HOSPICE OF THE FOOTHILLS: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF THE FOOTHILLS (EIN 94-2674084)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202331309349302783
- Schema version
- 2021v4.1
- 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 | 2023-05-10T10:25:09-07:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 262363334 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROPP CHRISTENSEN CANIGLIA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9261 Sierra College Boulevard | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | 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 | 942674084 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF THE FOOTHILLS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 5302725739 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11270 ROUGH READY HIGHWAY | AddressLine1Txt |
| City | GRASS VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95945 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MASON QUIST | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2023-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MASON | PersonFirstNm |
| Person Last | QUIST | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | K JEFFREY DE LYSER CPA | PreparerPersonNm |
| PTIN | P00022269 | PTIN |
| Phone | 9167512900 | 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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VIVIAN TIPTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11270 ROUGH READY HIGHWAY | AddressLine1Txt |
| City | GRASS VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95945 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,690,768 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hospiceofthefoothills.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | 43 years, non-profit Hospice has provided high quality end-of-life support services to patients and their families. We achieved Deemed Status which, is the ultimate level of distinction. Services: Patient and Family support, Advance Care Planning, and Bereavement Support. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 101 | TotalEmployeeCnt |
| Total Volunteers | 294 | TotalVolunteersCnt |
| Total Gross UBI | -$141,567 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,531,837 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,816,795 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,282,296 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,428,965 | CYProgramServiceRevenueAmt |
| PY Investment Income | $143,566 | PYInvestmentIncomeAmt |
| CY Investment Income | $55,852 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$101,888 | PYOtherRevenueAmt |
| CY Other Revenue | -$101,354 | CYOtherRevenueAmt |
| PY Total Revenue | $9,855,811 | PYTotalRevenueAmt |
| CY Total Revenue | $9,200,258 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,646,950 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,517,842 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $369,904 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,517,005 | PYOtherExpensesAmt |
| CY Other Expenses | $2,469,681 | CYOtherExpensesAmt |
| PY Total Expenses | $8,163,955 | PYTotalExpensesAmt |
| CY Total Expenses | $7,987,523 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,691,856 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,212,735 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,661,014 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,874,741 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,481,351 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,757,302 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,179,663 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,117,439 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 43 years, community nonprofit Hospice provides compassionate and supportive care to patients and families for their end-of-life journey. Programs: Patient and Family support, Advance Care Planning, Bereavement Support and operate 2 thrift stores. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,083,044 | ExpenseAmt |
| Revenue | $6,428,965 | RevenueAmt |
| Desc | Patient and Family support, Advance Care Planning, Bereavement Support and operate 2 thrift stores. | Desc |
| Total Program Service Expenses | $5,083,044 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 101 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MASON QUIST | PersonNm |
| Phone | 5302725739 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11270 Rough Ready Highway | AddressLine1Txt |
| City | Grass Valley | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95945 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| RENE KRONLAND | |||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $158,762 | $0 | $4,763 | ||
| DENYSE ASHLOCK | |||||||
| DIR PT CARE SERVCS | 40.00 | 0.00 | $129,577 | $0 | $19,769 | ||
| VIVIAN TIPTON | |||||||
| Executive Dir. | 40.00 | 0.00 | $134,049 | $0 | $4,131 | Yes (X) | |
| JEANINE ISENHOFF | |||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $111,724 | $0 | $8,137 | ||
| JULIE CHIARELLI | |||||||
| DIR. OF FINANCE | 40.00 | 0.00 | $97,753 | $0 | $20,703 | Yes (X) | |
| SARA TRUNK | |||||||
| RN TRIAGE NURSE | 40.00 | 0.00 | $93,593 | $0 | $21,673 | ||
| REBECCA WILES | |||||||
| RN CASE MANAGER | 40.00 | 0.00 | $94,629 | $0 | $19,801 | ||
| KARYN PACKARD | |||||||
| President | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| DEB PLASS | |||||||
| Vice President | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| MASON QUIST | |||||||
| Treasurer | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| MARK FREITAS | |||||||
| Secretary | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| DAVID FRANCO | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| JANELL JONES | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MIKE DENT | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| BEV WENTZ | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| JEFF LEITER | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| HOWARD WILSON | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SALLY GALLAGHER | |||||||
| PAST PRESIDENT | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $820,087 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $98,977 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Procare PBM | |||||
| 1267 Professional Prkwy | Gainsville | GA | 30507 | Medicine | $111,461 |
| MEDLINE INDUSTRIES | |||||
| THREE LAKES DRIVE | NORTHFIELD | IL | 60093 | MEDICAL SUPPLIES | $106,545 |
| HORIZON OXYGEN & MEDICAL GROUP | |||||
| 1837 NORTH NEVILLE ST | ORANGE | CA | 92865 | DURABLE MEDICAL EQUIP | $221,178 |
| CRYSTAL RIDGE CARE FACILITY | |||||
| 396 DORSEY DRI | GRASS VALLEY | CA | 95945 | SKILLED NURSING FACILITY | $145,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $176,084 | GovernmentGrantsAmt |
| All Other Contributions | $2,640,711 | AllOtherContributionsAmt |
| Noncash Contributions | $1,243,793 | NoncashContributionsAmt |
| Total Contributions | $2,816,795 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicare Medi-Cal | 623990 | $6,273,869 | $6,273,869 |
| Private Insurance Reimbur | 623990 | $155,096 | $155,096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,428,965 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,242 | TotalRevenueColumnAmt |
| Exclusion | $48,242 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,685 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $268,946 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$159,261 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$159,261 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$141,567 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$17,694 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,366 | SecuritiesAmt |
