BREATH OF LIFE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BREATH OF LIFE INC (EIN 20-5120368)
Tax period
2021-01-01 to 2021-12-31
Filed
2023-04-11
IRS object ID
202321019349300807
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-04-11T09:51:38-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200505785PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CPA PARTNERS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18200 - 113TH STREET SUITE 103AddressLine1Txt
CitySEMINOLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33772ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205120368EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BREATH OF LIFE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBREABusinessNameControlTxt
Phone7272161420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 EAST BAY DRIVEAddressLine1Txt
CityLARGOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33771ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGLENDA PEARSONPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone7272161420PhoneNum
Signature2023-04-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGLENDAPersonFirstNm
Person LastPEARSONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTONI R DENNIS EAPreparerPersonNm
PTINP00650400PTIN
Phone7273982080PhoneNum
Preparation2023-04-11PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BREATH OF LIFE WOMEN'S HEALTH & BIRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCYNTHIA FLYNNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14362 W PAYETTE AVENUEAddressLine1Txt
CityKENNEWICKCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99336ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,183,258GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressBREATHOFLIFE.CCWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE MIDWIFERY SUPPORT AND SERVICES TO PREGNANT WOMEN IN PREPARATION FOR CHILD-BIRTH AND PARENTHOOD. THESE SERVICES INCLUDE EDUCATION, TRAINING AND COUNSELING AS WELL AS MEDICAL, EMOTIONAL, SPIRITUAL AND FINANCIAL ASSISTANCE. OUR VISION FOR EVERY LABORING PERSON IS TO HAVE THE UNDIVIDED ATTENTION OF A WELL-RESTED MIDWIFE, ALONG WITH THE NECESSARY EDUCATION TO OPTIMIZE THE CHANCE THAT SHE WILL EXPERIENCE A BIRTH THAT IS SAFE, PERSONAL, SUPPORTED, RESPECTFUL AND FULFILLING. BREATH OF LIFE ENVISIONS OPPORTUNITIES FOR ALL WOMEN TO ACCESS MIDWIFERY CARE THROUGHOUT THEIR LIFETIMES IN A COLLABORATIVE, RESPECTFUL AND WELCOMING ENVIRONMENT.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee27TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$42,096PYContributionsGrantsAmt
CY Contributions Grants$162,648CYContributionsGrantsAmt
PY Program Service Revenue$1,801,954PYProgramServiceRevenueAmt
CY Program Service Revenue$2,020,610CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$604PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,844,654PYTotalRevenueAmt
CY Total Revenue$2,183,258CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$965,206PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,243,331CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$744,386PYOtherExpensesAmt
CY Other Expenses$744,611CYOtherExpensesAmt
PY Total Expenses$1,709,592PYTotalExpensesAmt
CY Total Expenses$1,987,942CYTotalExpensesAmt
PY Revenues Less Expenses$135,062PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$195,316CYRevenuesLessExpensesAmt
Total Assets BOY$739,870TotalAssetsBOYAmt
Total Assets EOY$709,322TotalAssetsEOYAmt
Total Liabilities BOY$670,819TotalLiabilitiesBOYAmt
Total Liabilities EOY$444,955TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$69,051NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$264,367NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE MIDWIFERY SUPPORT AND SERVICES TO PREGNANT WOMEN IN PREPARATION FOR CHILD-BIRTH AND PARENTHOOD. THESE SERVICES INCLUDE EDUCATION, TRAINING AND COUNSELING AS WELL AS MEDICAL, EMOTIONAL, SPIRITUAL AND FINANCIAL ASSISTANCE. OUR VISION FOR EVERY LABORING PERSON IS TO HAVE THE UNDIVIDED ATTENTION OF A WELL-RESTED MIDWIFE, ALONG WITH THE NECESSARY EDUCATION TO OPTIMIZE THE CHANCE THAT SHE WILL EXPERIENCE A BIRTH THAT IS SAFE, PERSONAL, SUPPORTED, RESPECTFUL AND FULFILLING. BREATH OF LIFE ENVISIONS OPPORTUNITIES FOR ALL WOMEN TO ACCESS MIDWIFERY CARE THROUGHOUT THEIR LIFETIMES IN A COLLABORATIVE, RESPECTFUL AND WELCOMING ENVIRONMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,836,050ExpenseAmt
Revenue$2,020,610RevenueAmt
