VOLUNTEER HOSPICE OF CLALLAM COUNTY: Form 990, tax year 2022
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- Organization
- VOLUNTEER HOSPICE OF CLALLAM COUNTY (EIN 91-1076440)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-05-15
- IRS object ID
- 202311359349301501
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T07:14:29-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910870697 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIKEN & SANDERS INC PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 S MAIN ST UNIT A | AddressLine1Txt |
| City | MONTESANO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 985634502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911076440 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VOLUNTEER HOSPICE OF CLALLAM COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VOLU | BusinessNameControlTxt |
| Phone | 3604521511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 829 E 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PRIYA JAYADEV | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3604521511 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PRIYA | PersonFirstNm |
| Person Last | JAYADEV | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRY D SODDERS CPA | PreparerPersonNm |
| PTIN | P00003151 | PTIN |
| Phone | 3605333370 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PETER RAISWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 829 E 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,332,328 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | VOLUNTEERHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | VOLUNTEER HOSPICE OF CLALLAM COUNTY'S (VHOCC) MISSION IS TO PROVIDE PHYSICAL, EMOTIONAL, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES WITH FREE AROUND THE CLOCK REGISTERED NURSING AVAILABILITY AND TRAINED VOLUNTEERS. THIS TRANSLATES TO DIRECT NURSING CARE AND CERTIFIED NURSING AIDE SUPPORT FOR HOSPICE AND PALLIATIVE PATIENTS; RESPITE, GRIEF, BEREAVEMENT, AND SPIRITUAL SUPPORT; A FREE MEDICAL EQUIPMENT LENDING CLOSET AVAILABLE TO ANYONE IN THE COMMUNITY; AND, MEDICAL EQUIPMENT DELIVERY TO HOUSEHOLDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 28 | TotalEmployeeCnt |
| Total Volunteers | 160 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,239,178 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,733,643 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,109,919 | PYInvestmentIncomeAmt |
| CY Investment Income | -$76,787 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$19,153 | PYOtherRevenueAmt |
| CY Other Revenue | $11,622 | CYOtherRevenueAmt |
| PY Total Revenue | $2,329,944 | PYTotalRevenueAmt |
| CY Total Revenue | $2,668,478 | 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 | $1,059,244 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,149,501 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $13,120 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $270,855 | PYOtherExpensesAmt |
| CY Other Expenses | $347,567 | CYOtherExpensesAmt |
| PY Total Expenses | $1,330,099 | PYTotalExpensesAmt |
| CY Total Expenses | $1,497,068 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $999,845 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,171,410 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,666,343 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,476,455 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,349 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,560 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,626,994 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,438,895 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VOLUNTEER HOSPICE OF CLALLAM COUNTY (VHOCC) PROVIDES PHYSICAL, EMOTIONAL, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES WITH FREE AROUND THE CLOCK REGISTERED NURSING AVAILABILITY AND TRAINED VOLUNTEERS. VHOCC PROVIDES HOLISTIC HOSPICE AND PALLIATIVE CARE, COMPREHENSIVE GRIEF SUPPORT, EDUCATIONAL PROGRAMS, AND COMMUNITY ADVOCACY TO SHIFT AWAY FROM A DEATH-PHOBIC CULTURE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,151,543 | ExpenseAmt |
| Desc | IN 2022, VOLUNTEER HOSPICE OF CLALLAM COUNTY (VHOCC) PROVIDED NURSING CARE/HOSPICE AIDE SUPPORT TO 271 PATIENTS (1,679 NURSE VISITS, 765 HOSPICE AIDE VISITS; 4,922 DIRECT PATIENT SUPPORT HOURS). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,743 | ExpenseAmt |
| Desc | VHOCC PROVIDED 1,828 HOURS OF RESPITE, GRIEF, BEREAVEMENT, AND SPIRITUAL SUPPORT. VHOCC SUPPORTED 3,447 COMMUNITY MEMBER VISITS TO THE MEDICAL EQUIPMENT LENDING CLOSET. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $47,343 | ExpenseAmt |
| Desc | VHOCC PROVIDED 1,799 HOURS/8,632 MILES OF MEDICAL EQUIPMENT DELIVERY TO HOUSEHOLDS FROM DIAMOND POINT TO JOYCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,248,629 | 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 | 0 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 0 | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 28 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3604521511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 829 E 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| PETER RAISWELL | ||||||
| PRESIDENT | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LORI RIDGEWAY | ||||||
| VICE PRESIDENT | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SALLY FEATHERSTONE | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| WENDY BROWN | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| STUART KOOP | ||||||
