Civic Intelligence

Wellnessworx Inc.

990 • Fiscal year 2020 • EIN 83-2689231

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 12, 2021

1901 S Victoria Avenue Suite 109Oxnard, CA 93035

(805) 548-1637

Siviq Scores

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

Liabilities / Assets

99th percentile

2.41x

Higher debt load relative to assets than 99% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Liabilities / Revenue

5th percentile

0.00x

Higher debt load relative to revenue than 5% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Net Margin

35th percentile

0.0%

Higher net margin than 35% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Top Officer Pay

14th percentile

$0

Higher top officer pay than 14% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Asset Growth

95th percentile

93%

Faster asset growth than 95% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2019 to 2020

Revenue Growth

10th percentile

-38%

Faster revenue growth than 10% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2019 to 2020

Assets

Up

$4,560

Up $2,195 (+93%) from 2019

Net Assets

Up

-$6,440

Up $2,195 (+25%) from 2019

Liabilities

Flat

$11,000

Flat from 2019

Revenue

Down

$21,442,258

Down $13,403,350 (-38%) from 2019

Expenses

Down

$21,440,063

Down $13,414,680 (-38%) from 2019

Net Income

Up

$2,195

Up $11,330 (+124%) from 2019

Historical Trend

Balance Sheet Trend

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

$800K$600K$400K$200K$0-$200KAssets 2018: $500Liabilities 2018: $02018Assets 2019: $2,365Liabilities 2019: $11,000Net Assets 2019: -$8,6352019Assets 2020: $4,560Liabilities 2020: $11,000Net Assets 2020: -$6,4402020Assets 2021: $109,819Liabilities 2021: $111,000Net Assets 2021: -$1,1812021Assets 2022: $154,600Liabilities 2022: $111,000Net Assets 2022: $43,6002022Assets 2023: $299,761Liabilities 2023: $111,000Net Assets 2023: $188,7612023Assets 2024: $646,092Liabilities 2024: $111,000Net Assets 2024: $535,0922024

Highlighted filing

2020

Assets$4,560
Liabilities$11,000
Net Assets-$6,440

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $34,845,608Expenses 2019: $34,854,743Net Income 2019: -$9,1352019Revenue 2020: $21,442,258Expenses 2020: $21,440,063Net Income 2020: $2,1952020Revenue 2021: $38,223,719Expenses 2021: $38,218,460Net Income 2021: $5,2592021Revenue 2022: $71,828,531Expenses 2022: $71,783,750Net Income 2022: $44,7812022Revenue 2023: $103,651,569Expenses 2023: $103,506,408Net Income 2023: $145,1612023Revenue 2024: $123,337,150Expenses 2024: $122,990,819Net Income 2024: $346,3312024

Highlighted filing

2020

Revenue$21,442,258
Expenses$21,440,063
Net Income$2,195
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 12, 2021
Return Version
2020v4.1
Gross Receipts
$21,442,258
Mission and Program Overview

Mission

We provide subsidized healthcare and wellness services to low income employees. This includes health risk assessments to gather the medical data needed for our staff to create personalized chronic condition management programs. Those programs help employees to abate their chronic conditions by changing physical and behavioral patterns. We also subsidize telehealth visits for this same charitable class.

To provide subsidized health and wellness services to low income workers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Loans From Officers Directors$11,000$11,000→ $0
Cash and Non-Interest-Bearing Accounts$2,365$4,560▲ $2,195
Cap Stk Tr Prin Current Funds$500$500→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-9,135$-6,940▲ $2,195
Total Assets$2,365$4,560▲ $2,195
Liabilities
Total Liabilities$11,000$11,000→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$-8,635$-6,440▲ $2,195
Total Liabilities and Net Assets / Fund Balance$2,365$4,560▲ $2,195

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$5,000$5,000
Compensation and Service Providers

Board Members and Trustees

NameTitle
John ZabaskyPresident, Director
Brigette VaysbergSecretary, Director
Sharon RowellTreasurer, Director
Revenue and Support

Revenue Composition

Contributions and Grants
$5,000
Program Service Revenue
$21,437,258
Investment Income
$0
Other Revenue
$0
All Other Contributions
$5,000
Change in Net Assets
$2,195

Audited Revenue Reconciliation

Revenue per Audited Statements
$21,442,258
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$18,000
Total Revenue per Audited Statements
$21,460,258
Total Revenue per Form 990
$21,442,258
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$21,394,760
Other Expenses$45,303
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$21,394,760--$21,394,760
Fees for Services Other$39,000--$39,000
Fees for Services Accounting-$6,293-$6,293
Other Expenses-$10-$10
Total Functional Expenses$21,433,760$6,303$0$21,440,063

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$21,458,063
Expenses per Audited Statements$21,440,063
Total Expenses per Form 990$21,440,063
Expenses Not Reported on Form 990$18,000
Expenses Not Reported on Financial Statements$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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$11,000$11,000→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Sharon rowell (treasurer) is the mother of brigitte vaysberg (secretary).

