2024-10-17T11:37:40-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2023-01-01 383800779 FAITH PRESBYTERIAN PROVIDERS INC FAIT 9722395300 12467 MERIT DRIVE DALLAS TX 75251 STEVE AILEY CHIEF FINANCIAL OFFICER 9722395300 2024-10-14 1 0 RAHIM HABIB P01912003 9723835700 2024-10-14 2023 2024-10-15 13:58:12Z X TIM MALLAD 12467 MERIT DRIVE DALLAS TX 75251 0 0 X HTTPS://WWW.FOREFRONTLIVING.ORG/ X 2009 TX PROVIDE HOSPICE MEDICAL SERVICES THROUGH FOREFRONT LIVING HOSPICE TO THE DALLAS METROPLEX. X 9 9 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 2223 0 0 0 0 0 0 0 0 0 0 2223 0 -2223 97719 0 95496 0 2223 0 TO PROVIDE HOSPICE AND PHYSICIAN SERVICES TO RESIDENTS IN THE DALLAS METROPLEX AND TRAINING TO PHYSICIANS AND OTHER CARE GIVERS ON PROVIDING THESE SERVICES. FAITH PRESBYTERIAN PROVIDERS IS CURRENTLY DORMANT. 0 0 2223 2223 0 PROVIDED HOSPICE MEDICAL SERVICES THROUGH FOREFRONT LIVING HOSPICE TO THE DALLAS METROPLEX. WE ARE A MEMBER OF DALLAS-BASED FOREFRONT LIVING, A NOT-FOR-PROFIT ORGANIZATION, AND WE PLEDGE TO MAKE EACH MOMENT MATTER FOR THOSE WE SERVE. FAITH PRESBYTERIAN PROVIDERS IS CURRENTLY DORMANT. 2223 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X STEVEN AILEY 2144131561 12467 MERIT DRIVE DALLAS TX 75243 WILLIAM W DAVIS TRUSTEE 1.00 3.00 X 0 0 0 CORNELIUS NEIL FOOTE CHAIRMAN 1.00 3.00 X X 0 0 0 REBECCA GRUCHALLA MD TRUSTEE 1.00 3.00 X 0 0 0 KEVIN JACKSON TRUSTEE 1.00 3.00 X 0 0 0 BRAD NITSCHKE TRUSTEE 1.00 3.00 X 0 0 0 NOE HINOJOSA TRUSTEE 1.00 3.00 X 0 0 0 LAURA H WRIGHT SECRETARY 1.00 3.00 X X 0 0 0 DAVID ASHWORTH TRUSTEE 1.00 3.00 X 0 0 0 ELIZABETH DISCH TRUSTEE 1.00 3.00 X 0 0 0 TIM MALLAD CHIEF EXECUTIVE OFFICER 1.00 39.00 X 0 599008 51951 STEVEN AILEY CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 352582 48213 SCOTT POLZIN CHIEF OPERATING OFFICER 1.00 39.00 X 0 334895 16605 HEATHER LOGAN CONTROLLER 1.00 39.00 X 0 204053 14924 KEO VELASQUEZ CORP DR OPERATIONS HOSPICE 1.00 39.00 X 0 183016 20645 0 1673554 152338 0 0 1 0 0 0 0 0 0 2223 2223 2223 2223 0 0 97719 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 97719 0 95496 0 95496 0 X 2223 0 2223 0 97719 0 -2223 0 X X 0 1 X 1 0 X 0 0 0.00000 1.00000 0.00000 X 0 X PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES. 0 1 0 0 0 0 0 0 0 TIM MALLAD CHIEF EXECUTIVE OFFICER 0 415869 0 183139 0 0 0 11550 0 40401 0 650959 0 0 STEVEN AILEY CHIEF FINANCIAL OFFICER 0 252193 0 100389 0 0 0 9328 0 38885 0 400795 0 0 SCOTT POLZIN CHIEF OPERATING OFFICER 0 242066 0 92829 0 0 0 11550 0 5055 0 351500 0 0 HEATHER LOGAN CONTROLLER 0 201532 0 2521 0 0 0 1690 0 13234 0 218977 0 0 KEO VELASQUEZ CORP DR OPERATIONS