Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 50,970 | 71,734 | 64,934 | 59,676 | 68,516 | 315,830 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 19,429,127 | 19,520,242 | 20,431,637 | 21,653,210 | 21,543,267 | 102,577,483 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 242,720 | 286,394 | 227,258 | 253,218 | 266,101 | 1,275,691 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 19,722,817 | 19,878,370 | 20,723,829 | 21,966,104 | 21,877,884 | 104,169,004 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 500 | 3,850 | 4,350 | |||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 500 | 3,850 | 4,350 | |||
| 8 | Public support. (Subtract line 7c from line 6.) | 104,164,654 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 19,722,817 | 19,878,370 | 20,723,829 | 21,966,104 | 21,877,884 | 104,169,004 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 138,690 | 130,220 | 126,677 | 170,315 | 190,276 | 756,178 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 138,690 | 130,220 | 126,677 | 170,315 | 190,276 | 756,178 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 31,517 | 48,083 | 13,164 | 19,648 | 13,209 | 125,621 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 19,893,024 | 20,056,673 | 20,863,670 | 22,156,067 | 22,081,369 | 105,050,803 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | APPLICATION FEES - 2011 AMOUNT: $ 2,100. 2012 AMOUNT: $ 3,300. 2013 AMOUNT: $ 1,800. 2014 AMOUNT: $ 2,100. 2015 AMOUNT: $ 2,700. EMA MGT - REIM - 2012 AMOUNT: $ 35,980. 2013 AMOUNT: $ 8,366. 2014 AMOUNT: $ 2,730. VENDING MACHINE OTHER INCOME - 2011 AMOUNT: $ 18,962. 2012 AMOUNT: $ 8,803. 2013 AMOUNT: $ 2,998. 2014 AMOUNT: $ 6,687. 2015 AMOUNT: $ 6,621. MASSAGE THERAPY REVENUE - 2011 AMOUNT: $ 10,455. 2014 AMOUNT: $ 8,131. 2015 AMOUNT: $ 3,888. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE BAYLEIGH CHASE, INC. IS GOVERNED BY THE BOARD OF INTEGRACE, INC. (EIN 52-1710891). |
| FORM 990, PART VI, SECTION A, LINE 6 | INTEGRACE, INC. IS THE SOLE MEMBER OF BAYLEIGH CHASE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | BAYLEIGH CHASE, INC. HAS THE SAME GOVERNING BODY AS INTEGRACE, INC, WHICH IS THE SOLE MEMBER OF BAYLEIGH CHASE, INC. AS A RESULT, ELECTION OF THE GOVERNING BODY OF BAYLEIGH CHASE, INC. IS DONE BY ITS SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | BAYLEIGH CHASE, INC. HAS THE SAME GOVERNING BODY AS INTEGRACE, INC., WHICH IS THE SOLE MEMBER OF BAYLEIGH CHASE, INC. AS A RESULT, ALL OF THE DECISIONS MADE BY THE GOVERNING BODY OF BAYLEIGH CHASE, INC. ARE SUBJECT TO ITS SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BAYLEIGH CHASE, INC. PROCESS FOR REVIEWING FORM 990 IS AS FOLLOWS: 1) THE FINANCE STAFF REVIEWS THE RETURN FOR ACCURACY AND COMPLETENESS. 2) THE RETURN IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. 3) ONCE APPROVED BY THE FINANCE COMMITTEE, THE 990 IS RELEASED TO THE ENTIRE BOARD OF TRUSTEES FOR APPROVAL PRIOR TO THE RETURN BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST DISCLOSURE FORMS ARE DISTRIBUTED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM IN JANUARY OF EACH YEAR. THE REMAINING MANAGEMENT STAFF AND TRUSTEE MEMBERS RECEIVE FORMS IN EARLY JUNE. THE COMPLETED FORMS ARE RETURNED TO HUMAN RESOURCES. A REPORT IS PREPARED SHOWING ALL CONFLICT OF INTEREST DISCLOSURES. THIS REPORT IS PRESENTED AT THE JULY MEETING OF THE AUDIT COMMITTEE. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THOSE WITH WHOM THERE IS A CONFLICT ABSTAIN FROM BEING INVOLVED IN DISCUSSIONS AND/OR DECISIONS REGARDING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE TO BE REPORTED ON DISCLOSURE FORMS TO DETERMINE IF A REPORTABLE RELATIONSHP EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE. THE PRESIDENT/CEO PREPARES A COMPREHENSIVE REPORT SHOWING THE RESULTS OF HIS/HER WORK DURING THE PAST YEAR AND GOALS FOR THE COMING YEAR. THIS REPORT IS REVIEWED BY THE EXECUTIVE COMMITTEE WHICH DETERMINES THE ONGOING COMPENSATION FOR THE PRESIDENT/CEO THROUGH REVIEWING COMPARABLE SALARIES, PERFORMANCE, AND REPORTING THE PROCESS IN THE BOARD MINUTES. THE COMMITTEE GIVES THIS INFORMATION TO THE CFO WHO THEN SENDS IT TO THE VP OF HUMAN RESOURCES FOR PROCESSING. IN THE CASE OF A NEW CEO, A SEARCH FIRM IS USED TO NEGOTIATE SALARY AND BENEFITS DIRECTLY WITH THE CANDIDATE. THE SALARY IS NEGOTIATED TAKING INTO CONSIDERATION COMPARABLE SALARIES IN THE INDUSTRY TO DETERMINE A COMPENSATION PACKAGE WITHIN FAIR MARKET RANGE. THE PROCESS IS ALSO DOCUMENTED IN MINUTES DURING AN EXECUTIVE SESSION. COMPENSATION FOR OTHER KEY EMPLOYEES IS DETERMINED BY THE CEO USING SIMILAR METHODS. SENIOR MANAGEMENT POSITIONS ARE PAID ACCORDING TO RESPONSIBILITY IN THE COMPANY, EXPERIENCE, CREDENTIALS, AND MANAGEMENT AND LEADERSHIP SKILLS. ANNUAL COMPENSATION SURVEYS ARE REVIEWED BY THE HR DEPARTMENT AND RECOMMENDATIONS ARE MADE TO THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 160,887. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 160,887. CONSULTANTS: PROGRAM SERVICE EXPENSES 138,401. MANAGEMENT AND GENERAL EXPENSES 50,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,497. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 717,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 717,333. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 363,141. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,141. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 187,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,812. PURCHASED SPECIAL SERVICES: PROGRAM SERVICE EXPENSES 13,376. MANAGEMENT AND GENERAL EXPENSES 4,332. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,708. OUTPATIENT CLINIC OPERATIONS : PROGRAM SERVICE EXPENSES 452,909. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 452,909. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 179,302. MANAGEMENT AND GENERAL EXPENSES 47,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 227,105. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 13,895. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,895. CATERING: PROGRAM SERVICE EXPENSES 1,947,361. MANAGEMENT AND GENERAL EXPENSES 15,593. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,962,954. |
| FORM 990, PART XI, LINE 9: | UNREALIZED GAIN ON FMV OF INTEREST RATE SWAP 568,309. |
| FORM 990, PAGE 5, PART V, LINE 1A | BAYLEIGH CHASE, INC. IS AN AFFILIATE IN A GROUP OF WHICH INTEGRACE, INC. (EIN 52-1710891) IS CONSIDERED THE PARENT. INTEGRACE, INC., AS PART OF ITS MANAGEMENT FUNCTIONS FOR THE GROUP, ISSUES ALL 1099 INFORMATION FORMS UNDER ITS EIN. BAYLEIGH CHASE, INC. IS THEN ALLOCATED APPROPRIATE AMOUNTS FOR PROFESSIONAL SERVICES WHICH ARE THEN REPORTED ON PART IX OF THE FORM 990. |
| Software ID: | |
| Software Version: |