2026-08-13T18:09:41-05:00 2025-09-30 941239084 ATHERTON & ASSOCIATES LLP PO BOX 4339 MODESTO CA 953524339 990 2024-10-01 770562224 COMMUNITY HOSPICE FOUNDATION STANISLAUS COUNTY COMM 2095786300 4368 SPYRES WAY MODESTO CA 953569259 TOBY BENGUEREL CFO 2095786300 2026-08-12 1 1 JACQUELYN HOWELL P01327223 2095774800 2026-08-12 X 2024 2025-03-06 01:10:19Z MATHEW FRANCIS 4368 SPYRES WAY MODESTO CA 95356 2389399 0 X WWW.HOSPICEHEART.ORG X 2002 CA SUPPORT OF COMMUNITY HOSPICE, INC. 20 20 6 65 0 0 5901220 1961205 0 0 194093 263826 -130821 -97095 5964492 2127936 3006247 1181081 0 0 358432 387226 0 0 200654 691460 219255 4056139 1787562 1908353 340374 11859351 12768721 1353769 1408888 10505582 11359833 THE FOUNDATION EXISTS TO RAISE FUNDS AND AWARENESS OF THE COMMUNITY HOSPICE MISSION. COMMUNITY HOSPICE PROVIDES COMPASSIONATE END-OF-LIFE CARE AND BEREAVEMENT SUPPORT TO PATIENTS AND THEIR FAMILIES REGARDLESS OF ABILITY TO PAY. 0 0 1506996 1181081 0 TO RAISE FUNDS TO SUPPORT THE OPERATIONS OF COMMUNITY HOSPICE, INC., A RELATED NOT-FOR-PROFIT CORPORATION. COMMUNITY HOSPICE, INC. USES THESE FUNDS TO PROVIDE SERVICES AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES. 1506996 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 3 0 6 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 20 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X TOBY BENGUEREL 2095786300 4368 SPYRES WAY MODESTO CA 95356 JOY MASTACHE CHAIRMAN 1.00 1.00 X X 0 0 0 MELISSA WILLIAMS VICE CHAIR 1.00 X X 0 0 0 DON GAEKLE SECRETARY 1.00 X X 0 0 0 DEBORAH KIDWELL-GRAYSON TREASURER 1.00 X X 0 0 0 TRACEY KERR PAST CHAIR 1.00 X X 0 0 0 MELVIN BRADLEY DIRECTOR 1.00 X 0 0 0 LORRAINE CARDOZA DIRECTOR 1.00 X 0 0 0 PAM DIFRANCIA DIRECTOR 1.00 X 0 0 0 PATTY DUVAL DIRECTOR 1.00 X 0 0 0 MIKE EGER DIRECTOR 1.00 X 0 0 0 TRAVIS GUZMAN DIRECTOR 1.00 X 0 0 0 NANCY HOUGHTON DIRECTOR 1.00 X 0 0 0 JANICE LUCERO DIRECTOR 1.00 X 0 0 0 ERIKA MENDOZA DIRECTOR 1.00 X 0 0 0 KARRIE MITTEN DIRECTOR 1.00 X 0 0 0 GEORGIE MOSHER DIRECTOR 1.00 X 0 0 0 STEVEN PERRY DIRECTOR 1.00 X 0 0 0 NANCY SCHEER DIRECTOR 1.00 X 0 0 0 JYOTHI SEETHARAM DIRECTOR 1.00 X 0 0 0 TERESA SCOTT DIRECTOR 1.00 X 0 0 0 ALISA BETTIS CHIEF EXECUTIVE OFFICER (PRIOR) 1.00 41.00 X 0 188058 20118 MONICA OJCIUS CHF INTERIM EXECUTIVE DIRE 1.00 41.00 X 0 157126 23906 TOBY BENGUEREL CHIEF FINANCIAL OFFICER 1.00 41.00 X 0 116250 6928 KRISTI GREENSTREET-HANSEN CHF EXECUTIVE DIRECTOR 40.00 2.00 X 72811 0 4503 MATHEW FRANCIS CHIEF EXECUTIVE OFFICER 1.00 41.00 X 0 0 0 JOHN RENNER DIRECTOR OF OPERATIONS 1.00 41.00 X 0 153312 15516 MANINDERDEEP KAHLON NURSE PRACTITIONER 1.00 41.00 X 0 199572 17917 PETER LAI MEDICAL DIRECTOR 1.00 41.00 X 0 323174 32518 CHRISTINA QUINTANA TRIAGE RN 1.00 41.00 X 0 164240 16095 RAJVINDER KAUR NURSE PRACTITIONER 1.00 41.00 X 0 196281 15729 CHERYL KIRK RN CASE MANAGER 1.00 41.00 X 0 167777 16669 72811 1665790 169899 0 0 1 0 0 386085 1575120 87128 1961205 263826 263826 137603 386085 261463 -123860 -123860 26765 0 26765 26765 2127936 0 0 166731 X 1181081 