COASTAL HOSPICE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COASTAL HOSPICE INC (EIN 52-1214775)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202331359349318068
- 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 | 2023-05-15T17:45:06-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 NORTH GLEBE ROAD SUITE 200 | AddressLine1Txt |
| City | ARLINGTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22203 | 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 | 521214775 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COASTAL HOSPICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COAS | BusinessNameControlTxt |
| Phone | 4107428732 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1733 | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MONICA ESCALANTE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4107428732 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MONICA | PersonFirstNm |
| Person Last | ESCALANTE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT WILLIAMS | PreparerPersonNm |
| PTIN | P01345960 | PTIN |
| Phone | 5712279500 | PhoneNum |
| Preparation | 2023-05-11 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MONICA ESCALANTE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1733 | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,806,995 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COASTALHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | COASTAL HOSPICE PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES IN THE FOUR LOWER COUNTIES OF THE EASTERN SHORE OF MARYLAND TO INDIVIDUALS FACING LIFE-LIMITING CONDITIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 265 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,804,176 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,737,712 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,186,695 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,640,646 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,311 | PYInvestmentIncomeAmt |
| CY Investment Income | $68,354 | CYInvestmentIncomeAmt |
| PY Other Revenue | $54,164 | PYOtherRevenueAmt |
| CY Other Revenue | $2,181 | CYOtherRevenueAmt |
| PY Total Revenue | $18,108,346 | PYTotalRevenueAmt |
| CY Total Revenue | $15,448,893 | 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 | $11,593,289 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,693,739 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $482,750 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,193,184 | PYOtherExpensesAmt |
| CY Other Expenses | $4,014,875 | CYOtherExpensesAmt |
| PY Total Expenses | $15,786,473 | PYTotalExpensesAmt |
| CY Total Expenses | $15,708,614 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,321,873 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$259,721 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,507,297 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,835,809 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,001,664 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,860,120 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,505,633 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,975,689 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COASTAL HOSPICE PROMOTES DIGNITY AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO FACE LIFE-LIMITING CONDITIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,092,041 | ExpenseAmt |
| Revenue | $11,975,010 | RevenueAmt |
| Desc | HOME HOSPICE CARE: COASTAL HOSPICE DELIVERS PATIENT-CENTERED HOSPICE CARE IN DORCHESTER, WICOMICO, SOMERSET, AND WORCESTER COUNTIES. THE HOSPICE TEAM INCLUDES (BUT IS NOT TIMITED TO) PRIMARY PHYSICIANS, REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. WE VISIT OUR PATIENTS WHERE THEY ARE MOST COMFORTABLE: IN PRIVATE HOMES, NURSING HOMES AND ASSISTED LIVING FACILITIES. WE BASE EACH PLAN OF CARE ON THE PATIENT'S GOALS AND WORK WITH THE PATIENT AND HIS OR HER LOVED ONES, ULTIMATELY TO ACHIEVE DEATH WITH DIGNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $477,415 | ExpenseAmt |
| Revenue | $371,485 | RevenueAmt |
| Desc | PALLIATIVE CARE IS DELIVERED TO MANAGE THE PHYSIOLOGICAL, PRACTICAL AND EMOTIONAL NEEDS OF PATIENTS WHO ARE FACING SERIOUS ILLNESS. UNLIKE HOSPICE PATIENTS, PALLIATIVE CARE PATIENTS ARE RECEIVING MEDICAL CARE IN ACTIVE PURSUIT OF CURE OR REMISSION. THE PALLIATIVE CARE TEAM PROVIDES PATIENT CARE THAT WOULD OTHERWISE HAVE GONE BY THE WAYSIDE IN THE CURRENT HEALTH CARE LANDSCAPE. PHYSICIANS HAVE SO LITTLE TIME TO SPEND WITH EACH PATIENT THAT IT IS ESPECIALLY VALUABLE TO HAVE TO PALLIATIVE CARE TEAM ON HAND TO CATCH THOSE PATIENTS AND FAMILY MEMBERS REELING FROM THE NEWS OF A SERIOUS DIAGNOSIS. IN ADDITION TO PROVIDING SYMPTOM MANAGEMENT CARE, THE PHYSICIAN, NURSE PRACTITIONER, SOCIAL WORKER AND PASTORAL COUNSELOR HELP PATIENTS AND FAMILIES SORT THROUGH THE PRACTICAL ISSUES AND EMOTIONAL AND SPIRITUAL TURMOIL THAT FOLLOWS IN THE WAKE OF DIAGNOSIS. WE KNOW WELL THAT WE HAVE THE SKILLS AND KNOWLEDGE TO MEET THIS NEED IN OUR COMMUNITY. COASTAL HOSPICE & PALLIATIVE CARE OPERATES IN PARTNERSHIP WITH TIDAL HEALTH IN THIS ENDEAVOR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $86,064 | ExpenseAmt |
| Revenue | $1,294,151 | RevenueAmt |
