HOSPICE OF SPOKANE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF SPOKANE (EIN 91-0995069)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-02
- IRS object ID
- 202212149349301396
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-02T20:08:49-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | 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 | 910995069 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF SPOKANE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 5094560438 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2215 | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99037 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GINA DRUMMOND | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5094560438 | PhoneNum |
| Signature | 2022-07-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GINA | PersonFirstNm |
| Person Last | DRUMMOND | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2022-08-02 | PreparationDt |
| 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 | GINA DRUMMOND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2215 | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,742,706 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICEOFSPOKANE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | HOSPICE OF SPOKANE PROVIDES A HOLISTIC APPROACH TO END-OF-LIFE CARE, ADDRESSING THE MEDICAL, EMOTIONAL, PSYCHOLOGICAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PERSON AND THEIR LOVED ONES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 208 | TotalEmployeeCnt |
| Total Volunteers | 171 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,003,581 | PYContributionsGrantsAmt |
| CY Contributions Grants | $901,155 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,067,057 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,400,939 | CYProgramServiceRevenueAmt |
| PY Investment Income | $837,914 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,857,519 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,477 | PYOtherRevenueAmt |
| CY Other Revenue | $5,115 | CYOtherRevenueAmt |
| PY Total Revenue | $24,919,029 | PYTotalRevenueAmt |
| CY Total Revenue | $28,164,728 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,261,699 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,118,262 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $193,618 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,406,074 | PYOtherExpensesAmt |
| CY Other Expenses | $7,925,432 | CYOtherExpensesAmt |
| PY Total Expenses | $22,667,773 | PYTotalExpensesAmt |
| CY Total Expenses | $22,043,694 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,251,256 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,121,034 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,565,431 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,803,539 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,803,078 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,476,697 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,762,353 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,326,842 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HOSPICE OF SPOKANE PROVIDES A HOLISTIC APPROACH TO END-OF-LIFE CARE, ADDRESSING THE MEDICAL, EMOTIONAL, PSYCHOLOGICAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PERSON AND THEIR LOVED ONES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,557,491 | ExpenseAmt |
| Revenue | $21,682,966 | RevenueAmt |
| Desc | HOSPICE OF SPOKANE OFFERS CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR LOVED ONES. THROUGH IN-HOME SKILLED NURSING CARE, HOME HEALTH AIDES FOR PERSONAL CARE, SPIRITUAL SUPPORT, GRIEF AND BEREAVEMENT COUNSELING SERVICES, PATIENTS AND THEIR LOVED ONES ARE ASSURED OF THE BEST POSSIBLE QUALITY OF DAYS TO THE END OF LIFE. THE FOCUS OF CARE IS ON COMFORT AND SUPPORTING QUALITY OF LIFE WHEN TREATMENTS AIMED AT CURE OR EXTENDING LIFE ARE NO LONGER DESIRABLE. HOSPICE CARE IS FOR ANYONE, OF ANY AGE, WHO IS NEARING THE END OF LIFE. HOSPICE OF SPOKANE SERVED 2,399 UNDUPLICATED CLIENTS IN 2021, PROVIDING 111,923 DAYS OF ROUTINE HOME CARE, 1,955 DAYS OF ACUTE INPATIENT CARE, AND 222 DAYS OF RESPITE CARE FOR THE YEAR ENDED DECEMBER 31, 2021. SEE CONTINUATION ON SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,370,018 | ExpenseAmt |
| Revenue | $3,717,973 | RevenueAmt |
| Desc | WHEN HOSPICE PATIENTS ARE NO LONGER ABLE TO MANAGE AT HOME, THEY CAN GO TO ONE OF OUR TWO HOSPICE HOUSES TO RECEIVE HOSPICE CARE IN AN INPATIENT SETTING. BETWEEN THE TWO HOUSES, ONE LOCATED IN NORTH SPOKANE AND ONE LOCATED IN SOUTH SPOKANE, WE HAVE THE CAPACITY TO SERVE A TOTAL OF 24 PATIENTS (12 IN EACH HOME). THE HOSPICE HOUSES PROVIDED A TOTAL OF 6,070 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2021 TO 819 PATIENTS AND THEIR FAMILIES. SEE CONTINUATION ON SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $323,476 | ExpenseAmt |
