FAIR HAVEN FOUNDATION INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
FAIR HAVEN FOUNDATION INC (EIN 26-0866646)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-05-14
IRS object ID
202531349349302213
Schema version
2024v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-14T11:23:32-04:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351953811PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SIMONS BITZER & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18350 S EMERSON AVE SUITE 100AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260866646EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAIR HAVEN FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAIRBusinessNameControlTxt
Phone3173483688PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11702 W 16TH STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMANDA MILNERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3179483688PhoneNum
Signature2025-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREGORY L SIMONSPreparerPersonNm
PTINP00151354PTIN
Phone3177823070PhoneNum
Preparation2025-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAMANDA MILNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113974 WAKEFIELD PLACEAddressLine1Txt
CityFISHERSCityNm
State AbbreviationINStateAbbreviationCd
ZIP46038ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,238,631GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFAIRHAVENFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE OR SUBSIDIZED HOUSING FOR LONG-TERM PATIENTS AND THEIR CAREGIVERS WHILE UNDERGOING TREATMENT AT HOSPITALS IN THE INDIANAPOLIS AREA; AND TO TRANSACT ANY AND ALL LAWFUL BUSINESS FOR WHICH NON-PROFIT CORPORATIONS MAY BE INCORPORATED.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$874,120PYContributionsGrantsAmt
CY Contributions Grants$1,233,099CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,532PYInvestmentIncomeAmt
CY Investment Income$5,532CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$879,652PYTotalRevenueAmt
CY Total Revenue$1,238,631CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$356,028PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$385,513CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$240,746CYTotalFundraisingExpenseAmt
PY Other Expenses$689,188PYOtherExpensesAmt
CY Other Expenses$791,409CYOtherExpensesAmt
PY Total Expenses$1,045,216PYTotalExpensesAmt
CY Total Expenses$1,176,922CYTotalExpensesAmt
PY Revenues Less Expenses-$165,564PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$61,709CYRevenuesLessExpensesAmt
Total Assets BOY$2,666,340TotalAssetsBOYAmt
Total Assets EOY$2,431,261TotalAssetsEOYAmt
Total Liabilities BOY$317,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,470TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,349,082NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,410,791NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE FREE OR SUBSIDIZED HOUSING FOR LONG-TERM PATIENTS AND THEIR CAREGIVERS WHILE UNDERGOING TREATMENT AT HOSPITALS IN THE INDIANAPOLIS AREA; AND TO TRANSACT ANY AND ALL LAWFUL BUSINESS FOR WHICH NON-PROFIT CORPORATIONS MAY BE INCORPORATED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$872,188ExpenseAmt
DescTO PROVIDE FREE OR SUBSIDIZED HOUSING FOR LONG-TERM PATIENTS AND THEIR CAREGIVERS WHILE UNDERGOING TREATMENT AT HOSPITALS IN THE INDIANAPOLIS AREA.Desc
Total Program Service Expenses$872,188TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee9EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAIR HAVEN FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3173483688PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11702 W 16TH STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
AMANDA MILNER
PRESIDENT40.00Yes (X)$87,605$0$0
KYLE SMALL
VICE PRESIDE1.00Yes (X)$0$0$0Yes (X)
LINDA GREEN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
TRICIA TRICK-ECKERT
ADVISOR1.00$0$0$0Yes (X)
JACQUELINE DAVIS
ADVISOR1.00$0$0$0Yes (X)
STEVE WILLIAMS
ADVISOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$87,605TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,233,099AllOtherContributionsAmt
Total Contributions$1,233,099TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,532TotalRevenueColumnAmt
Exclusion$5,532ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,238,631TotalRevenueColumnAmt
Exclusion$5,532ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$87,605TotalAmt
Program Services$35,042ProgramServicesAmt
Management And General$4,380ManagementAndGeneralAmt
Fundraising$48,183FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$266,437TotalAmt
Program Services$190,494ProgramServicesAmt
Management And General$12,285ManagementAndGeneralAmt
Fundraising$63,658FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,386TotalAmt
Management And General$4,386ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$27,085TotalAmt
Program Services$17,254ProgramServicesAmt
Management And General$1,275ManagementAndGeneralAmt
Fundraising$8,556FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,307TotalAmt
Program Services$3,300ProgramServicesAmt
Management And General$26,007ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$55,611TotalAmt