| TREASURER | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL BUCIERKA | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL CRIM | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TED RIPLEY | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN AFFELD | ||||||
| SECRETARY | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TYRRELL PROSSER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROGER OAKES | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOORI JUN | ||||||
| PRIOR EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $43,230 | $0 | $8,008 | |
| SUPRIYA JAYADEV | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $26,258 | $0 | $2,918 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $69,488 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $10,926 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $172,821 | FundraisingAmt |
| All Other Contributions | $2,560,822 | AllOtherContributionsAmt |
| Total Contributions | $2,733,643 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $565,716 | TotalRevenueColumnAmt |
| Exclusion | $565,716 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $642,503 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$642,503 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$642,503 | TotalRevenueColumnAmt |
| Exclusion | -$642,503 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $172,821 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $21,347 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,347 | TotalRevenueColumnAmt |
| Exclusion | -$21,347 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LAND LEASE INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $32,969 | TotalRevenueColumnAmt |
| Exclusion | $32,969 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $32,969 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,668,478 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$65,165 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,414 | TotalAmt |
| Program Services | $4,825 | ProgramServicesAmt |
| Management And General | $75,589 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,676 | TotalAmt |
| Program Services | $814,605 | ProgramServicesAmt |
| Management And General | $81,071 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,826 | TotalAmt |
| Program Services | $23,668 | ProgramServicesAmt |
| Management And General | $2,158 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,447 | TotalAmt |
| Program Services | $64,245 | ProgramServicesAmt |
| Management And General | $3,202 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,138 | TotalAmt |
| Program Services | $68,117 | ProgramServicesAmt |
| Management And General | $12,021 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,230 | TotalAmt |
| Program Services | $1,230 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,700 | TotalAmt |
| Program Services | $4,212 | ProgramServicesAmt |
| Management And General | $7,488 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,682 | TotalAmt |
| Program Services | $14,491 | ProgramServicesAmt |
| Management And General | $28,191 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,164 | TotalAmt |
| Program Services | $4,984 | ProgramServicesAmt |
| Management And General | $879 | ManagementAndGeneralAmt |
| Fundraising | $1,301 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,918 | TotalAmt |
| Program Services | $30,013 | ProgramServicesAmt |
| Management And General | $2,679 | ManagementAndGeneralAmt |
| Fundraising | $9,226 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,065 | TotalAmt |
| Program Services | $37,455 | ProgramServicesAmt |
| Management And General | $6,610 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,740 | TotalAmt |
| Program Services | $18,603 | ProgramServicesAmt |
| Management And General | $3,137 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,600 | TotalAmt |
| Program Services | $32,600 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,854 | TotalAmt |
| Program Services | $11,854 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,268 | TotalAmt |
| Program Services | $35,928 | ProgramServicesAmt |
| Management And General | $6,340 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,921 | TotalAmt |
| Program Services | $13,533 | ProgramServicesAmt |
| Management And General | $2,388 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM EXPENSE | $38,858 | $38,858 | ||
| MISCELLANEOUS | $16,602 | $12,634 | $1,375 | $2,593 |
| COMMUNICATION | $14,605 | $12,414 | $2,191 | |
| RESPITE CARE | $4,360 | $4,360 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,068 | TotalAmt |
| Program Services | $1,248,629 | ProgramServicesAmt |
| Management And General | $235,319 | ManagementAndGeneralAmt |
| Fundraising | $13,120 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,196 | BOYAmt |
| EOY | $346,583 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,572 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,773,403 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $217,885 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,597,785 | BOYAmt |
| EOY | $1,555,518 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,876,790 | BOYAmt |
| EOY | $12,574,354 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,666,343 | BOYAmt |
| EOY | $14,476,455 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,763 | BOYAmt |
| EOY | $37,560 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,586 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,349 | BOYAmt |
| EOY | $37,560 | 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 | $15,456,628 | BOYAmt |
| EOY | $14,370,728 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,366 | BOYAmt |