| Desc | HOSPICE OF SPOKANE PROVIDES GRIEF COUNSELING FOR ANYONE IN THE COMMUNITY WHO HAS EXPERIENCED LOSS THROUGH THE DEATH OF SOMEONE CLOSE TO THEM. MASTER'S-LEVEL COUNSELORS SPECIALLY TRAINED IN GRIEF AND LOSS ISSUES HELP THE GRIEVING IDENTIFY AND ATTEND TO THEIR UNIQUE NEEDS. GRIEF SUPPORT GROUPS PROVIDE A SAFE PLACE TO SHARE ONE'S PAIN WITH OTHERS WHO ARE GRIEVING. WITHIN THE GROUPS, EACH PERSON IS ENCOURAGED TO EXPRESS FEELINGS OPENLY AND TO GIVE AND RECEIVE SUPPORT. HOSPICE OF SPOKANE PROVIDED APPROXIMATELY 2,750 BEREAVEMENT ENCOUNTERS TO COMMUNITY MEMBERS OF ALL AGES FOR THE YEAR ENDED DECEMBER 31, 2021. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $19,250,985 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 208 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUSSELL HAAKINSON | PersonNm |
| Phone | 5094560438 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2215 | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CAROL HUNTER | |||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRETT LARSEN | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MIKE PAYNE | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROBERT HAWLEY | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LARRY SWARTZ | |||||||||
| PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE NOVAN | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROCHELLE CROLLARD | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEN FRY | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOYCE CAMERON | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL LOPEZ | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT BAUMGARTNER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ADRIANE LEITHAUSER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GINA DRUMMOND | |||||||||
| CEO | 40.00 | Yes (X) | $255,947 | $0 | $11,504 | ||||
| RUSSELL HAAKINSON | |||||||||
| FINANCE DIRE | 40.00 | Yes (X) | $142,500 | $0 | $14,839 | ||||
| BRIAN SEPPI | |||||||||
| CMO | 40.00 | $242,077 | $0 | $23,004 | Yes (X) | ||||
| TERESA STOTT | |||||||||
| DIRECTOR OF | 40.00 | $128,841 | $0 | $10,204 | Yes (X) | ||||
| COLLEEN CONNORS | |||||||||
| HR DIRECTOR | 40.00 | $128,523 | $0 | $14,974 | Yes (X) | ||||
| COLLEEN BURNS | |||||||||
| NURSE PRACTI | 40.00 | $124,629 | $0 | $16,688 | Yes (X) | ||||
| CHERYL KADMIRI | |||||||||
| NURSE PRACTI | 40.00 | $124,093 | $0 | $10,204 | Yes (X) | ||||
| ALICIA REED | |||||||||
| DIRECTOR OF | 40.00 | $118,542 | $0 | $0 | Yes (X) | ||||
| ROBERT BRAY | |||||||||
| CMO RETIRED | 0.00 | $191,693 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,456,845 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $101,417 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $3,029 | FederatedCampaignsAmt |
| Fundraising | $51,464 | FundraisingAmt |
| Government Grants | $23,442 | GovernmentGrantsAmt |
| All Other Contributions | $823,220 | AllOtherContributionsAmt |
| Noncash Contributions | $49,363 | NoncashContributionsAmt |
| Total Contributions | $901,155 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPICE CARE SERVICES, NET | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $25,400,939 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,400,939 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,400,939 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $712,203 | TotalRevenueColumnAmt |
| Exclusion | $712,203 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,702,100 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,556,784 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,145,316 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,145,316 | TotalRevenueColumnAmt |
| Exclusion | $1,145,316 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $21,785 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $51,464 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $21,194 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $591 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,524 | TotalRevenueColumnAmt |
| Exclusion | $4,524 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,524 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,164,728 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,400,939 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,862,043 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $689,871 | TotalAmt |
| Program Services | $265,081 | ProgramServicesAmt |
| Management And General | $424,790 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,539,781 | TotalAmt |
| Program Services | $9,593,223 | ProgramServicesAmt |
| Management And General | $886,735 | ManagementAndGeneralAmt |
| Fundraising | $59,823 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,931 | TotalAmt |
| Program Services | $206,431 | ProgramServicesAmt |
| Management And General | $155,170 | ManagementAndGeneralAmt |
| Fundraising | $1,330 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,378,456 | TotalAmt |
| Program Services | $1,235,050 | ProgramServicesAmt |
| Management And General | $124,023 | ManagementAndGeneralAmt |
| Fundraising | $19,383 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,147,223 | TotalAmt |
| Program Services | $1,043,590 | ProgramServicesAmt |
| Management And General | $98,126 | ManagementAndGeneralAmt |
| Fundraising | $5,507 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,833 | TotalAmt |
| Management And General | $16,833 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,482 | TotalAmt |
