ANGELA HOSPICE HOME CARE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ANGELA HOSPICE HOME CARE INC (EIN 38-2755767)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-04-11
- IRS object ID
- 202331019349300928
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-11T14:55:29-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 TOWN CENTER SUITE 100 | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382755767 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA HOSPICE HOME CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANGE | BusinessNameControlTxt |
| Phone | 7344647810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14100 NEWBURGH ROAD | AddressLine1Txt |
| City | LIVONIA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 481545010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HIBBARD | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7344647810 | PhoneNum |
| Signature | 2023-03-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK | PersonFirstNm |
| Person Last | HIBBARD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAMANTHA BECKER | PreparerPersonNm |
| PTIN | P01344887 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2023-03-24 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA HOSPICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARTI COPLAI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14100 NEWBURGH ROAD | AddressLine1Txt |
| City | LIVONIA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 481545010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,866,336 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ANGELAHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | HOSPICE CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 282 | TotalEmployeeCnt |
| Total Volunteers | 251 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,614,465 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,297,546 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,661,171 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,826,089 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,562,459 | PYInvestmentIncomeAmt |
| CY Investment Income | $680,724 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,999 | PYOtherRevenueAmt |
| CY Other Revenue | -$3,906 | CYOtherRevenueAmt |
| PY Total Revenue | $28,854,094 | PYTotalRevenueAmt |
| CY Total Revenue | $24,800,453 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,199,801 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,636,989 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $581,530 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,465,658 | PYOtherExpensesAmt |
| CY Other Expenses | $8,418,376 | CYOtherExpensesAmt |
| PY Total Expenses | $24,665,459 | PYTotalExpensesAmt |
| CY Total Expenses | $24,055,365 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,188,635 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $745,088 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,509,393 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,847,217 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,578,223 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,493,034 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,931,170 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,354,183 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ANGELA HOSPICE HOME CARE, INC. IS DEDICATED TO PROVIDE COMPREHENSIVE, COMPASSIONATE, AND CHRIST-LIKE CARE TO ADULTS AND CHILDREN IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,931,340 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $21,826,089 | RevenueAmt |
| Desc | ANGELA HOSPICE'S COMPASSIONATE PROGRAMS PROVIDE NURTURING SUPPORT FOR INDIVIDUALS FACING THE END-OF-LIFE, AND SUPPORTIVE CARE FOR THE PEOPLE WHO LOVE THEM MOST. OVER FY 2022, 1,791 PATIENTS WERE SERVED THROUGH ANGELA HOSPICE'S CARING PROGRAMS THAT SPAN THE ENTIRETY OF HUMAN LIFE, INCLUDING PRENATAL AND PEDIATRIC HOSPICE, HOME HOSPICE CARE, AND RESIDENTIAL INPATIENT HOSPICE AT THE CARE CENTER FACILITY. ANGELA HOSPICE PROVIDED $63,617 IN NON-REIMBURSED CHARITABLE CARE TO PATIENTS IN NEED.ANGELA HOSPICE IMPACTED INDIVIDUALS THROUGHOUT THE COMMUNITY BY PROVIDING $324,156 IN BEREAVEMENT SERVICES, THROUGH 2,263 NON-REIMBURSED ONE-ON-ONE GRIEF COUNSELING SESSIONS, AND SUPPORT GROUP ATTENDANCE OF 1,208. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $324,155 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | ANGELA HOSPICE'S TELEHOSPICE PROGRAM PROVIDES ADDED COMFORT AND SUPPORT TO HOSPICE PATIENTS AND THEIR CAREGIVERS IN THEIR HOME ENVIRONMENT, BY PROMOTING PERSONALIZED COORDINATED CARE, INCREASING EASE OF COMMUNICATION, AND DECREASING ANXIETY.ADDITIONAL CHARITABLE OUTREACH WAS DIRECTED TO GROUPS THROUGHOUT THE COMMUNITY VIA THE FAITH EMPOWERMENT PROJECT, WHICH AIMS TO PROVIDE EDUCATION TO UNDERSERVED POPULATIONS. BY ENGAGING WITH CONGREGATIONS AND CONNECTING WITH 4,000 INDIVIDUALS WE ARE EQUIPPING THEM WITH INFORMATION AND INSIGHT ON THE END-OF-LIFE CARE. ANGELA HOSPICE IS WORKING TO REMOVE BARRIERS TO QUALITY CARE, EMPOWER PEOPLE TO ADVOCATE FOR THE CARE THEY WANT, AND ADDRESS SOME HEALTHCARE DISPARITIES IN THE PROCESS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $19,255,495 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 282 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HIBBARD | PersonNm |