| Other | $1,244 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,366 | SecuritiesAmt |
| Other | $1,244 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,610 | TotalRevenueColumnAmt |
| Exclusion | $7,610 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $60,339 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $2,432 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,907 | TotalRevenueColumnAmt |
| Exclusion | $57,907 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,219,132 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,219,132 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,200,258 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,428,965 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$141,567 | UnrelatedBusinessRevenueAmt |
| Exclusion | $96,065 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,636 | TotalAmt |
| Program Services | $175,332 | ProgramServicesAmt |
| Management And General | $42,955 | ManagementAndGeneralAmt |
| Fundraising | $38,349 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,888,451 | TotalAmt |
| Program Services | $2,656,561 | ProgramServicesAmt |
| Management And General | $1,074,246 | ManagementAndGeneralAmt |
| Fundraising | $157,644 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,009,843 | TotalAmt |
| Program Services | $654,712 | ProgramServicesAmt |
| Management And General | $302,206 | ManagementAndGeneralAmt |
| Fundraising | $52,925 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,912 | TotalAmt |
| Program Services | $247,311 | ProgramServicesAmt |
| Management And General | $98,432 | ManagementAndGeneralAmt |
| Fundraising | $17,169 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205 | TotalAmt |
| Management And General | $1,205 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,265 | TotalAmt |
| Management And General | $48,265 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,009 | TotalAmt |
| Management And General | $8,009 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,657 | TotalAmt |
| Program Services | $13,374 | ProgramServicesAmt |
| Management And General | $118,283 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,405 | TotalAmt |
| Program Services | $1,353 | ProgramServicesAmt |
| Management And General | $3,242 | ManagementAndGeneralAmt |
| Fundraising | $9,810 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,857 | TotalAmt |
| Program Services | $10,885 | ProgramServicesAmt |
| Management And General | $9,635 | ManagementAndGeneralAmt |
| Fundraising | $337 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,200 | TotalAmt |
| Program Services | $7,221 | ProgramServicesAmt |
| Management And General | $245,979 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,813 | TotalAmt |
| Program Services | $59,823 | ProgramServicesAmt |
| Management And General | $1,636 | ManagementAndGeneralAmt |
| Fundraising | $354 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,407 | TotalAmt |
| Program Services | $37,318 | ProgramServicesAmt |
| Management And General | $13,958 | ManagementAndGeneralAmt |
| Fundraising | $24,131 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,822 | TotalAmt |
| Program Services | $150,658 | ProgramServicesAmt |
| Management And General | $92,824 | ManagementAndGeneralAmt |
| Fundraising | $19,340 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,078 | TotalAmt |
| Program Services | $24,896 | ProgramServicesAmt |
| Management And General | $28,182 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Direct Patient Expenses | $718,339 | $718,339 | ||
| WORKERS COMP | $157,785 | $120,827 | $35,586 | $1,372 |
| Repair and Maintenance | $133,955 | $133,955 | ||
| Computer Costs | $120,625 | $84,664 | $28,659 | $7,302 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,259 | TotalAmt |
| Program Services | $119,770 | ProgramServicesAmt |
| Management And General | $247,318 | ManagementAndGeneralAmt |
| Fundraising | $41,171 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,987,523 | TotalAmt |
| Program Services | $5,083,044 | ProgramServicesAmt |
| Management And General | $2,534,575 | ManagementAndGeneralAmt |
| Fundraising | $369,904 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $796,913 | BOYAmt |
| EOY | $574,877 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,549,192 | BOYAmt |
| EOY | $4,904,651 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $470,898 | BOYAmt |
| EOY | $669,090 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,707 | BOYAmt |
| EOY | $144,398 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,619,614 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,326,067 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,603,867 | BOYAmt |
| EOY | $4,293,547 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,166,550 | BOYAmt |
| EOY | $1,945,997 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,887 | BOYAmt |
| EOY | $342,181 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,661,014 | BOYAmt |
| EOY | $12,874,741 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,633 | BOYAmt |
| EOY | $592,173 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200 | BOYAmt |
| EOY | $195,812 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,837,518 | BOYAmt |
| EOY | $3,564,087 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,000 | BOYAmt |
| EOY | $405,230 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,481,351 | BOYAmt |
| EOY | $4,757,302 | 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 | $6,363,721 | BOYAmt |
| EOY | $7,301,497 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $815,942 | BOYAmt |
| EOY | $815,942 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,179,663 | BOYAmt |
| EOY | $8,117,439 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,661,014 | BOYAmt |
| EOY | $12,874,741 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,212,735 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$274,959 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,437,878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,142,567 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,383,644 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,531,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,816,795 | CurrentTaxYearAmt |
| Total | $12,312,721 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,377,072 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,981,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,609,343 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,282,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,428,965 | CurrentTaxYearAmt |
| Total | $31,678,692 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,814,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,123,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,992,987 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,814,133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,245,760 | CurrentTaxYearAmt |
| Total | $43,991,413 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $6,660 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,335 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,515 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,875 | CurrentTaxYearAmt |
| Total | $34,385 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $6,660 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,335 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,515 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,875 | CurrentTaxYearAmt |