| Management And General | $45,482 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,823 | TotalAmt |
| Management And General | $197,823 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,215,239 | TotalAmt |
| Program Services | $1,100,102 | ProgramServicesAmt |
| Management And General | $110,894 | ManagementAndGeneralAmt |
| Fundraising | $4,243 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,197 | TotalAmt |
| Management And General | $138,181 | ManagementAndGeneralAmt |
| Fundraising | $8,016 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,585 | TotalAmt |
| Program Services | $470,069 | ProgramServicesAmt |
| Management And General | $34,817 | ManagementAndGeneralAmt |
| Fundraising | $14,699 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,498 | TotalAmt |
| Program Services | $238,016 | ProgramServicesAmt |
| Management And General | $26,618 | ManagementAndGeneralAmt |
| Fundraising | $11,864 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,964 | TotalAmt |
| Program Services | $219,113 | ProgramServicesAmt |
| Management And General | $13,960 | ManagementAndGeneralAmt |
| Fundraising | $9,891 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,635 | TotalAmt |
| Program Services | $612,580 | ProgramServicesAmt |
| Management And General | $7,055 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,267 | TotalAmt |
| Program Services | $69,463 | ProgramServicesAmt |
| Management And General | $5,765 | ManagementAndGeneralAmt |
| Fundraising | $39 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,032 | TotalAmt |
| Program Services | $486,320 | ProgramServicesAmt |
| Management And General | $29,864 | ManagementAndGeneralAmt |
| Fundraising | $16,848 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,603 | TotalAmt |
| Program Services | $60,270 | ProgramServicesAmt |
| Management And General | $32,333 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $3,587,530 | $3,587,530 | ||
| COMMUNITY RELATIONS | $259,678 | $356 | $217,647 | $41,675 |
| DUES AND SUBSCRIPTIONS | $79,133 | $49,140 | $29,789 | $204 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,933 | TotalAmt |
| Program Services | $14,651 | ProgramServicesAmt |
| Management And General | $3,186 | ManagementAndGeneralAmt |
| Fundraising | $96 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,043,694 | TotalAmt |
| Program Services | $19,250,985 | ProgramServicesAmt |
| Management And General | $2,599,091 | ManagementAndGeneralAmt |
| Fundraising | $193,618 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | Yes (X) | JointCostsInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274 | BOYAmt |
| EOY | $276 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,733,458 | BOYAmt |
| EOY | $7,594,968 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,593,843 | BOYAmt |
| EOY | $3,211,074 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,639 | BOYAmt |
| EOY | $151,359 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,405,669 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,958,989 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,918,590 | BOYAmt |
| EOY | $9,446,680 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,943,201 | BOYAmt |
| EOY | $45,153,120 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,426 | BOYAmt |
| EOY | $246,062 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,565,431 | BOYAmt |
| EOY | $65,803,539 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,601,837 | BOYAmt |
| EOY | $2,476,697 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,201,241 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,803,078 | BOYAmt |
| EOY | $2,476,697 | 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 | $53,124,073 | BOYAmt |
| EOY | $62,669,926 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $638,280 | BOYAmt |
| EOY | $656,916 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,762,353 | BOYAmt |
| EOY | $63,326,842 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,565,431 | BOYAmt |
| EOY | $65,803,539 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,121,034 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,414,819 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $28,636 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,225,430 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,080,636 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $657,939 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,003,581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $901,155 | CurrentTaxYearAmt |
| Total | $4,868,741 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,225,430 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,080,636 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $657,939 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,003,581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $901,155 | CurrentTaxYearAmt |
| Total | $4,868,741 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $333,203 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,535,538 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $353,861 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $475,859 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $586,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $672,828 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $712,203 | CurrentTaxYearAmt |