| Phone | 7349536025 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14100 NEWBURGH RD | AddressLine1Txt |
| City | LIVONIA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48154 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MR DAVID WARD | |||||||||
| DIRECTOR - SENIOR MINISTRY ADVISOR | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $265,473 | $44,428 | ||
| ESTHER ACOSTA | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SISTER RAMONA DOMBROWSKI | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN KANITRA | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR DEBORAH DUNN | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRYAN BESCO | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PEGGY CUMMINS-POLINSKI | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR CLARETTE STRYZEWSKI | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| NERAN SHAYA | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTI COPLAI | |||||||||
| PRESIDENT & CEO | 50.00 | 0.00 | Yes (X) | $227,278 | $0 | $12,960 | |||
| MARK HIBBARD | |||||||||
| TREASURER & CFO & SECRETARY | 50.00 | 0.00 | Yes (X) | $171,271 | $0 | $8,926 | |||
| DR JAMES BOAL | |||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $237,467 | $0 | $15,759 | Yes (X) | |||
| KARISHMA ELLIS | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $159,868 | $0 | $10,012 | Yes (X) | |||
| VICTORIA TARAZI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $191,419 | $0 | $2,120 | Yes (X) | |||
| STEPHANY GASTON | |||||||||
| CHIEF CLINICAL OFFICER | 50.00 | 0.00 | $143,634 | $0 | $5,464 | Yes (X) | |||
| LAURINE CATALANO | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $124,783 | $0 | $8,449 | Yes (X) | |||
| JENNIFER KIRKLAND | |||||||||
| DIRECTOR OF COMMUNITY OUTREACH | 40.00 | 0.00 | $109,428 | $0 | $8,276 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,365,148 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $265,473 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $116,394 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELTA CARE RX | |||||
| PO BOX 2340 | WINTERSVILLE | OH | 43953 | PHARMACY BENEFIT MANAGER | $918,885 |
| INTEGRA HEALTHCARE EQUIPMENT LLC | |||||
| 89 54TH STREET | GRAND RAPIDS | MI | 49548 | DME RENTAL | $646,653 |
| MCKESSON MEDICAL | |||||
| PO BOX 630693 | CINCINNATI | OH | 45263 | MEDICAL SUPPLIES | $522,484 |
| FOREFRONT | |||||
| PO BOX 33661 | DETROIT | MI | 48232 | FOOD SERVICE | $505,908 |
| REGENCY AT CANTON | |||||
| 45900 GEDDES RD | CANTON | MI | 48188 | SKILLED NURSING FACILITY | $232,826 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $264,667 | FundraisingAmt |
| Government Grants | $785,052 | GovernmentGrantsAmt |
| All Other Contributions | $1,247,827 | AllOtherContributionsAmt |
| Total Contributions | $2,297,546 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $21,826,089 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,826,089 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,826,089 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230,581 | TotalRevenueColumnAmt |
| Exclusion | $230,581 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,461,324 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,011,181 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $450,143 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $450,143 | TotalRevenueColumnAmt |
| Exclusion | $450,143 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $16,200 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $264,667 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $54,702 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$38,502 | TotalRevenueColumnAmt |
| Exclusion | -$38,502 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EMPLOYEE & GUEST MEALS | 722210 | $29,496 | $29,496 |
| GIFT SHOP | 453220 | $3,600 | $3,600 |
| MEDICAL RECORDS FEE | 900099 | $841 | $841 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $659 | TotalRevenueColumnAmt |
| Exclusion | $659 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $34,596 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,800,453 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,826,089 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $676,818 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $744,813 | TotalAmt |
| Program Services | $177,625 | ProgramServicesAmt |
| Management And General | $498,001 | ManagementAndGeneralAmt |
| Fundraising | $69,187 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,410,571 | TotalAmt |
| Program Services | $9,201,465 | ProgramServicesAmt |
| Management And General | $1,956,823 | ManagementAndGeneralAmt |
| Fundraising | $252,283 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,791 | TotalAmt |
| Program Services | $55,747 | ProgramServicesAmt |
| Management And General | $8,889 | ManagementAndGeneralAmt |
| Fundraising | $2,155 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,287,921 | TotalAmt |
| Program Services | $1,700,606 | ProgramServicesAmt |
| Management And General | $531,570 | ManagementAndGeneralAmt |
| Fundraising | $55,745 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,126,893 | TotalAmt |
| Program Services | $911,234 | ProgramServicesAmt |
| Management And General | $189,687 | ManagementAndGeneralAmt |