DescSINCE 2007 OVER EIGHTEEN HUNDRED AREA FAMILIES HAVE CHOSEN TO USE THE SERVICES OF BREATH OF LIFE BIRTH CENTER. OUR PRIMARY SERVICES FOCUS ON PROVIDING QUALITY AND ACCESSIBLE MIDWIFERY SERVICES IN PRENATAL CARE, CHILDBIRTH, AND POST-PARTUM CARE. IN ADDITION WE PROVIDE WELL-WOMAN CARE, INCLUDING ANNUAL EXAMINATIONS, TREATMENT OF INFECTIONS, CONTRACEPTION, AND REFERRALS TO SPECIALISTS AS NEEDED. 90% VAGINAL BIRTHS OVERALL, 50% WATER BIRTHS AND A VERY LOW CESAREAN RATE INDICATE THE ORGANIZATION IS ACCOMPLISHING ITS EXEMPT PURPOSE. LAB PROCEDURES, ULTRASOUNDS AND BLOOD WORK ARE PERFORMED ONSITE AS WELL AS POSTPARTUM VISITS.Desc
Total Program Service Expenses$1,836,050TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee27EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GLENDA PEARSONBusinessNameLine1Txt
Business Name Line2BREATH OF LIFE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone7272161420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 EAST BAY DRIVEAddressLine1Txt
Address Line21900 EAST BAY DRIVEAddressLine2Txt
CityLARGOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33771ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndBusiness Name Line2BusinessName/BusinessNameLine2Txt
CYNTHIA R MC CULLOUGH
CLINICAL DIR40.00Yes (X)$128,686$0$0
ELLEN HOPPE
CNM40.00Yes (X)$113,926$0$0
CHANEL ARMSTRONG
CNM40.00Yes (X)$112,342$0$0
LACI B SPENGLER
CNM DNP40.00Yes (X)$103,955$0$0
GLENDA PEARSON
SECRETARY50.00$50,065$0$0Yes (X)Yes (X)
SHARON COLE
TREASURER2.00$0$0$0Yes (X)Yes (X)
CYNTHIA FLYNN
CHAIRMAN2.00$0$0$0Yes (X)Yes (X)
MARNIE CABEZAS
VICE PRESIDE2.00$0$0$0Yes (X)Yes (X)MEDICAL PRACTICE MANAGEMENT COUNSELI
FieldValueIRS element (for citing)
Total Reportable Comp From Org$508,974TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INNOVATION BILLING SERVICE INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1131 WEST MAIN STREETAddressLine1Txt
Address Line2SUITE 322AddressLine2Txt
CityORANGECityNm
State AbbreviationMAStateAbbreviationCd
ZIP01364ZIPCd
FieldValueIRS element (for citing)
ServicesBILLING SERVICEServicesDesc
Compensation$144,086CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$162,500GovernmentGrantsAmt
All Other Contributions$148AllOtherContributionsAmt
Total Contributions$162,648TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescBIRTH CENTER FEESDesc
Business621990BusinessCd
Total Revenue Column$2,020,610TotalRevenueColumnAmt
Related Or Exempt Func Income$2,020,610RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,020,610TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,183,258TotalRevenueColumnAmt
Related Or Exempt Func Income$2,020,610RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,124,298TotalAmt
Program Services$996,788ProgramServicesAmt
Management And General$127,510ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$43,069TotalAmt
Program Services$28,887ProgramServicesAmt
Management And General$14,182ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$75,964TotalAmt
Program Services$65,764ProgramServicesAmt
Management And General$10,200ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,802TotalAmt
Program Services$15,802ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,818TotalAmt
Program Services$12,818ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$65,757TotalAmt
Program Services$65,757ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,926TotalAmt
Program Services$8,926ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,398TotalAmt
Program Services$10,398ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$90,793TotalAmt
Program Services$90,793ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,653TotalAmt
Program Services$7,653ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Program Services$150ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,133TotalAmt
Program Services$15,133ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$117,713TotalAmt
Program Services$117,713ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BILLING SERVICE$144,086$144,086
MIDWIFERY SUPPLIES$98,250$98,250
CONTRACT IT SERVICES$34,427$34,427
CONTRACT MEDICAL SERVICES$32,089$32,089

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,616TotalAmt
Program Services$90,616ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,987,942TotalAmt
Program Services$1,836,050ProgramServicesAmt
Management And General$151,892ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$322,609BOYAmt
EOY$177,186EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$355,138BOYAmt
EOY$490,673EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,759BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$140,486LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$99,123LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$50,264BOYAmt