| Desc | FOR PATIENTS WHOSE SYMPTOM MANAGEMENT NEEDS REQUIRE CLOSE ATTENTION, WE HAVE AN INPATIENT CENTER: COASTAL HOSPICE AT THE LAKE. OUR WING OF DEER'S HEAD HOSPITAL CENTER, WHICH IS SURROUNDED BY THE PICTURESQUE JOHNSON'S POND IN SALISBURY, OFFERS PATIENT ROOMS THAT ACCOMODATE FAMILY MEMBERS OVERNIGHT. COASTAL HOSPICE AT THE LAKE IS STAFFED BY A TEAM OF REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. IN THIS PEACEFUL SETTING, PATIENTS ARE ATTENDED TO AROUND THE CLOCK, BUT IN A SETTING THAT IS MORE HOME-LIKE THAN CLINICAL. A FAMILY ROOM AND GARDEN ROOM, AS WELL AS A COUSELING OFFICE, PROVIDE FAMILY MEMBERS SPACE FOR THE SENSITIVE CONVERSATIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $11,655,520 | 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 | 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 | Yes (1) | 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 | 68 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 265 | 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 |
| 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONICA ESCALANTE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4107428732 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1733 | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21802 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD M LAWS | ||||||||
| CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MADALAINE L HOW | ||||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MORGAN FISHER | ||||||||
| SECRETARY | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN R FARROW | ||||||||
| IMMED. PAST CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL P DUNN | ||||||||
| AT LARGE | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANDY KIM | ||||||||
| VICE CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID DYKES | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| PARISA GHOLAMVAND | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| ROGER L HARRELL | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| LAKEISHA HARRIS | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT PURCELL | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| TINA REID | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY SARBANES | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON WASHINGTON | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET WHITTEN | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| COLLEEN CAM BUNTING | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| SIMONA C ENG | ||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| MONICA ESCALANTE | ||||||||
| PRESIDENT | 40.00 | Yes (X) | $82,811 | $0 | $938 | |||
| STACY COTTINGHAM | ||||||||
| CHIEF CLINICAL OFFICER | 40.00 | Yes (X) | $98,499 | $0 | $2,955 | |||
| STEPHEN BURRIS | ||||||||
| CHIEF ADMIN OFFICER UNTIL MARCH 22 | 40.00 | Yes (X) | $117,087 | $0 | $19,811 | |||
| CHRISTINE BELANGER | ||||||||
| DIRECTOR OF FINANCE | 40.00 | Yes (X) | $64,597 | $0 | $16,362 | |||
| ARNOLD SCHER | ||||||||
| VP OF HR UNTIL SEPTEMBER 21 | 40.00 | Yes (X) | $111,286 | $0 | $5,612 | |||
| GHULAM WARIS | ||||||||
| PHYSICIAN | 40.00 | $231,861 | $0 | $6,922 | Yes (X) | |||
| ALANE CAPAN | ||||||||
| FORMER OFFICER | 40.00 | $111,015 | $0 | $12,747 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $817,156 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $65,347 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $36,557 | FundraisingAmt |
| Government Grants | $382,481 | GovernmentGrantsAmt |
| All Other Contributions | $1,318,674 | AllOtherContributionsAmt |
| Noncash Contributions | $293,493 | NoncashContributionsAmt |
| Total Contributions | $1,737,712 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REV. | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $13,640,646 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,640,646 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,640,646 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,518 | TotalRevenueColumnAmt |
| Exclusion | $39,518 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,836 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,836 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,836 | TotalRevenueColumnAmt |
| Exclusion | $28,836 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,983 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $36,557 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $23,983 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $336,300 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $334,119 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,181 | TotalRevenueColumnAmt |
| Exclusion | $2,181 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,448,893 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,640,646 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $70,535 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,212 | TotalAmt |
| Program Services | $619,485 | ProgramServicesAmt |
| Management And General | $158,842 | ManagementAndGeneralAmt |
| Fundraising | $15,885 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,763,301 | TotalAmt |
| Program Services | $6,684,806 | ProgramServicesAmt |
| Management And General | $1,834,109 | ManagementAndGeneralAmt |
| Fundraising | $244,386 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,631 | TotalAmt |
| Program Services | $113,287 | ProgramServicesAmt |
| Management And General | $31,157 | ManagementAndGeneralAmt |
| Fundraising | $4,187 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,311,673 | TotalAmt |
| Program Services | $1,001,906 | ProgramServicesAmt |
| Management And General | $273,802 | ManagementAndGeneralAmt |
| Fundraising | $35,965 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,922 | TotalAmt |
| Program Services | $516,521 | ProgramServicesAmt |
| Management And General | $140,972 | ManagementAndGeneralAmt |
| Fundraising | $18,429 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,487 | TotalAmt |
| Management And General | $17,487 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,775 | TotalAmt |
| Management And General | $49,775 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,618 | TotalAmt |
