Civic Intelligence

Capital Caring Advanced Illness Services Inc.

990 • Fiscal year 2020 • EIN 84-3787656

Jan 01, 2020 to Dec 31, 2020 • Filed on Jan 31, 2023

3180 Fairview Park Drive Suite 500Falls Church, VA 22042

(703) 538-2066

Siviq Scores

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

Liabilities / Assets

99th percentile

18.73x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

97th percentile

2.64x

Higher debt load relative to revenue than 97% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

4th percentile

-250%

Higher net margin than 4% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

100th percentile

$658,562

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 167.4% of source-year revenue.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

100th percentile

5536700%

Faster asset growth than 100% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

Score unavailable

No value available

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

Annualized from 2019 to 2020

Assets

$55,368

No earlier filing loaded for comparison.

Net Assets

-$981,520

No earlier filing loaded for comparison.

Liabilities

$1,036,888

No earlier filing loaded for comparison.

Revenue

$393,393

No earlier filing loaded for comparison.

Expenses

$1,374,913

No earlier filing loaded for comparison.

Net Income

-$981,520

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MAssets 2020: $55,368Liabilities 2020: $1,036,888Net Assets 2020: -$981,5202020Assets 2021: $118,634Liabilities 2021: $1,746,671Net Assets 2021: -$1,628,0372021Assets 2022: $206,241Liabilities 2022: $2,564,281Net Assets 2022: -$2,358,0402022Assets 2023: $166,510Liabilities 2023: $4,043,186Net Assets 2023: -$3,876,6762023Assets 2024: $53,630Liabilities 2024: $58,256Net Assets 2024: -$4,6262024

Highlighted filing

2020

Assets$55,368
Liabilities$1,036,888
Net Assets-$981,520

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MRevenue 2020: $393,393Expenses 2020: $1,374,913Net Income 2020: -$981,5202020Revenue 2021: $685,900Expenses 2021: $1,332,417Net Income 2021: -$646,5172021Revenue 2022: $783,740Expenses 2022: $1,513,743Net Income 2022: -$730,0032022Revenue 2023: $619,028Expenses 2023: $2,137,664Net Income 2023: -$1,518,6362023Revenue 2024: $328,555Expenses 2024: $1,496,242Net Income 2024: -$1,167,6872024

Highlighted filing

2020

Revenue$393,393
Expenses$1,374,913
Net Income-$981,520
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Jan 31, 2023
Return Version
2020v4.0
Gross Receipts
$393,393
Mission and Program Overview

Mission

The mission of capital caring advanced illness services is to provide home based primary care for those facing serious illness or disability through direct support of patients and their families.

The mission of capital caring advanced illness services, inc. Is to provide patients, their families and caregivers with comprehensive, high-quality advanced illness care, over time and across different settings of care. Advanced illness care includes palliative and primary care services, as well as mental and behavioral health and social determinants of health services and supports.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$44,883▲ $44,883
Accounts Receivable$0$10,485▲ $10,485
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$0$55,368▲ $55,368
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$0$1,036,888▲ $1,036,888
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$1,036,888▲ $1,036,888
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$0$-981,520▼ $981,520
Total Net Assets Fund Balance$0$-981,520▼ $981,520
Total Liabilities and Net Assets / Fund Balance$0$55,368▲ $55,368
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Chief of GeriatricsFT$302,652$4,282$306,934
-VP, Practice ManagementFT$150,743$19,924$170,667
-Nurse Practitioner-primary Care at HomeFT$107,407$1,061$108,468

Board Members and Trustees

NameTitle
-Board Chair & Treasurer
-President/CEO
-Board Vice Chair
-Board Member
-Board Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$153,812
Program Service Revenue
$239,581
Investment Income
$0
Other Revenue
$0
All Other Contributions
$153,812
Change in Net Assets
$-981,520
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,219,589
Other Expenses$155,324
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$381,835$260,566$0$642,401
Current Officers, Directors, Trustees, and Key Employees$274,293$187,179$0$461,472
Other Expenses$88,595$0$0$88,595
Payroll Taxes$41,606$28,392$0$69,998
Other Employee Benefits$19,335$13,193$0$32,528
Pension Plan Contributions$7,840$5,350$0$13,190
Occupancy$6,310$3,051$0$9,361
Travel$2,159$2,933$0$5,092
Office Expenses$3,227$1,560$0$4,787
Information Technology$2,583$1,250$0$3,833
All Other Expenses$0$1,492$0$1,492
Total Functional Expenses$869,947$504,966$0$1,374,913
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accounts Payable to Related Entity - Capital Hospice$1,036,888
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A