1181081 99386 49693 49693 253050 126525 126525 11038 5519 5519 23752 11876 11876 79912 79912 28416 28416 22542 22542 18000 18000 564 564 4053 4053 10470 6137 4333 BANK, CREDIT CARD & PAY 72326 72326 COMPUTER MAINTENANCE 30693 30693 OTHER PROGRAM EXPENSES 22463 22463 STAFF RECRUITMENT, TRAI 6513 6513 -76697 -79405 2708 1787562 1506996 79912 200654 1787524 2732614 163496 163519 2332791 1178041 9066 9066 16623 20001 45570 45570 0 0 4119164 5161683 3430687 3503797 11859351 12768721 108093 104729 39829 87271 1205847 1216888 1353769 1408888 X 6621206 7014999 3884376 4344834 10505582 11359833 11859351 12768721 340374 513877 0 X X 0 1 X 1 0 X X 1 COMMUNITY HOSPICE INC 942638213 10 1 1181081 0 1 1181081 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1564625 1253917 283168 7000 3094710 1293195 553 280453 9576 1564625 1133925 348 158922 1293195 1409600 1339 -201492 1133925 1204287 1767 225932 1409600 0.26140 0.73860 0.00000 0 0 17989 17989 0 27581 27581 0 0 INVESTMENT PROPERTY 4000 ENDOWMENT INVESTMENTS 3036229 EMPLOYEE RETENTION CREDIT RECEIVABLE 21070 OTHER CURRENT ASSETS 1516 RELATED PARTY RECEIVABLES 440982 3503797 RELATED PARTY PAYABLE 1216888 1216888 X 2642276 513877 463 514340 2127936 0 2127936 606944 463 463 606481 1181081 1181081 1787562 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO FUND FUTURE OPERATING EXPENSES OF COMMUNITY HOSPICE, INC. PART X, LINE 2: MANAGEMENT HAS EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR TAX YEARS ENDING SEPTEMBER 30, 2021 AND PRIOR. PART XI, LINE 2D - OTHER ADJUSTMENTS: EVENT EXPENSES INCLUDED IN PART VIII LINE 8B PART XII, LINE 2D - OTHER ADJUSTMENTS: EVENT EXPENSES INCLUDED IN PART VIII LINE 8B PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION TO COMMUNITY HOSPICE NOT INCLUDED AS FINANCIAL STATEMENT EXP. ANNUAL GALA 262526 194383 68143 25857 22946 103628 GOLF FORE HOSPICE 107672 79963 27709 16260 22638 13248 4 153490 111739 41751 3331 12135 41420 523688 386085 137603 45448 57719 158296 261463 -123860 26765 1 0.95000 26765 26765 CA 1 0 0 0 1.00000 TOBY BENGUEREL 4368 SPYRES WAY MODESTO CA 95356 0 KRISTI GREENSTREET-HANSEN 994 REGISTRATION AND OPERATION OF RAFFLES. X 0 1 COMMUNITY HOSPICE INC 4368 SPYRES WAY MODESTO CA 95356 942638213 501(C)(3) 1181081 0 FUNDS RAISED AND REIMBURSED EXPENSES FOR COMMUNITY HOSPICE INC 1 PART I, LINE 2: ALL FUNDS ARE DISTRIBUTED TO COMMUNITY HOSPICE, INC. WHICH IS A RELATED ENTITY. X X X X X 0 0 0 0 0 0 0 0 0 PETER LAI MEDICAL DIRECTOR 0 323174 0 0 0 0 0 15248 0 17270 0 355692 0 0 MANINDERDEEP KAHLON NURSE PRACTITIONER 0 199572 0 0 0 0 0 10040 0 7877 0 217489 0 0 RAJVINDER KAUR NURSE PRACTITIONER 0 196281 0 0 0 0 0 7879 0 7850 0 212010 0 0 ALISA BETTIS CHIEF EXECUTIVE OFFICER (PRIOR) 0 188058 0 0 0 0 0 0 0 20118 0 208176 0 0 CHERYL KIRK RN CASE MANAGER 0 167777 0 0 0 0 0 8792 0 7877 0 184446 0 0 MONICA OJCIUS CHF INTERIM EXECUTIVE DIRE 0 157126 0 0 0 0 0 8205 0 15701 0 181032 0 0 CHRISTINA QUINTANA TRIAGE RN 0 164240 0 0 0 0 0 8218 0 7877 0 180335 0 0 JOHN RENNER DIRECTOR OF OPERATIONS 0 153312 0 0 0 0 0 7666 0 7850 0 168828 0 0 X PRIZES 210 69285 DONOR REPRESENTATION X CONSUMABLE GOODS 26 17843 DONOR REPRESENTATION 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS CHUCK MITTEN AND KARRIE MITTEN ARE MARRIED. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE PERFORMED BY CHI MANAGEMENT, INC. WHICH IS A RELATED PARTY EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 COMMUNITY HOSPICE INC. IS THE MEMBER OF COMMUNITY HOSPICE FOUNDATION AND IS A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER WITH THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. THE MEMBER IS COMMUNITY HOSPICE, INC., A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS BY THE ORGANIZATION MAY BE SUBJECT TO APPROVAL BY COMMUNITY HOSPICE, INC. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND IS PROVIDED WITH AN OPPORTUNITY TO COMMENT ON THE TAX RETURN PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES, VOLUNTEERS, AND MEMBERS OF THE BOARD OF DIRECTORS AND ADVISORY COMMITTEES WILL SIGN A CONFLICT OF INTEREST DOCUMENT UPON EMPLOYMENT, APPOINTMENT, OR REAPPOINTMENT AT LEAST ANNUALLY AND MONITORED BY THE CORPORATE COMPLIANCE OFFICER, INDICATING THAT THEY HAVE READ AND UNDERSTOOD THE RELEVANT POLICIES AND THAT THEY WILL OBSERVE THEM. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS WHERE THE VOTE OF EACH MEMBER IS COUNTED. COMPENSATION ANALYSIS OF SIMILARLY SITUATED ORGANIZATIONS (TAXABLE AND TAX-EXEMPT) WITH RESPECT TO SIZE AND RESPONSIBILITIES OF EACH POSITION ARE COMPARED. THIS ANALYSIS IS PREPARED ANNUALLY. THE PROCESS OF ARRIVING AT EACH INDIVIDUAL'S COMPENSATION ARRANGEMENT IS DOCUMENTED IN BOARD MINUTES, PERSONAL ACTION FORMS, AND THE EMPLOYEE'S PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL REPORT TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 24E MISCELLANEOUS: PROGRAM SERVICE EXPENSES 2,959. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,959. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 2,708. TOTAL EXPENSES 2,708. MEMBERSHIP, DUES, AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 1,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,110. PROPERTY TAX EXPENSE: PROGRAM SERVICE EXPENSES 162. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162. ALLOWANCE FOR BAD DEBT AND DISCOUNT: PROGRAM SERVICE EXPENSES -83,636. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -83,636. FORM 990, PART XII, LINE 2C MEMBERS OF THE BOARD OF DIRECTORS FROM COMMUNITY HOSPICE, INC., CHI MANAGEMENT, INC. AND COMMUNITY HOSPICE FOUNDATION MAKE UP THE AUDIT COMMITTEE CHARGED WITH THE RESPONSIBILITY OF OVERSIGHT IN CONNECTION TO THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITORS. COMMUNITY HOSPICE INC 4368 SPYRES WAY MODESTO CA 95356 942638213 HOSPICE CARE FOR THE TERMINALLY ILL CA 501(C)(3) 509(A)(2) N/A 0 CHI MANAGEMENT INC 4368 SPYRES WAY MODESTO CA 95356 200178425 PROVIDE PROFESSIONAL SERVICES FOR CHI INC., CHI FOUNDATION AND HOPE CHEST CA 501(C)(3) 509(A)(2) N/A 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0