| Management And General | $165,618 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,285 | TotalAmt |
| Program Services | $1,858 | ProgramServicesAmt |
| Management And General | $120,149 | ManagementAndGeneralAmt |
| Fundraising | $1,278 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,384 | TotalAmt |
| Program Services | $3,125 | ProgramServicesAmt |
| Management And General | $63,731 | ManagementAndGeneralAmt |
| Fundraising | $8,528 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,734 | TotalAmt |
| Program Services | $14,623 | ProgramServicesAmt |
| Management And General | $156,935 | ManagementAndGeneralAmt |
| Fundraising | $20,176 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,904 | TotalAmt |
| Program Services | $281,356 | ProgramServicesAmt |
| Management And General | $152,299 | ManagementAndGeneralAmt |
| Fundraising | $95,249 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,066 | TotalAmt |
| Program Services | $249,877 | ProgramServicesAmt |
| Management And General | $81,966 | ManagementAndGeneralAmt |
| Fundraising | $3,223 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,510 | TotalAmt |
| Management And General | $54,510 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,242 | TotalAmt |
| Program Services | $244,476 | ProgramServicesAmt |
| Management And General | $35,766 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,600 | TotalAmt |
| Program Services | $19,243 | ProgramServicesAmt |
| Management And General | $75,537 | ManagementAndGeneralAmt |
| Fundraising | $820 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY, MEDICAL EQUIP | $1,835,591 | $1,835,591 | ||
| COMMUNICATIONS | $135,200 | $68,942 | $66,258 | |
| DUES AND PUBLICATIONS | $89,883 | $424 | $83,319 | $6,140 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,596 | TotalAmt |
| Management And General | $8,112 | ManagementAndGeneralAmt |
| Fundraising | $28,484 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,708,614 | TotalAmt |
| Program Services | $11,655,520 | ProgramServicesAmt |
| Management And General | $3,570,344 | ManagementAndGeneralAmt |
| Fundraising | $482,750 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,915,944 | BOYAmt |
| EOY | $1,854,486 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,540,964 | BOYAmt |
| EOY | $2,107,219 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,732 | BOYAmt |
| EOY | $195,598 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400,701 | BOYAmt |
| EOY | $1,660,964 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,720 | BOYAmt |
| EOY | $34,084 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,200 | BOYAmt |
| EOY | $180,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,743,993 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,368,006 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,598,877 | BOYAmt |
| EOY | $8,375,987 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,481,469 | BOYAmt |
| EOY | $1,407,496 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,690 | BOYAmt |
| EOY | $19,690 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,507,297 | BOYAmt |
| EOY | $15,835,809 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,230,398 | BOYAmt |
| EOY | $1,120,497 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,771,266 | BOYAmt |
| EOY | $2,716,685 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,938 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,001,664 | BOYAmt |
| EOY | $3,860,120 | 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 | $12,352,482 | BOYAmt |
| EOY | $11,853,025 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,151 | BOYAmt |
| EOY | $122,664 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,505,633 | BOYAmt |
| EOY | $11,975,689 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,507,297 | BOYAmt |
| EOY | $15,835,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$259,721 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$270,223 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,598,101 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,501,840 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,126,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,804,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,737,712 | CurrentTaxYearAmt |
| Total | $9,768,445 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,823,494 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,923,338 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,202,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,186,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,640,646 | CurrentTaxYearAmt |
| Total | $68,776,636 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $370,767 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,295 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $401,670 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,107,732 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,792,362 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,760,473 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,730,749 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,990,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,378,358 | CurrentTaxYearAmt |
| Total | $79,652,813 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $79,652,813 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,467 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,539 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,697 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,518 | CurrentTaxYearAmt |
| Total | $204,205 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,467 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,539 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,697 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,518 | CurrentTaxYearAmt |
