VOLUNTEER HOSPICE OF CLALLAM COUNTY: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VOLUNTEER HOSPICE OF CLALLAM COUNTY (EIN 91-1076440)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-04-18
- IRS object ID
- 202211089349301721
- 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 | 2022-04-18T15:19:12-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910870697 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIKEN & SANDERS INC PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 S MAIN ST UNIT A | AddressLine1Txt |
| City | MONTESANO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 985634502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911076440 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VOLUNTEER HOSPICE OF CLALLAM COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VOLU | BusinessNameControlTxt |
| Phone | 3604521511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 829 E 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STUART KOOP | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3604521511 | PhoneNum |
| Signature | 2022-04-16 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STUART | PersonFirstNm |
| Person Last | KOOP | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRY D SODDERS CPA | PreparerPersonNm |
| PTIN | P00003151 | PTIN |
| Phone | 3605333370 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PETER RAISWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 829 E 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,444,975 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | VHOCC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | VOLUNTEER HOSPICE OF CLALLAM COUNTY SERVES TERMINALLY ILL PATIENTS. THIS CONSISTS OF 24 HOUR 7 DAYS PER WEEK NURSING SERVICES. VHOCC PROVIDES MEDICAL EQUIPMENT AND SUPPLIES. VHOCC PERIODICALLY CONDUCTS GRIEF COUNSELING ANDCOMMUNITY EDUCATION PROGRAMS TO ASSIST PARTICIPANTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 20 | TotalEmployeeCnt |
| Total Volunteers | 149 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $604,574 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,239,178 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $674,261 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,109,919 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$30,306 | PYOtherRevenueAmt |
| CY Other Revenue | -$19,153 | CYOtherRevenueAmt |
| PY Total Revenue | $1,248,529 | PYTotalRevenueAmt |
| CY Total Revenue | $2,329,944 | 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 | $973,528 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,059,244 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $94,147 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $312,914 | PYOtherExpensesAmt |
| CY Other Expenses | $270,855 | CYOtherExpensesAmt |
| PY Total Expenses | $1,286,442 | PYTotalExpensesAmt |
| CY Total Expenses | $1,330,099 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$37,913 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $999,845 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,528,999 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,666,343 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $348,822 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,349 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,180,177 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,626,994 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VOLUNTEER HOSPICE OF CLALLAM COUNTY SERVES TERMINALLY ILL PATIENTS. THIS CONSISTS OF 24 HOUR 7 DAYS PER WEEK NURSING SERVICES. VHOCC PROVIDES MEDICAL EQUIPMENT AND SUPPLIES. VHOCC PERIODICALLY CONDUCTS GRIEF COUNSELING AND COMMUNITY EDUCATION PROGRAMS TO ASSIST PARTICIPANTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $940,575 | ExpenseAmt |
| Desc | TO ACHIEVE THE MISSION OF THE ORGANIZATION | Desc |
| Total Program Service Expenses | $940,575 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 20 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | 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 | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3604521511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 829 E 8TH STREET | AddressLine1Txt |
| City | PORT ANGELES | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98362 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| PETER RAISWELL | ||||||
| PRESIDENT | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL BUCIERKA | ||||||
| VICE PRESIDENT | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SALLY FEATHERSTONE | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| WENDY BROWN | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| STUART KOOP | ||||||
| TREASURER | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVE GILBERT | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ED HOPFNER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TED RIPLEY | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LORI RIDGEWAY | ||||||
| SECRETARY | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TYRRELL PROSSER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN AFFELD | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOORI JUN | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $109,221 | $0 | $13,876 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $109,221 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $13,876 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $163,360 | FundraisingAmt |
| All Other Contributions | $1,075,818 | AllOtherContributionsAmt |
| Total Contributions | $1,239,178 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $251,642 | TotalRevenueColumnAmt |
| Exclusion | $251,642 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,954,155 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,095,878 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $858,277 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $858,277 | TotalRevenueColumnAmt |
| Exclusion | $858,277 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $163,360 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $19,153 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,153 | TotalRevenueColumnAmt |
| Exclusion | -$19,153 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,329,944 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,090,766 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,097 | TotalAmt |
| Program Services | $6,845 | ProgramServicesAmt |
| Management And General | $116,252 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770,699 | TotalAmt |
| Program Services | $606,216 | ProgramServicesAmt |
| Management And General | $98,469 | ManagementAndGeneralAmt |
| Fundraising | $66,014 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,161 | TotalAmt |
| Program Services | $26,597 | ProgramServicesAmt |
| Management And General | $3,664 | ManagementAndGeneralAmt |
| Fundraising | $2,900 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,598 | TotalAmt |
| Program Services | $45,442 | ProgramServicesAmt |
| Management And General | $7,207 | ManagementAndGeneralAmt |
| Fundraising | $4,949 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,689 | TotalAmt |
| Program Services | $51,972 | ProgramServicesAmt |
| Management And General | $17,114 | ManagementAndGeneralAmt |
| Fundraising | $5,603 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,145 | TotalAmt |
| Program Services | $3,145 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,618 | TotalAmt |