Fundraising$55,611FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,218TotalAmt
Program Services$169ProgramServicesAmt
Management And General$1,516ManagementAndGeneralAmt
Fundraising$23,533FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,368TotalAmt
Program Services$1,116ProgramServicesAmt
Management And General$93ManagementAndGeneralAmt
Fundraising$9,159FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,474TotalAmt
Program Services$155,474ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,414TotalAmt
Management And General$3,414ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$438TotalAmt
Program Services$56ProgramServicesAmt
Management And General$12ManagementAndGeneralAmt
Fundraising$370FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,912TotalAmt
Program Services$18,912ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$173,595TotalAmt
Program Services$173,595ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,571TotalAmt
Program Services$19,885ProgramServicesAmt
Management And General$686ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
UTILITIES$67,681$67,445$236
CLEANING$64,553$64,553
REPAIRS AND MAINTENANCE$30,155$30,155
FURNISHINGS & SUPPLIES$28,706$28,688$18

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$107,406TotalAmt
Program Services$66,050ProgramServicesAmt
Management And General$9,916ManagementAndGeneralAmt
Fundraising$31,440FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,176,922TotalAmt
Program Services$872,188ProgramServicesAmt
Management And General$63,988ManagementAndGeneralAmt
Fundraising$240,746FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$499,677BOYAmt
EOY$402,549EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,109BOYAmt
EOY$29,251EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,830BOYAmt
EOY$4,830EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,626,017LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$635,196LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,154,164BOYAmt
EOY$1,990,821EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,560BOYAmt
EOY$3,810EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,666,340BOYAmt
EOY$2,431,261EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,115BOYAmt
EOY$10,267EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$296,176BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,967BOYAmt
EOY$10,203EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$317,258BOYAmt
EOY$20,470EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$2,349,082BOYAmt
EOY$2,410,791EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,349,082BOYAmt
EOY$2,410,791EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,666,340BOYAmt
EOY$2,431,261EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$61,709ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$892,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,459,013CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,092,652CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$874,120CurrentTaxYearMinus1YearAmt
Current Tax Year$1,233,099CurrentTaxYearAmt
Total$5,551,660TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$892,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,459,013CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,092,652CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$874,120CurrentTaxYearMinus1YearAmt
Current Tax Year$1,233,099CurrentTaxYearAmt
Total$5,551,660TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,551,660PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,427CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$662CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$12CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,553CurrentTaxYearMinus1YearAmt
Current Tax Year$5,532CurrentTaxYearAmt
Total$19,162TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,653CurrentTaxYearMinus3YearsAmt
Total$3,653TotalAmt
FieldValueIRS element (for citing)
Total Support$5,574,475TotalSupportAmt
Public Support CY1700.99590PublicSupportCY170Pct
Public Support PY1700.99600PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,370OtherCostOrOtherBasisAmt
Book Value$177,370BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,110,318OtherCostOrOtherBasisAmt
Depreciation$413,044DepreciationAmt
Book Value$1,697,274BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$338,329OtherCostOrOtherBasisAmt
Depreciation$222,152DepreciationAmt
Book Value$116,177BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,990,821TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARD PAYABLEDesc
Amt$10,203Amt
FieldValueIRS element (for citing)
Total Liability$10,203TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO PROVIDE FREE OR SUBSIDIZED HOUSING FOR LONG-TERM PATIENTS AND THEIR CAREGIVERS WHILE UNDERGOING TREATMENT AT HOSPITALS IN THE INDIANAPOLIS AREA; AND TO TRANSACT ANY AND ALL LAWFUL BUSINESS FOR WHICH NON-PROFIT CORPORATIONS MAY BE INCORPORATED.
FORM 990, PAGE 6, PART VI, LINE 11BALL VOTING MEMBERS OF THE FULL BOARD WILL RECEIVE A COPY OF THE FORM 990 BEFORE IT IS FILED. THE BOARD WILL VOTE TO APPROVE. THE APPROVAL WILL BE DOCUMENTED.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

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