| Fundraising | $25,972 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,806 | TotalAmt |
| Management And General | $21,806 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,040 | TotalAmt |
| Management And General | $132,040 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,000 | TotalAmt |
| Management And General | $40,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,549 | TotalAmt |
| Program Services | $555,180 | ProgramServicesAmt |
| Management And General | $106,369 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,614 | TotalAmt |
| Program Services | $20,064 | ProgramServicesAmt |
| Management And General | $2,700 | ManagementAndGeneralAmt |
| Fundraising | $1,850 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,571 | TotalAmt |
| Program Services | $230,866 | ProgramServicesAmt |
| Management And General | $101,228 | ManagementAndGeneralAmt |
| Fundraising | $67,477 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,155 | TotalAmt |
| Program Services | $249,999 | ProgramServicesAmt |
| Management And General | $37,216 | ManagementAndGeneralAmt |
| Fundraising | $48,940 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,991 | TotalAmt |
| Program Services | $258,925 | ProgramServicesAmt |
| Management And General | $1,975 | ManagementAndGeneralAmt |
| Fundraising | $91 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,530 | TotalAmt |
| Program Services | $33,219 | ProgramServicesAmt |
| Management And General | $5,681 | ManagementAndGeneralAmt |
| Fundraising | $2,630 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,438 | TotalAmt |
| Program Services | $26,438 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,705 | TotalAmt |
| Program Services | $639,300 | ProgramServicesAmt |
| Management And General | $20,332 | ManagementAndGeneralAmt |
| Fundraising | $9,073 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,920 | TotalAmt |
| Management And General | $79,920 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $2,408,478 | $2,375,495 | $28,855 | $4,128 |
| ROOM & BOARD | $1,846,864 | $1,846,864 | ||
| REPAIRS & MAINTENANCE | $206,475 | $206,010 | $465 | |
| PROVISION FOR BAD DEBT | $195,000 | $195,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,068,240 | TotalAmt |
| Program Services | $571,458 | ProgramServicesAmt |
| Management And General | $454,783 | ManagementAndGeneralAmt |
| Fundraising | $41,999 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,055,365 | TotalAmt |
| Program Services | $19,255,495 | ProgramServicesAmt |
| Management And General | $4,218,340 | ManagementAndGeneralAmt |
| Fundraising | $581,530 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,391,933 | BOYAmt |
| EOY | $4,418,239 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $615,172 | BOYAmt |
| EOY | $564,270 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,852 | BOYAmt |
| EOY | $73,837 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,393,974 | BOYAmt |
| EOY | $1,830,534 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,685 | BOYAmt |
| EOY | $32,156 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,516 | BOYAmt |
| EOY | $73,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,722,539 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,260,166 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,843,238 | BOYAmt |
| EOY | $14,462,373 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,883,298 | BOYAmt |
| EOY | $12,384,940 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,725 | BOYAmt |
| EOY | $7,836 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,509,393 | BOYAmt |
| EOY | $33,847,217 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,589,245 | BOYAmt |
| EOY | $1,740,310 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $988,978 | BOYAmt |
| EOY | $752,724 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,578,223 | BOYAmt |
| EOY | $2,493,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,102,451 | BOYAmt |
| EOY | $28,588,353 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,828,719 | BOYAmt |
| EOY | $2,765,830 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,931,170 | BOYAmt |
| EOY | $31,354,183 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,509,393 | BOYAmt |
| EOY | $33,847,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $745,088 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,322,075 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,086,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,482,141 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,035,253 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,614,465 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,297,546 | CurrentTaxYearAmt |
| Total | $11,515,677 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,086,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,482,141 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,035,253 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,614,465 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,297,546 | CurrentTaxYearAmt |
| Total | $11,515,677 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,467,635 | SubstantialContributorsTotAmt |
| Public Support Total170 | $10,048,042 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $290,458 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $295,750 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $225,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $230,581 | CurrentTaxYearAmt |