| Total | $204,205 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,809,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,829,012 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,769,733 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,030,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,417,876 | CurrentTaxYearAmt |
| Total | $79,857,018 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99740 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99770 | PublicSupportPY509Pct |
| Investment Income CY | 0.00260 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00230 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,400,831 | OtherCostOrOtherBasisAmt |
| Book Value | $1,400,831 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,488,872 | OtherCostOrOtherBasisAmt |
| Depreciation | $984,942 | DepreciationAmt |
| Book Value | $6,503,930 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $677,086 | OtherCostOrOtherBasisAmt |
| Depreciation | $652,111 | DepreciationAmt |
| Book Value | $24,975 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,022,575 | OtherCostOrOtherBasisAmt |
| Depreciation | $661,195 | DepreciationAmt |
| Book Value | $361,380 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $154,629 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,758 | DepreciationAmt |
| Book Value | $84,871 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,375,987 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT LIABILITY | Desc |
| Amt | $22,938 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,938 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $15,229,051 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$270,223 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $75,000 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$24,619 | OtherRevenueAmt |
| Revenue Not Reported | -$219,842 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,448,893 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,448,893 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,758,995 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $75,000 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | -$24,619 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $50,381 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,708,614 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,708,614 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | OTHER EVENT EXPENSES -24,619. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | OTHER EVENT EXPENSES -24,619. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | HONOR AN ANGEL | Event1Nm |
| Gross Receipts Event1 | $28,040 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $23,758 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $4,282 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $4,282 | OtherDirectExpensesEvent1Amt |
| Event2 | BLUES ON THE BAY | Event2Nm |
| Gross Receipts Event2 | $15,210 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $5,576 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $9,634 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $9,634 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $17,290 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $7,223 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $10,067 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $10,067 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $60,540 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $36,557 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,983 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,983 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $23,983 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GHULAM WARIS | ||||||||||||||
| PHYSICIAN | $231,861 | $0 | $0 | $0 | $0 | $0 | $6,922 | $0 | $0 | $0 | $238,783 | $0 | $0 | $0 |
| ALANE CAPAN | ||||||||||||||
| FORMER OFFICER | $111,015 | $0 | $0 | $0 | $0 | $0 | $3,510 | $0 | $9,237 | $0 | $123,762 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $293,493 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF THE AUDIT AND FORM 990 ARE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. THE ACCOUNTANT WILL MAKE ANY FINAL CHANGES AS NEEDED. AFTER CHANGES HAVE BEEN MADE THE FINAL COPY OF THE FORM 990 AND AUDIT IS PROVIDED BY THE ACCOUNTANT TO THE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | POLICIES ARE REVIEWED AND SIGNED ANNUALLY. A CONFLICT MAY EXIST WHERE AN INTERESTED PARTY OR A RELATIVE OR BUSINESS ASSOCIATE OF AN INTERESTED PARTY DIRECTLY OR INDIRECTLY BENEFITS OR PROFITS AS A RESULT OF A DECISION MADE OR TRANSACTION ENTERED INTO BY THE ORGANIZATION. AN INTERESTED PARTY IS UNDER A CONTINUING OBLIGATION TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS SOON AS IT IS KNOWN OR REASONABLY SHOULD BE KNOWN. A DISCLOSURE STATEMENT SHALL BE COMPLETED UPON HIS/HER ASSOCIATION WITH COASTAL HOSPICE, AND SHALL BE UPDATED ANNUALLY THEREAFTER. TO AVOID CONFLICTS OF INTEREST WE NEED TO MAINTAIN STATEMENTS AND POLICIES FOR MANAGING THEM AND EDUCATE THE BOARD ON IDENTIFYING POTENTIAL CONFLICTS. EACH MEMBER OF THE BOARD HAS A RESPONSIBILITY TO ADDRESS ANY POTENTIAL CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN ANNUAL EVALUATION IS COMPLETED BY IMMEDIATE SUPERVISOR AND A REVIEW OF WHETHER GOALS WERE MET OR NOT, AREAS OF EXCELLENCE AND AREAS NEEDING IMPROVEMENT IS CONDUCTED. SUPERVISOR DETERMINES BASED ON THE EVALUATION AND REVIEW, IF MERIT INCREASE IS DESERVED. THE PERCENTAGE INCREASE FOR THE YEAR IS SET WHEN THE BUDGET IS CREATED |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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