| Total | $34,385 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $43,957,028 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $186,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $157,927 | CurrentTaxYearAmt |
| Total | $772,761 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,348 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $186,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $157,927 | CurrentTaxYearAmt |
| Total | $772,761 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,532 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,703 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $381 | CurrentTaxYearMinus1YearAmt |
| Total | $17,616 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,916,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,288,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,179,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,992,723 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,403,687 | CurrentTaxYearAmt |
| Total | $44,781,790 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98160 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98200 | PublicSupportPY509Pct |
| Investment Income CY | 0.01730 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01680 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $1,423,112 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$158,170 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,243 | AdministrativeExpensesAmt |
| End Year Balance | $1,258,699 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,205,682 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $223,181 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,751 | AdministrativeExpensesAmt |
| End Year Balance | $1,423,112 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,149,891 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $61,890 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,099 | AdministrativeExpensesAmt |
| End Year Balance | $1,205,682 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,088,052 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $67,680 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,841 | AdministrativeExpensesAmt |
| End Year Balance | $1,149,891 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,044,434 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $71,803 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $28,185 | AdministrativeExpensesAmt |
| End Year Balance | $1,088,052 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.35180 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.64820 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $570,496 | OtherCostOrOtherBasisAmt |
| Book Value | $570,496 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,958,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,771,422 | DepreciationAmt |
| Book Value | $3,187,243 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,433,834 | OtherCostOrOtherBasisAmt |
| Depreciation | $986,090 | DepreciationAmt |
| Book Value | $447,744 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,181 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,126 | DepreciationAmt |
| Book Value | $3,055 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $593,438 | OtherCostOrOtherBasisAmt |
| Depreciation | $508,429 | DepreciationAmt |
| Book Value | $85,009 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,293,547 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| option deposits | $398,230 |
| SECURITY DEPOSITS | $7,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $405,230 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $9,215,625 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$274,959 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $26,957 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$8,009 | OtherRevenueAmt |
| Revenue Not Reported | -$256,011 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,471,636 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$271,378 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$271,378 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,200,258 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,277,849 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $26,957 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $271,378 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $298,335 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,979,514 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $8,009 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $8,009 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,987,523 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XII, Line 2d: Other expenses and losses per audited F/S | EVENT EXPENSES $2432 RENTAL EXPENSES $268946 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | INVESTMENT MGMT FEES $8009 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | special events | Event1Nm |
| Gross Receipts Event1 | $60,339 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $60,339 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $2,432 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $60,339 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $60,339 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,432 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $2,432 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $57,907 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RENE KRONLAND | PersonNm |
| Title | MEDICAL DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $158,762 | BaseCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $4,763 | DeferredCompensationFlngOrgAmt |
| Total Compensation Filing Org | $163,525 | TotalCompensationFilingOrgAmt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,219,132 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | sales price | MethodOfDeterminingRevenuesTxt |
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,875 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | auction procee | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | auction items | Desc |
| Contribution | 29 | ContributionCnt |
| Noncash Contributions Rpt F990 | $15,786 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | fmv | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | A draft of the 990 is reviewed by the Finance Director and the Board Treasurer within a reasonable time frame to allow for questions and follow-up prior to filing. All Board members are provided with the final 990. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization has a written conflict of interest policy, a procedure for disclosure of possible conflicts of interest, and a procedure for addressing conflict of interest. Upon employment or upon appointment as a director or member of a committee with Board delegated powers, individuals receive an explanation of the conflict of interest policy and complete a disclosure form. The disclosure of conflict of interest is updated annually for all officers, directors, and key employees. Any known conflict of interest is reported to the Board. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Annually during the budget process, the Board of Directors' Executive Committee reviews and approves the projected compensation of the Executive Director and the Chief Financial Officer/Financial Director to insure that compensation is just and reasonable. The President of the Board signs a statement indicating that the required review has been completed. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The organization makes its governing documents, IRS determination letter, conflict of interest policy, past 3 years of financial statements, and past 3 years of Form 990 available to the public upon written or oral request. A reasonable mail/copy fee may be charged. |
Comments