EOY$41,363EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$739,870BOYAmt
EOY$709,322EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,207BOYAmt
EOY$247,305EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$162,500BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$376,462BOYAmt
EOY$150,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,650BOYAmt
EOY$47,650EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$670,819BOYAmt
EOY$444,955EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,051BOYAmt
EOY$264,367EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,051BOYAmt
EOY$264,367EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$739,870BOYAmt
EOY$709,322EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$195,316ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$42,096CurrentTaxYearMinus1YearAmt
Current Tax Year$148CurrentTaxYearAmt
Total$42,244TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$42,096CurrentTaxYearMinus1YearAmt
Current Tax Year$148CurrentTaxYearAmt
Total$42,244TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$42,244PublicSupportTotal170Amt
Total Support$42,244TotalSupportAmt
Gross Receipts Rltd Activities$3,823,168GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,486OtherCostOrOtherBasisAmt
Depreciation$99,123DepreciationAmt
Book Value$41,363BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,363TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLOAN PAYABLE PREVIOUS PARENT ORGANIZDesc
Amt$47,650Amt
FieldValueIRS element (for citing)
Total Liability$47,650TotalLiabilityAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INNOVATION BILLING SERVICE INCBusinessNameLine1Txt
Business Name Line2131 WEST MAIN ST STE 322 ORANGE MABusinessNameLine2Txt
FieldValueIRS element (for citing)
Relationship DescriptionDIRECTORRelationshipDescriptionTxt
Transaction$144,086TransactionAmt
TransactionBILLING SERVICE FEESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE ORGANIZATION'S MISSION IS TO PROVIDE MIDWIFERY SUPPORT AND SERVICES TO PREGNANT WOMEN IN PREPARATION FOR CHILD-BIRTH AND PARENTHOOD. THESE SERVICES INCLUDE EDUCATION, TRAINING AND COUNSELING AS WELL AS MEDICAL, EMOTIONAL, SPIRITUAL AND FINANCIAL ASSISTANCE. OUR VISION FOR EVERY LABORING PERSON IS TO HAVE THE UNDIVIDED ATTENTION OF A WELL-RESTED MIDWIFE, ALONG WITH THE NECESSARY EDUCATION TO OPTIMIZE THE CHANCE THAT SHE WILL EXPERIENCE A BIRTH THAT IS SAFE, PERSONAL, SUPPORTED, RESPECTFUL AND FULFILLING. BREATH OF LIFE ENVISIONS OPPORTUNITIES FOR ALL WOMEN TO ACCESS MIDWIFERY CARE THROUGHOUT THEIR LIFETIMES IN A COLLABORATIVE, RESPECTFUL AND WELCOMING ENVIRONMENT.
FORM 990, PAGE 6, PART VI, LINE 9WENDY DANICOURT 1220 - 35TH AVE N ST PETERSBURG, FL 33704 CHANEL ARMSTRONG 2287 MANOR BLVD NORTH CLEARWATER, FL 33765 ELLEN HOPPE 313 24TH ST N ST. PETERSBURG, FL 33713
FORM 990, PAGE 6, PART VI, LINE 11BA DRAFT COPY OF FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND ALL BOARD MEMBERS FOR REVIEW AND COMMENTS PRIOR TO THE EXECUTIVE DIRECTOR SIGNING THE E-FILE AUTHORIZATION FORM 8879-EO.
FORM 990, PAGE 6, PART VI, LINE 12CEACH BOARD MEMBER, ON AN ANNUAL BASIS, DISCLOSES ANY CONFLICT OF INTEREST TO THE OTHER MEMBERS FOR REVIEW AND EVALUATION.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS CONDUCTS A PERFORMANCE EVALUATION OF THE EXECUTIVE DIRECTOR'S WORK, GOALS OF THE ORGANIZATION, AND FUTURE GROWTH. THE BOARD THEN PROVIDES THEIR DECISION TO THE EXECUTIVE DIRECTOR.
FORM 990, PAGE 6, PART VI, LINE 15BFOR ALL KEY EMPLOYEES OTHER THAN THE EXECUTIVE DIRECTOR, THE BOARD OF DIRECTORS HAS PROVIDED THE EXECUTIVE DIRECTOR WITH THE AUTHORITY TO DETERMINE COMPENSATION. DURING THE ANNUAL BUDGET PROCESS, THE BOARD OF DIRECTORS REVIEWS THE SALARIES OF ALL EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE ON FILE IN THE ADMINISTRATIVE OFFICE OF THE ENTITY. DOCUMENTS ARE AVAILABLE FOR EXAMINATION UPON WRITTEN REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BREATH OF LIFE BIRTH CENTER LLCBusinessNameLine1Txt
Business Name Line2BREATH OF LIFE BIRTH CENTER LLCBusinessNameLine2Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 EAST BAY DRIVEAddressLine1Txt
Address Line21900 EAST BAY DRIVEAddressLine2Txt
CityLARGOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33771ZIPCd
FieldValueIRS element (for citing)
EIN261612730EIN
Primary ActivitiesFACILITIESPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BREATH OFBusinessNameLine1Txt
Business Name Line2BREATH OF LIFE INCBusinessNameLine2Txt

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