Civic Intelligence

Chc Qalicb Inc

990 • Fiscal year 2017 • EIN 47-5274282

Jul 01, 2016 to Jun 30, 2017 • Filed on Oct 26, 2017

2050 S Blosser RoadSanta Maria, CA 93458

(805) 346-3900

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

1.00x

Higher debt load relative to assets than 93% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2017

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2017

Top Officer Pay

12th percentile

$0

Higher top officer pay than 12% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

17th percentile

-3.8%

Faster asset growth than 17% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2016 to 2017

Assets

Down

$11,923,630

Down $469,040 (-3.8%) from 2016

Net Assets

Down

-$2,582

Down $2,582 from 2016

Liabilities

Down

$11,926,212

Down $466,458 (-3.8%) from 2016

Revenue

Flat

$0

Flat from 2016

Expenses

Up

$2,582

Up $2,582 from 2016

Net Income

Down

-$2,582

Down $2,582 from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0-$5.0MAssets 2016: $12,392,670Liabilities 2016: $12,392,670Net Assets 2016: $02016Assets 2017: $11,923,630Liabilities 2017: $11,926,212Net Assets 2017: -$2,5822017Assets 2018: $11,513,811Liabilities 2018: $11,767,000Net Assets 2018: -$253,1892018Assets 2019: $11,236,240Liabilities 2019: $11,767,085Net Assets 2019: -$530,8452019Assets 2020: $10,964,391Liabilities 2020: $11,773,253Net Assets 2020: -$808,8622020Assets 2021: $10,466,016Liabilities 2021: $11,785,341Net Assets 2021: -$1,319,3252021Assets 2022: $10,360,661Liabilities 2022: $11,840,515Net Assets 2022: -$1,479,8542022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2017

Assets$11,923,630
Liabilities$11,926,212
Net Assets-$2,582

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $0Expenses 2017: $2,582Net Income 2017: -$2,5822017Revenue 2018: $370,176Expenses 2018: $370,176Net Income 2018: $02018Revenue 2019: $415,649Expenses 2019: $415,649Net Income 2019: $02019Revenue 2020: $515,784Expenses 2020: $793,801Net Income 2020: -$278,0172020Revenue 2021: $515,785Expenses 2021: $1,026,248Net Income 2021: -$510,4632021Revenue 2022: $586,655Expenses 2022: $747,184Net Income 2022: -$160,5292022Revenue 2023: $11,093,342Expenses 2023: $1,130,775Net Income 2023: $9,962,5672023

Highlighted filing

2017

Revenue$0
Expenses$2,582
Net Income-$2,582
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Oct 26, 2017
Return Version
2016v3.0
Gross Receipts
$0
Mission and Program Overview

Mission

The purposes of chc qalicb, inc. Are to operate exclusively for the benefit of, to perform the functions of, and/or to carry out the purposes of certain specified charitable organizations the primary purpose of which are to provide high quality, comprehensive and cost-effective healthcare to communities in need, and which are organized and operated exclusively for charitable purposes within the meaning of section 501(c)(3) of the us irc of 1986, as amended, and section 23701d of the california revenue and taxation code.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,959,698$1,959,698→ $0
Cash and Non-Interest-Bearing Accounts$8,284,138$1,823,396▼ $6,460,742
Prepaid Expenses and Deferred Charges$0$2,069▲ $2,069
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$-2,582▼ $2,582
Total Assets$12,392,670$11,923,630▼ $469,040
Other Assets Total$2,148,834$8,138,467▲ $5,989,633
Liabilities
Unsecured Notes Loans Payable$11,767,000$11,767,000→ $0
Other Liabilities$625,670$159,212▼ $466,458
Total Liabilities$12,392,670$11,926,212▼ $466,458
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$-2,582▼ $2,582
Total Liabilities and Net Assets / Fund Balance$12,392,670$11,923,630▼ $469,040

Asset Categories

AssetBook ValueDepreciationBasis
Land$1,959,698--
Other Assets Org$891,830--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ronald E CastlePresident
John KhanBoard Member
Linda CostaSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,582

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,582
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance-$2,298-$2,298
Other Expenses-$284-$284
Total Functional Expenses$0$2,582$0$2,582

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,582
Total Expenses per Audited Statements$2,582
Total Expenses per Form 990$2,582
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payables$159,212
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8A

N/A

Form 990, Part VI, Section A, Line 8B

N/A

Form 990, Part VI, Section B, Line 11B

N/A

Form 990, Part VI, Section C, Line 18

The corporation is making disclosures available to the public.