| Total | $2,801,003 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$5,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$8,445 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$3,081 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,477 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,115 | CurrentTaxYearAmt |
| Total | -$1,696 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,668,048 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $118,897,610 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.59150 | PublicSupportCY170Pct |
| Public Support PY170 | 0.57710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | FUNDRAISING -28,969 OTHER INCOME 27,273 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $768,883 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $93,014 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$2,963 | AdministrativeExpensesAmt |
| End Year Balance | $858,934 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $502,639 | BeginningYearBalanceAmt |
| Contributions | $216,300 | ContributionsAmt |
| Investment Earnings Or Losses | $51,903 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$1,959 | AdministrativeExpensesAmt |
| End Year Balance | $768,883 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $426,401 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $78,210 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$1,974 | AdministrativeExpensesAmt |
| End Year Balance | $502,639 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $462,470 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$34,082 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$1,987 | AdministrativeExpensesAmt |
| End Year Balance | $426,401 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $395,034 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $69,336 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$1,900 | AdministrativeExpensesAmt |
| End Year Balance | $462,470 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.52000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.48000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,981,173 | OtherCostOrOtherBasisAmt |
| Book Value | $1,981,173 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,046,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,861,785 | DepreciationAmt |
| Book Value | $7,184,229 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,357,822 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,097,204 | DepreciationAmt |
| Book Value | $260,618 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,660 | OtherCostOrOtherBasisAmt |
| Book Value | $20,660 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,446,680 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $31,410,360 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,414,819 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $28,636 | OtherRevenueAmt |
| Revenue Not Reported | $3,443,455 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,966,905 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $197,823 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $197,823 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $28,164,728 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,845,871 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $21,845,871 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $197,823 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $197,823 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,043,694 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | EARNINGS FROM ENDOWMENT FUNDS ARE DESIGNATED FOR THE SUPPORT OF CURRENT OPERATIONAL EXPENSES OF HOSPICE OF SPOKANE. |
| SCHEDULE D, PAGE 3, PART X | HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS NECESSARY. HOSPICE EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2021 AND 2020, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN BENEFICIAL INTEREST IN TRUSTS 28,636 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TASTE OF LIFE | Event1Nm |
| Gross Receipts Event1 | $73,001 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $51,216 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,785 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $9,609 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,190 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,465 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,930 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $73,001 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $51,216 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $21,785 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $9,609 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,190 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,465 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,930 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $21,194 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $591 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|