| EOY | $68,167 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,626,994 | BOYAmt |
| EOY | $14,438,895 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,666,343 | BOYAmt |
| EOY | $14,476,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,171,410 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,299,653 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$59,856 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| 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 | $712,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $457,771 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $604,574 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,239,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,733,643 | CurrentTaxYearAmt |
| Total | $5,747,554 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $712,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $457,771 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $604,574 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,239,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,733,643 | CurrentTaxYearAmt |
| Total | $5,747,554 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $911,994 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,835,560 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $712,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $457,771 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $459,707 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $251,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $565,716 | CurrentTaxYearAmt |
| Total | $2,447,224 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$27,041 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $32,969 | CurrentTaxYearAmt |
| Total | $71,294 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $8,266,072 | TotalSupportAmt |
| Public Support CY170 | 0.58500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.55530 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $315,000 | OtherCostOrOtherBasisAmt |
| Book Value | $315,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,393,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $166,454 | DepreciationAmt |
| Book Value | $1,227,432 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,129 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,043 | DepreciationAmt |
| Book Value | $13,086 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,388 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,555,518 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $336,316 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,299,653 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $6,000 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $21,347 | OtherRevenueAmt |
| Revenue Not Reported | -$2,272,306 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,608,622 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $59,856 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $59,856 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,668,478 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,524,415 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $6,000 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $21,347 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $27,347 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,497,068 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,497,068 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE DECEMBER 31, 2019. CURRENTLY, THERE IS NO EXAMINATION OR PENDING EXAMINATION WITH THE INTERNAL REVENUE SERVICE (IRS). AS OF DECEMBER 31, 2022, THERE ARE NO TAX POSITIONS FOR WHICH THE DEDUCTIBILITY IS CERTAIN BUT FOR WHICH THERE IS UNCERTAINTY REGARDING THE TIMING OF SUCH DEDUCTIBILITY. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 21,347. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 21,347. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | NEWLETTER | Event1Nm |
| Gross Receipts Event1 | $66,997 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $66,997 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $2,593 | OtherDirectExpensesEvent1Amt |
| Event2 | ANNUALAPPEAL | Event2Nm |
| Gross Receipts Event2 | $76,165 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $76,165 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $18,754 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Other Events | $29,659 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $29,659 | CharitableContriOtherEventsAmt |
| Gross Receipts Total | $172,821 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $172,821 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $21,347 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $21,347 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$21,347 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW DURING BOARD MEETING BEFORE FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT-OF-INTEREST AFFIRMATION OF COMPLIANCE MUST BE SIGNED WHEN JOINING THE BOARD OR STAFF. WHEN THERE IS A POTENTIAL CONFLICT OF INTEREST, IT IS TO BE REPORTED AS SOON AS POSSIBLE. THEN IT IS BROUGHT TO THE ATTENTION OF THE BOARD OR EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD ANNUALLY DECIDES ON COMPENSATION FOR EXECUTIVE DIRECTOR. THE BOARD COMPARES TO OTHER SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | DOCUMENTS ARE AVAILABLE AT OFFICE DURING BUSINESS HOURS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AND OTHER DOCUMENT ARE AVAIABLE UPON REQUEST. |
| PART XII, LINE 2C | PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
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