| Total | $1,223,237 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $363,858 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $460,629 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $328,848 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,064 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,796 | CurrentTaxYearAmt |
| Total | $1,278,195 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,017,109 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $109,700,130 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.71680 | PublicSupportCY170Pct |
| Public Support PY170 | 0.67430 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | FUNDRAISING MISCELLANEOUS INCOME | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,801,383 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$744,034 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $313,896 | OtherExpendituresAmt |
| End Year Balance | $2,743,453 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,614,601 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,015,494 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $828,712 | OtherExpendituresAmt |
| End Year Balance | $3,801,383 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,636,749 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $66,703 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $88,851 | OtherExpendituresAmt |
| End Year Balance | $3,614,601 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,636,749 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $185,916 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $185,916 | OtherExpendituresAmt |
| End Year Balance | $3,636,749 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,481,959 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $273,590 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $118,800 | OtherExpendituresAmt |
| End Year Balance | $3,636,749 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.99200 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00800 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,944,500 | OtherCostOrOtherBasisAmt |
| Book Value | $2,944,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,230,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,071,959 | DepreciationAmt |
| Book Value | $11,158,543 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,547,537 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,188,207 | DepreciationAmt |
| Book Value | $359,330 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,462,373 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NOTE PAYABLE - FELICIAN SISTERS OF NORTH AMERICA | Desc |
| Amt | $752,724 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $752,724 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $22,493,080 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,322,075 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $14,702 | OtherRevenueAmt |
| Revenue Not Reported | -$2,307,373 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,800,453 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $24,800,453 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,070,067 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $14,702 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $14,702 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,055,365 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,055,365 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO SUPPLEMENT UNREIMBURSED HOSPICE CARE FOR THOSE IN NEED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES INCLUDED IN PART VIII 54,702. INVESTMENT MANAGEMENT FEES INCLUDED IN PART IX -40,000. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES INCLUDED IN PART VIII 54,702. INVESTMENT MANAGEMENT FEES INCLUDED IN PART IX -40,000. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TREE OF LIFE | Event1Nm |
| Gross Receipts Event1 | $106,695 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $106,695 | CharitableContriEvent1Amt |
| Rent Facility Costs Event1 | $5,429 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $11,948 | FoodAndBeverageEvent1Amt |
| Event2 | GOLF | Event2Nm |
| Gross Receipts Event2 | $76,354 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $60,154 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $16,200 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $13,036 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $3,159 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,170 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $97,818 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $97,818 | CharitableContriOtherEventsAmt |
| Oth Direct Expnss Other Events | $18,960 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $280,867 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $264,667 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $16,200 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $18,465 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $15,107 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $21,130 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $54,702 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$38,502 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR DAVID WARD | ||||||||||||||