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

Prior to filing its tax return, all board members have the ability to review the 990 prior to its being filed.

Form 990, Part VI, Section B, Line 12C

Wellnessworx board members meet quarterly to discuss and review conflict of interest policy to make sure it is enforced. Minutes are taken at all meetings.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflicts of interest policy, and financial statements are maintained and available to the public upon request, by providing copies or available for inspection.

Filing and Contact Details

Filer

Filer Name
Wellness Worx Inc
EIN
83-2689231
Phone
8055481637
Address
1901 S VICTORIA AVENUE SUITE 109, OXNARD, CA 93035
Doing Business As
Xtension Health

Signing Officer

Name
John Zabasky
Title
President
Phone
8005481637
Signed
2021-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Zabasky
Formed
2017
Legal Domicile
CA
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
4

Preparer

Firm
Mcgowan Guntermann
Address
200 E CARRILLO STREET SUITE 300, SANTA BARBARA, CA 93101-7141
Preparer
Chrisley N Reed CPA
Phone
8059629175
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

The organization is a california nonprofit public benefit corporation, which is exempt from income taxes under internal revenue code section 501(c)(3) and state of california revenue and taxation code section 23701(d); therefore, no provision for income taxes is required. The foundation qualifies for the charitable contribution deduction under section 170(b) (1) (a) and has been classified as a foundation that is not a private foundation under section 509(a) (1). The organization evaluates uncertain tax positions, whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of december 31, 2020, the organization had no uncertain tax positions requiring accrual. The organization files tax returns in california and u.s. Federal jurisdictions.

Raw XML Appendix346 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MissionDesc0WE PROVIDE SUBSIDIZED HEALTHCARE AND WELLNESS SERVICES TO LOW INCOME EMPLOYEES. THIS INCLUDES HEALTH RISK ASSESSMENTS TO GATHER THE MEDICAL DATA NEEDED FOR OUR STAFF TO CREATE PERSONALIZED CHRONIC CONDITION MANAGEMENT PROGRAMS. THOSE PROGRAMS HELP EMPLOYEES TO ABATE THEIR CHRONIC CONDITIONS BY CHANGING PHYSICAL AND BEHAVIORAL PATTERNS. WE ALSO SUBSIDIZE TELEHEALTH VISITS FOR THIS SAME CHARITABLE CLASS.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, WHICH IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND STATE OF CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D); THEREFORE, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE FOUNDATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B) (1) (A) AND HAS BEEN CLASSIFIED AS A FOUNDATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) (1). THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS, WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2020, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THE ORGANIZATION FILES TAX RETURNS IN CALIFORNIA AND U.S. FEDERAL JURISDICTIONS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0SHARON ROWELL (TREASURER) IS THE MOTHER OF BRIGITTE VAYSBERG (SECRETARY).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PRIOR TO FILING ITS TAX RETURN, ALL BOARD MEMBERS HAVE THE ABILITY TO REVIEW THE 990 PRIOR TO ITS BEING FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2WELLNESSWORX BOARD MEMBERS MEET QUARTERLY TO DISCUSS AND REVIEW CONFLICT OF INTEREST POLICY TO MAKE SURE IT IS ENFORCED. MINUTES ARE TAKEN AT ALL MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED AND AVAILABLE TO THE PUBLIC UPON REQUEST, BY PROVIDING COPIES OR AVAILABLE FOR INSPECTION.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02365
IRS990/TotalAssetsEOYAmt04560
IRS990/TotalAssetsGrp/BOYAmt02365
IRS990/TotalAssetsGrp/EOYAmt04560
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt05000
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt06303
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt021433760
IRS990/TotalFunctionalExpensesGrp/TotalAmt021440063
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt011000
IRS990/TotalLiabilitiesEOYAmt011000
IRS990/TotalLiabilitiesGrp/BOYAmt011000
IRS990/TotalLiabilitiesGrp/EOYAmt011000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-8635
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-6440
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt021433760
IRS990/TotalProgramServiceRevenueAmt021437258
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt021437258
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt021442258
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02365
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt04560
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01901 S VICTOIRA AVE STE 109
IRS990/USAddress/CityNm0OXNARD
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd093035
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0WWW.XTENSIONHEALTH.COM
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN ZABASKY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum08005481637
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0WELLNESS WORX INC
ReturnHeader/Filer/BusinessNameControlTxt0WELL
ReturnHeader/Filer/EIN0832689231
ReturnHeader/Filer/PhoneNum08055481637
ReturnHeader/Filer/USAddress/AddressLine1Txt01901 S VICTORIA AVENUE SUITE 109
ReturnHeader/Filer/USAddress/CityNm0OXNARD
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd093035
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0953680171
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MCGOWAN GUNTERMANN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0200 E CARRILLO STREET SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SANTA BARBARA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0931017141
ReturnHeader/PreparerPersonGrp/PhoneNum08059629175
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CHRISLEY N REED CPA
ReturnHeader/ReturnTs02021-11-12T16:00:50-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0JOHN
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0ZABASKY
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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