HOSPICE 0 183016 0 0 0 0 0 0 0 20645 0 203661 0 0 PART I, LINE 3 WE UTILIZE AN OUTSIDE CONSULTANT THAT WILL REVIEW MARKET SALARY SURVEYS AND OTHER PROCESSES TO DETERMINE REASONABLE PAY. THIS PROCESS WAS USED BY THE RELATED PARENT ENTITY LISTED ON SCHEDULE R WHICH ISSUES THE W-2'S - FOREFRONT LIVING. PART I, LINE 4B FOREFRONT LIVING MAINTAINS A 457(F) NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN. CASH 2023-12-31 2223 CASH 751094140 FOREFRONT LIVING HOSPICE 12457 MERIT DRIVE DALLAS TX 75251 501(C)(3) 0 0 0 0 1 1 1 1 0 FORM 990, PART VI, SECTION A, LINE 6 FOREFRONT LIVING IS THE SOLE MEMBER OF FAITH PRESBYTERIAN PROVIDERS, INC. FORM 990, PART VI, SECTION A, LINE 7A FOREFRONT LIVING HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B FOREFRONT LIVING UNDER THE DIRECTION OF THE BYLAWS HAS THE ABILITY TO MAKE GOVERNANCE DECISIONS. FORM 990, PART VI, SECTION A, LINE 8B FAITH PRESBYTERIAN PROVIDERS, INC. DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL REVIEW THE DRAFT REPORT. THE DRAFT REPORT WILL BE REVIEWED AND APPROVED BY THE AUDIT COMMITTEE AND A COPY OF THE REPORT WILL BE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A COMPLIANCE OFFICER (CO) WHO REVIEWS ALL TRANSACTIONS OF THE ORGANIZATION THAT MAY RESULT IN A CONFLICT OF INTEREST. THE CO DETERMINES IF THE TRANSACTION WOULD RESULT IN UNDUE INFLUENCE AS A RESULT OF THE RELATIONSHIP AND NOT BE PURSUED. THE CO REPORTS ALL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE RELATED ENTITY / PARENT BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS THE CURRENT COMPENSATION WITH AN OUTSIDE CONSULTANT WHICH INCLUDES COMPARISONS TO LIKE ENTITIES AND SALARY SURVEYS. THE COMPENSATION COMMITTEE RECOMMENDS CHANGES TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS HAS CHANGED DURING THE FILING YEAR. FOREFRONT LIVING HOSPICE 12477 MERIT DRIVE DALLAS TX 75251 751094140 HOSPICE SERVICES TX 501(C)(3) LINE 10 FOREFRONT LIVING 0 FOREFRONT LIVING 12457 MERIT DRIVE DALLAS TX 75251 261459224 SHARED SERVICES MANAGEMENT TX 501(C)(3) LINE 12B, II N/A 0 PRESBYTERIAN VILLAGE NORTH FOREFRONT LIVING 8600 SKYLINE DR DALLAS TX 75243 510190369 CCRC TX 501(C)(3) LINE 10 FOREFRONT LIVING 0 FOREFRONT LIVING FOUNDATION 12457 MERIT DRIVE DALLAS TX 75251 511910084 FOUNDATION FOR AFFILIATES TX 501(C)(3) LINE 7 FOREFRONT LIVING 0 THE OUTLOOK AT WINDHAVEN FOREFRONT LIVING 12457 MERIT DRIVE DALLAS TX 75251 851339418 CCRC TX 501(C)(3) LINE 10 FOREFRONT LIVING 0 FOREFRONT LIVING SAN ANTONIO 12457 MERIT DRIVE DALLAS TX 75251 872465887 FUTURE EXPANSION TX 501(C)(3) LINE 10 FOREFRONT LIVING 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0