Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 2,278,010 | 3,438,201 | 3,053,815 | 2,432,255 | 1,866,961 | 13,069,242 |
| 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 | 50,873,121 | 59,464,796 | 63,525,140 | 69,020,710 | 70,175,749 | 313,059,516 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | |||||
| 6 | Total. Add lines 1 through 5 | 53,151,131 | 62,902,997 | 66,578,955 | 71,452,965 | 72,042,710 | 326,128,758 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 111,490 | 39,249 | 38,910 | 27,690 | 26,175 | 243,514 |
| 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 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 111,490 | 39,249 | 38,910 | 27,690 | 26,175 | 243,514 |
| 8 | Public support. (Subtract line 7c from line 6.) | 325,885,244 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 53,151,131 | 62,902,997 | 66,578,955 | 71,452,965 | 72,042,710 | 326,128,758 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 384,689 | 373,702 | 283,811 | 437,648 | 511,084 | 1,990,934 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 384,689 | 373,702 | 283,811 | 437,648 | 511,084 | 1,990,934 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 78,680 | 104,192 | 166,164 | 55,602 | 0 | 404,638 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 53,614,500 | 63,380,891 | 67,028,930 | 71,946,215 | 72,553,794 | 328,524,330 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 78680.0, COLUMN B - 91492.0, COLUMN C - 151944.0, COLUMN D - 53102.0, COLUMN E - 0.0, COLUMN F - 375218.0; DESCRIPTION - GAMING INCOME, COLUMN A - 0.0, COLUMN B - 12700.0, COLUMN C - 14220.0, COLUMN D - 2500.0, COLUMN E - 0.0, COLUMN F - 29420.0; |
| Software ID: | 19010655 |
| Software Version: | 2019v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 4 Significant changes to organizational documents | Care Dimension's Governance Committee was asked to review and update the Care Dimensions By Laws in April 2019 and were shared with the Board for their review and comments. Significant changes are outlined below. Corporate Members: Corporate Members bring both helpful expertise (healthcare reimbursement and finance, quality and compliance, nursing and clinical practice) and strong connections to our important health system partners. As Care Dimensions continues to grow and expand our service area, the number of our partners will also likely grow. Thus, the number of Board representatives from each Corporate Member has been reduced from 2 to 1. Terms of Office: This section was amended to recognize that many Directors serve extended terms especially during times of leadership team transition. To ensure both that the Board composition turns over enough to provide for new ideas and to preserve institutional memory and expertise, a cap of 20% has been placed on the number of Directors who can be serving in extended terms at any given time. With current Board composition (21), 4 individuals could be in extended terms. The changes also give the Board the authority to designate certain individuals as "Emeritus Directors" in addition to the previously existing categories of "Sponsors, Benefactors, Contributors, Advisors or Friends." Committees: Investment portfolio monitoring responsibilities were added to the Finance Committee. The Personnel Committee was renamed the Human Resources Committee. The Nominating Committee was renamed the Governance Committee and its responsibilities expanded to include Board education, and the Board Review and Evaluation Process. The Quality, Compliance, and Performance Improvement Committee has been added as a Standing Committee. Execution of Papers and Voting of Securities: This section has been simplified and now refers to the Signature Authority Policy |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | A copy of the 990 is provided to the entire board prior to filing. Additionally, the Executive Committee, a subcommittee of the board, reviews the 990 prior to filing. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The Conflict of Interest Policy is reviewed annually with the Board of Directors. Each member of the Board of Directors, Committee Members, Officers and Key Employees are asked to sign a Conflict of Interest and Relationship Disclosure Statement covering the next fiscal year. This statement certifies that they have read the Conflict of Interest Policy, will disclose any conflict of interest identified, and refrain from voting and from using personal influence related to the conflict of interest identified. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS ANNUALLY TO ESTABLISH AND APPROVE THE COMPENSATION OF THE ORGANIZATION'S CEO BASED ON THE CEO'S PERFORMANCE AND COMPARATIVE DATA BENCHMARKS. COMPARATIVE DATA FROM AVAILABLE PUBLISHED SURVEYS AND IRS 990'S FOR COMPARABLE ORGANIZATIONS ARE USED AS BENCHMARKS. IN ADDITION, EVERY TWO YEARS A QUALIFIED COMPENSATION CONSULTANT IS RETAINED TO CONDUCT AN ANALYSIS AND COMPARATIVE MARKET ASSESSMENT OF EXECUTIVE COMPENSATION. THE LAST ANALYSIS WAS DONE IN JUNE 2019. THE PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE EXECUTIVE OPERATIONS TEAM'S COMPENSATION IS REVIEWED BY AN OUTSIDE CONSULTANT EVERY TWO YEARS. THE LAST REVIEW WAS DONE IN JUNE 2019. THE CEO PRESENTS THE EXECUTIVE OPERATION TEAM'S PROPOSED ANNUAL MERIT INCREASES AND INCENTIVE PAYMENTS TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. AVAILABLE SOURCES OF MARKET SURVEYS AND COMPENSATION BENCHMARKS ARE ALSO REVIEWED AND CONSIDERED AS PART OF THE PROCESS. THE PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. |
| Form 990, Part VI, Line 19 Required documents available to the public | Financial Statements, governing documents, and conflict of interest policies are not required disclosures pursuant to the Internal Revenue Code (IRC) Section 6104. These documents are available upon request. |
| Software ID: | 19010655 |
| Software Version: | 2019v5.0 |