| Program Services | $8,084 | ProgramServicesAmt |
| Management And General | $2,662 | ManagementAndGeneralAmt |
| Fundraising | $872 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,118 | TotalAmt |
| Program Services | $9,128 | ProgramServicesAmt |
| Management And General | $3,006 | ManagementAndGeneralAmt |
| Fundraising | $984 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,408 | TotalAmt |
| Program Services | $7,242 | ProgramServicesAmt |
| Management And General | $2,385 | ManagementAndGeneralAmt |
| Fundraising | $781 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,610 | TotalAmt |
| Program Services | $10,463 | ProgramServicesAmt |
| Management And General | $3,124 | ManagementAndGeneralAmt |
| Fundraising | $1,023 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,619 | TotalAmt |
| Program Services | $20,610 | ProgramServicesAmt |
| Management And General | $6,787 | ManagementAndGeneralAmt |
| Fundraising | $2,222 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,819 | TotalAmt |
| Program Services | $24,925 | ProgramServicesAmt |
| Management And General | $8,207 | ManagementAndGeneralAmt |
| Fundraising | $2,687 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,594 | TotalAmt |
| Program Services | $21,859 | ProgramServicesAmt |
| Management And General | $554 | ManagementAndGeneralAmt |
| Fundraising | $181 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,139 | TotalAmt |
| Program Services | $2,311 | ProgramServicesAmt |
| Management And General | $7,828 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,536 | TotalAmt |
| Program Services | $4,548 | ProgramServicesAmt |
| Management And General | $1,498 | ManagementAndGeneralAmt |
| Fundraising | $490 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,563 | TotalAmt |
| Program Services | $31,705 | ProgramServicesAmt |
| Management And General | $10,440 | ManagementAndGeneralAmt |
| Fundraising | $3,418 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,614 | TotalAmt |
| Program Services | $11,561 | ProgramServicesAmt |
| Management And General | $3,807 | ManagementAndGeneralAmt |
| Fundraising | $1,246 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM EXPENSE | $32,863 | $32,863 | ||
| RESPITE CARE | $7,776 | $7,776 | ||
| COMMUNICATION | $6,510 | $4,530 | $1,492 | $488 |
| MISCELLANEOUS | $3,923 | $2,753 | $881 | $289 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,099 | TotalAmt |
| Program Services | $940,575 | ProgramServicesAmt |
| Management And General | $295,377 | ManagementAndGeneralAmt |
| Fundraising | $94,147 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,231 | BOYAmt |
| EOY | $161,196 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,487 | BOYAmt |
| EOY | $30,572 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,773,403 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $175,618 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,347 | BOYAmt |
| EOY | $1,597,785 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,724,934 | BOYAmt |
| EOY | $13,876,790 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,528,999 | BOYAmt |
| EOY | $15,666,343 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,984 | BOYAmt |
| EOY | $29,763 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,586 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,138 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,700 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,822 | BOYAmt |
| EOY | $39,349 | 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 | $14,009,811 | BOYAmt |
| EOY | $15,456,628 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,366 | BOYAmt |
| EOY | $170,366 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,180,177 | BOYAmt |
| EOY | $15,626,994 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,528,999 | BOYAmt |
| EOY | $15,666,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $999,845 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $388,022 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $58,950 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $494,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $712,388 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $457,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $604,574 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,239,178 | CurrentTaxYearAmt |
| Total | $3,508,600 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $494,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $712,388 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $457,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $604,574 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,239,178 | CurrentTaxYearAmt |
| Total | $3,508,600 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $160,052 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,348,548 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $494,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $712,388 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $457,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $459,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $251,642 | CurrentTaxYearAmt |
| Total | $2,376,197 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,800 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,366 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$27,041 | CurrentTaxYearMinus2YearsAmt |
| Total | $145,125 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,029,922 | TotalSupportAmt |
| Public Support CY170 | 0.55530 | PublicSupportCY170Pct |
| Public Support PY170 | 0.14650 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $315,000 | OtherCostOrOtherBasisAmt |
| Book Value | $315,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,393,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,715 | DepreciationAmt |
| Book Value | $1,263,171 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,129 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,515 | DepreciationAmt |
| Book Value | $19,614 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,388 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,597,785 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | NEWLETTER | Event1Nm |
| Gross Receipts Event1 | $43,701 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $43,701 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $1,135 | OtherDirectExpensesEvent1Amt |
| Event2 | ANNUALAPPEAL | Event2Nm |
| Gross Receipts Event2 | $82,770 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $82,770 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $18,018 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Other Events | $36,889 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $36,889 | CharitableContriOtherEventsAmt |
| Gross Receipts Total | $163,360 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $163,360 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $19,153 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $19,153 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$19,153 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW DURING BOARD MEETING BEFORE FILED. |
| FORM 990, PART VI, SECTION C, LINE 18 | DOCUMENTS ARE AVAILABLE AT OFFICE DURING BUSINESS HOURS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AND OTHER DOCUMENT ARE AVAIABLE UPON REQUEST. |
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