Compensation for the organization's chief executive office is paid by Capital Hospice, a related tax exempt organization. In 2019 THE EXECUTIVE COMMITTEE OF THE BOARD HAS ENGAGED QUATT AND ASSOCIATES, AN INDEPENDENT CONSULTING GROUP, TO PREPARE A REPORT TO ASSIST WITH ESTABLISHING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL AND OTHER KEY PERSONNEL. THE REPORT WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AFTER THOROUGH DISCUSSION OF THE DATA, ITS SOURCES AND THE FINDINGS. the organization AS SUBJECT TO INTERMEDIATE SANCTIONS UNDER INTERNAL REVENUE CODE (IRC) SECTION 4958, CONSIDERS THAT THE INTERMEDIATE SANCTIONS MARKET BENCHMARKING METHODOLOGY FOR DISQUALIFIED INDIVIDUALS, CONDUCTED BY QUATT AND ASSOCIATES, HAS PROVIDED A VALID AND ROBUST MEANS OF DETERMINING MARKET BASED COMPENSATION COMPETITIVENESS.

Form 990, Part VI, Line 1A Delegate broad authority to A committee

There shall be an Executive Committee composed of members elected from among the Board of Directors. The Executive Committee shall have powers and duties as delegated by the Board of Directors and consistent with these Bylaws and the Act.

Form 990, Part VI, Line 6 Classes of members or stockholders

Capital Caring Health, A Virginia NOT FOR PROFIT CORPORATION ("MEMBER"), IS THE SOLE MEMBER OF THE CORPORATION. THE SOLE MEMBER SHALL HAVE AND EXERCISE CERTAIN RIGHTS AND CERTAIN POWERS RELATED TO THE CORPORATION SET FORTH IN THE CORPORATION'S BYLAWS.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

THE SOLE MEMBER OF THE CORPORATION, Capital Caring Health, SHALL HAVE THE RIGHT TO APPOINT THE DIRECTORS OF THE CORPORATION.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The member, through its chair or ceo, or through any other officer of the member who is authorized by the board of directors of the member (the "member board"), shall exercise all authority at meetings of the corporation as members are authorized to exercise.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The 990 for capital caring advanced illness services is reviewed by the controller and chief financial officer. Next, the 990 is sent to all of the members of the board of trustees including the president of capital hospice for their review and to solicit any comments or questions. The finance audit investment committee (faic) of the board meets to review and discuss the form 990 in detail. This meeting is open to all board members including the compensation and other committee chairs. After the form 990 has been reviewed by the board and any comments or questions from board members have been responded to, the form 990 will be finalized, signed by the president/ceo and subsequently filed with the internal revenue service.

Form 990, Part VI, Line 12C Conflict of interest policy

All board members, officers and key managers are required to report any real or potential or perceived conflict of interest involving them or another person by promptly filing a written disclosure statement with the president or chair of the board of trustees. The president will review all such statements and the annual disclosure statements and discuss with the chair of the board any potential conflicts of interest. If the president and the chair of the board determine that a potential conflict exists, then the board shall inform the person of the basis for such belief and allow the person to explain and disclose. For any transaction/arrangement discussed during a board meeting for which a conflict of interest is deemed to exist, the affected board member shall not be counted in determining the quorom for the meeting but shall be permitted to briefly state his position on the matter and answer pertinent questions of other board members before vacating the governing board. The board member shall leave the governing board and a majority of the remaining board members shall determine whether to undertake such transaction/arrangement. If the board decides that a person has failed to disclose a conflict of interest, the board shall take corrective action.

Form 990, Part VI, Line 19 Required documents available to the public

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Capital Caring Advanced Illness Services Inc
EIN
84-3787656
Phone
7035382066
Address
3180 Fairview Park Drive Suite 500, Falls Church, VA 22042

Signing Officer

Name
Tom Koutsoumpas
Title
President/CEO
Signed
2023-01-31
Discuss with paid preparer
Yes

Organization Details

Formed
2019
Legal Domicile
Va
Voting Board Members
8
Independent Board Members
7
Employees
11
Volunteers
7

Preparer

Firm
Crowe Llp
Address
225 West Wacker Drive Suite 2600, Chicago, IL 60606-1224
Preparer
Jennifer Burke
Phone
3128997000
Supplemental Narrative

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

THE CONSOLIDATED GROUP IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(c)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. THE CONSOLIDATED GROUP HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CONSOLIDATED GROUP IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CONSOLIDATED GROUP BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2017.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD CHAIR & TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD VICE CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD SECRETARY
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IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt8CHIEF OF GERIATRICS
IRS990/Form990PartVIISectionAGrp/TitleTxt9VP, PRACTICE MANAGEMENT
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IRS990/ProgSrvcAccomActy2Grp/Desc0CAPITAL CARING ADVANCED ILLNESS SERVICES, INC. (CCAIS) PROVIDES MEDICAL DIRECTOR SUPPORT AT ASSISTED LIVING FACILITIES IN THE AREA TO PROVIDE CARE FOR THEIR RESIDENTS. FOR THE YEAR ENDED DECEMBER 31, 2020, CCAIS PROVIDED 125 HOURS OF MEDICAL DIRECTOR SERVICES TO THESE FACILITIES.
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