CAPITAL HOSPICE FROM THE PLAN: -JAMES CAMERON MUIR MD - $24,468 DURING THE 2022 CALENDAR YEAR, THE COMPANY MAINTAINED A NON QUALIFIED 457(B) DEFERRED COMPENSATION PLAN FOR THE FOLLOWING EMPLOYEE: JOHN T. KOUTSOUMPAS DURING 2022, THE COMPANY MADE CONTRIBUTIONS TO THE PLAN TOTALING $10,400. IN 2022, THERE WERE NO DISBURSEMENTS FROM THE PLAN.
PART I, LINE 5
COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND CEO IS PAID BY CAPITAL HOSPICE, A RELATED TAX-EXEMPT ORGANIZATION. CAPITAL HOSPICE USES THE FOLLOWING METHODS TO DETERMINE THE PRESIDENT AND CEO'S COMPENSATION: COMPENSATION COMMITTEE-INDEPENDENT COMPENSATION CONSULTANT-FORM 990 OF OTHER ORGANIZATIONS-COMPENSATION SURVEY OR STUDY-APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 7
IF THE ORGANIZATION REACHES ITS BUDGETED AMOUNT OF NET INCOME FROM OPERATIONS FOR THE YEAR THEN EMPLOYEES ARE ELIGIBLE FOR A BONUS, WHICH IS BASED UPON KEY METRICS THAT ARE UNRELATED TO NET INCOME.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303199349306585

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.