| DIRECTOR - SENIOR MINISTRY ADVISOR | $0 | $265,473 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $44,428 | $0 | $309,901 | $0 | $0 |
| DR JAMES BOAL | ||||||||||||||
| CHIEF MEDICAL OFFICER | $237,467 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,759 | $0 | $253,226 | $0 | $0 | $0 |
| MARTI COPLAI | ||||||||||||||
| PRESIDENT & CEO | $227,278 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,960 | $0 | $240,238 | $0 | $0 | $0 |
| VICTORIA TARAZI | ||||||||||||||
| PHYSICIAN | $191,419 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,120 | $0 | $193,539 | $0 | $0 | $0 |
| MARK HIBBARD | ||||||||||||||
| TREASURER & CFO & SECRETARY | $171,271 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,926 | $0 | $180,197 | $0 | $0 | $0 |
| KARISHMA ELLIS | ||||||||||||||
| PHYSICIAN | $159,868 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,012 | $0 | $169,880 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ANGELA HOSPICE HOME CARE, INC. IS ORGANIZED ON A MEMBERSHIP BASIS AND THE SOLE MEMBER IS FELICIAN SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER, THE FELICIAN SERVICES, INC. HAVE THE SOLE AUTHORITY TO: (1) APPOINT, ELECT, REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION; (2) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD (THE "CHAIRPERSON"); (3) APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE CORPORATION; |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER, THE FELICIAN SERVICES, INC. HAVE THE SOLE AUTHORITY TO INITIATE AND APPROVE THE FOLLOWING ACTIONS: (A) TO ADOPT, ALTER, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (B) TO ADOPT OR REVISE THE STATEMENTS OF PHILOSOPHY, MISSION, OR PURPOSE OF THE CORPORATION; (C) TO MERGE, CONSOLIDATE, DISSOLVE, OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE CORPORATION; (D) TO AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) TO AUTHORIZE THE CORPORATION TO INCUR ANY INDEBTEDNESS (OTHER THAN TRADE OBLIGATIONS INCURRED IN THE REGULAR COURSE OF BUSINESS), GUARANTEE ANY INDEBTEDNESS OF ANOTHER ENTITY, OR ALLOW ANY PROPERTY OF THE CORPORATION TO SECURE ANY INDEBTEDNESS; (F) TO APPROVE THE PURCHASE, TRANSFER, SALE, LONG-TERM LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; (G) TO APPROVE THE CREATION OF, OR THE PURCHASE OF AN EQUITY INTEREST IN, ANY LEGAL ENTITY, OR TO APPROVE ENTERING INTO ANY PARTNERSHIP OR JOINT VENTURE (REGARDLESS OF ITS LEGAL FORM), OTHER THAN PASSIVE INVESTMENTS BY THE CORPORATION; (H) TO APPROVE AN ANNUAL OPERATING BUDGET, AND ANY CAPITAL BUDGET, OF THE CORPORATION; (I) TO APPROVE ANY UNBUDGETED OPERATING OR CAPITAL EXPENDITURES IN EXCESS OF ONE HUNDRED THOUSAND ($100,000) DOLLARS; (J) TO APPOINT, ELECT, REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION; (K) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD (THE "CHAIRPERSON"); (L) TO APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE CORPORATION; (M) TO APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION; (N) TO ASSURE THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE PURPOSES OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE; (O) TO CARRY OUT PERIODIC EVALUATIONS OF THE CORPORATION AND TO OTHERWISE MONITOR THE ACCOMPLISHMENT OF THE GOALS AND THE ADHERENCE TO THE PHILOSOPHY OF THE CORPORATION; (P) TO APPROVE THE LONG-TERM AND STRATEGIC PLANS OF THE CORPORATION; AND ANGELA HOSPICE HOME CARE, INC. 38-2755767 (Q) TO APPROVE ANY ACTS OF EXTRAORDINARY ADMINISTRATION UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE, AND PRESENTED TO THE BOARD MEMBERS FOR APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION AND TO IDENTIFY THEIR CURRENT EMPLOYMENT DETAILS. ANY POTENTIAL CONFLICTS ARE THEN REVIEWED. IF A CONFLICT DOES EXIST, THE RESPECTIVE BOARD MEMBER OR OFFICER MAY PRESENT ON THE MATTER, BUT WILL LEAVE THE MEETING DURING ANY RELATED DISCUSSION, VOTE OR SIMILAR ACTION ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF KEY STAFF IS REVIEWED ANNUALLY BY PRESIDENT & CEO DURING STAFF ANNUAL EVALUATIONS. SALARIES ARE COMPARED TO COMPENSATION OF COMPARABLE POSITION IN THE INDUSTRY AND ARE ADJUSTED FOR INFLATION, AS WELL AS THE INDIVIDUALS' QUALIFICATION AND EXPERIENCE. THE COMPENSATION FOR THE PRESIDENT & CEO IS REVIEWED BY THE BOARD OF DIRECTORS. AN ANNUAL EVALUATION BY THE BOARD IS COMPLETED TO EVALUATE THE ACHIEVMENT OF GOALS AS SET FORTH BY THE BOARD OF DIRECTORS. CHANGES IN THE PRESIDENT & CEO COMPENSATION IS BASED ON ACHIEVEMENT OF GOALS AND CHANGES IN MARKET RATE FOR SIMILAR POSITIONS IN HEALTH CARE. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DOCUMENTS MADE AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FELICIAN SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 W PETERSON AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60659 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363685438 | EIN |
| Primary Activities | SOLE CORPORATE MEMBER | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 1 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONGREG ST FELIX OF CANTALICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | THE REPORTING ORGANIZATION AND ITS RELATED ORGANIZATION ARE SPONSORED BY THE SISTERS OF ST. FELIX OF CANTALICE, OUR LADY OF HOPE PROVINCE, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. | ExplanationTxt |