| GINA DRUMMOND | ||||
| CEO | $255,947 | $11,504 | $267,451 | |
| RUSSELL HAAKINSON | ||||
| FINANCE DIRECTOR | $136,500 | $14,839 | $157,339 | $6,000 |
| BRIAN SEPPI | ||||
| CMO | $236,077 | $23,004 | $265,081 | $6,000 |
| ROBERT BRAY | ||||
| CMO RETIRED | $191,693 | $191,693 | ||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | GINA DRUMMOND 0 48,792 0 BRIAN SEPPI 0 15,000 0 |
| SCHEDULE J, PAGE 1, PART I, LINE 7 | THE CHIEF EXECUTIVE OFFICER (CEO) AND CHIEF MEDICAL OFFICER (CMO) PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING 2021. THE CEO AND CMO WERE VESTED 100% AND 20%, RESPECTIVELY, DURING 2021 BUT THEY HAVE NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $39,227 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $10,136 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | IN KEEPING WITH OUR MISSION, HOSPICE OF SPOKANE, DOING BUSINESS AS SPOKANE PALLIATIVE CARE, PROVIDES PALLIATIVE CARE CONSULTATIONS TO PATIENTS. INTRODUCED IN 2012, THE PROGRAM EXPANDED COMMUNITY OFFERINGS PROVIDING NEEDED SERVICES TO INDIVIDUALS WITH LIFE-LIMITING DISEASES SUCH AS CANCER OR ADVANCED HEART, LUNG, HEPATIC, RENAL AND/OR NEUROLOGICAL CONDITIONS, WHO ARE NOT HOSPICE-ELIGIBLE. A PALLIATIVE CARE INTERDISCIPLINARY TEAM CONSISTING OF MD, ARNP, RN, MSW, CHAPLAIN AND BEREAVEMENT COUNSELOR ARE AVAILABLE AT THE REFERRAL OF THE PATIENT'S PRIMARY CARE PROVIDER (PCP). THESE SERVICES ARE AVAILABLE MONDAY-FRIDAY 8A-5P (HOLIDAYS EXCLUDED) AND ARE OVERSEEN BY OUR MEDICAL DIRECTOR. SERVICES ARE DELIVERED IN THE SETTING THE CLIENT CALLS HOME (PRIVATE RESIDENCE, EXTENDED CARE FACILITY, ETC.) AND THROUGH A CONTRACT WITH DEACONESS AND VALLEY HOSPITALS FOR ON-SITE CONSULTATION. SERVICES INCLUDE ASSISTING THE PATIENT'S PCP WITH ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE. WE WORK CLOSELY WITH THE PALLIATIVE CARE TEAM AT SACRED HEART AND HOLY FAMILY HOSPITALS AS WELL. THE SERVICES ARE CONSULTATIVE UPON THE PCP'S ORDER FOR COLLABORATION, CO-MANAGEMENT OR INITIATION OF THERAPEUTIC INTERVENTIONS. SERVICES DO NOT INCLUDE CHRONIC DISEASE MANAGEMENT OR CHRONIC PAIN MANAGEMENT FOR PATIENTS WITHOUT A LIFE-LIMITING ILLNESS. FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED): THE HOSPICE BENEFIT THROUGH MEDICARE, MEDICAID AND MOST PRIVATE INSURANCE POLICIES PAYS FOR MEDICAL CARE, PRESCRIPTION DRUGS RELATED TO THE PATIENT'S TERMINAL ILLNESS, RESPITE CARE, MEDICAL EQUIPMENT, SUPPLIES, AND A FULL RANGE OF SOCIAL SERVICES. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLIATIVE CARE) CONTINUES OFFERING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES. A TOTAL OF 80 ADULT PATIENTS WERE SERVED BY THE PALLIATIVE CARE INTERDISCIPLINARY TEAM, ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE DESPITE LIFE-LIMITING ILLNESS. THERE WERE 44 CHILDREN UNDER THE AGE OF 21 AND THEIR FAMILIES WHO RECEIVED CONCURRENT PEDIATRIC PALLIATIVE CARE. FORM 990, PART III, LINE 4B - SECOND ACCOMPLISHMENT (CONTINUED): RESIDENTS OF A HOSPICE HOUSE HAVE PRIVATE ROOMS WITH MANY OF THE COMFORTS OF HOME AND SPACE FOR VISITING FAMILY AND FRIENDS. RESIDENTS CONTINUE TO RECEIVE ALL OF THE MEDICAL, EMOTIONAL, AND SPIRITUAL CARE SERVICES THAT HOSPICE OF SPOKANE OFFERS. PHYSICIANS, NURSES, NURSE AIDS, SOCIAL WORKERS, GRIEF COUNSELORS AND CHAPLAINS ALL PROVIDE SERVICES TO PATIENTS IN THE HOUSE. BEING IN A HOSPICE HOUSE MEANS PATIENTS CAN GET THE SAME LEVEL OF HOSPICE CARE THEY WOULD RECEIVE IN A HOSPITAL OR NURSING HOME. HOSPICE HOUSE IS ANOTHER OPTION FOR THAT SAME LEVEL OF CARE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO AND THE FINANCE DIRECTOR, WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS WITH THE HOSPICE OF SPOKANE BOARD'S FINANCE COMMITTEE. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE CEO SIGNS OFF ON THE FORM 8879-TE BEFORE THE RETURN IS E-FILED BY THE PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | NEW EMPLOYEES, VOLUNTEERS, AND TRUSTEES RECEIVE, REVIEW, AND SIGN THE CONFLICT OF INTEREST POLICY DURING ORIENTATION. THE POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK RECEIVED BY ALL STAFF. ONGOING ENFORCEMENT OCCURS VIA ROUTINE EDUCATION AND DISCUSSION AT VARIOUS TEAM MEETINGS AND AT ALL STAFF MEETINGS. CHART AUDITS, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT QUARTERLY REVIEWS, SUPERVISORY VISITS, CARE CONFERENCES, AND SELF REPORTING ALLOW FOR CONTINUED MONITORING. IF AN ISSUE ARISES, THE SITUATION IS INVESTIGATED AND DISCIPLINARY PROCESSES ARE IMPLEMENTED ACCORDING TO THE POLICY, IF NECESSARY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE EXECUTIVE COMMITTEE (MADE UP OF THE OFFICERS OF THE BOARD OF TRUSTEES) REVIEWS THE COMPENSATION DATA AND MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR THE CEO COMPENSATION. THE BOARD OF TRUSTEES MUST THEN APPROVE AND DOCUMENT THE COMPENSATION AND NOTIFY HUMAN RESOURCES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE CEO USES THE COMPENSATION DATA OBTAINED TO MAKE COMPENSATION DECISIONS FOR OTHER OFFICERS AND EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | HOSPICE OF SPOKANE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGE IN BENEFICIAL INTEREST IN TRUSTS 28,636 |