Form 990, Part VI, Section C, Line 19

The corporation is making disclosures available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Chc Qalicb Inc
EIN
47-5274282
Phone
8053463900
Address
2050 S BLOSSER ROAD, SANTA MARIA, CA 93458

Signing Officer

Name
Ronald E Castle
Title
President
Phone
8053463900
Signed
2017-10-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ronald E Castle
Formed
2015
Legal Domicile
CA
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
0

Preparer

Firm
Novogradac & Company Llp
Address
111 SW 5TH AVENUE SUITE 1100, PORTLAND, OR 97204
Preparer
Nicolo Pinoli
Phone
5038212700
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

There were no changes in the organization's audit oversight process during the year.

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IRS990ScheduleA/MinimumAssetAmountGrp/PctOfNetVlNonExemptUseAstGrp/CurrentYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/PctOfNetVlNonExemptUseAstGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/RecoveriesPYDistriMinAssetGrp/CurrentYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/RecoveriesPYDistriMinAssetGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/TotalFMVOfNonExemptUseAssetGrp/CurrentYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/TotalFMVOfNonExemptUseAssetGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/TotalMinimumAssetGrp/CurrentYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/TotalMinimumAssetGrp/PriorYearAmt00
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0953253302
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd07
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3NonFuncInd0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt02582
IRS990ScheduleD/LandGrp/BookValueAmt01959698
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt01959698
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt07246637
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt1891830
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0CONSTRUCTION IN PROGRESS
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1DEBT ISSUANCE COSTS
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0159212
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0RELATED PARTY PAYABLES
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt00
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01959698
IRS990ScheduleD/TotalBookValueOtherAssetsAmt08138467
IRS990ScheduleD/TotalExpensesPerForm990Amt02582
IRS990ScheduleD/TotalLiabilityAmt0159212
IRS990ScheduleD/TotalRevenuePerForm990Amt00
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt00
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02582
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0N/A
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1N/A
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2N/A
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE CORPORATION IS MAKING DISCLOSURES AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CORPORATION IS MAKING DISCLOSURES AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THERE WERE NO CHANGES IN THE ORGANIZATION'S AUDIT OVERSIGHT PROCESS DURING THE YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0953253302
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0CA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0NON-PROFIT COMMUNITY HEALTH CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0150 TEXAS PLACE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0NIPOMO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0CA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd093444
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0159212
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0CASH
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0S
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxableDistributionsInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt012392670
IRS990/TotalAssetsEOYAmt011923630
IRS990/TotalAssetsGrp/BOYAmt012392670
IRS990/TotalAssetsGrp/EOYAmt011923630
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt02582
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt02582
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt012392670
IRS990/TotalLiabilitiesEOYAmt011926212
IRS990/TotalLiabilitiesGrp/BOYAmt012392670
IRS990/TotalLiabilitiesGrp/EOYAmt011926212
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-2582
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02582
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt012392670
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt011923630
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt011767000
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt011767000
IRS990/USAddress/AddressLine1Txt02050 S BLOSSER ROAD
IRS990/USAddress/CityNm0SANTA MARIA
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd093458
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RONALD E CASTLE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum08053463900
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-10-26
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHC QALICB INC
ReturnHeader/Filer/BusinessNameControlTxt0CHCQ
ReturnHeader/Filer/EIN0475274282
ReturnHeader/Filer/PhoneNum08053463900
ReturnHeader/Filer/USAddress/AddressLine1Txt02050 S BLOSSER ROAD

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