HOSPICE OF ORLEANS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF ORLEANS INC (EIN 16-1336090)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-21
- IRS object ID
- 202232649349301573
- 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 | 2022-09-21T15:51:53-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CORPORATE PARKWAY SUITE 200 | AddressLine1Txt |
| City | AMHERST | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14226 | 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 | 161336090 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF ORLEANS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 5855890809 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14080 ROUTE 31 WEST PO BOX 489 | AddressLine1Txt |
| City | ALBION | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14411 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID SCHUBEL | PersonNm |
| Person Title | ESQ | PersonTitleTxt |
| Phone | 5855890809 | PhoneNum |
| Signature | 2022-09-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | SCHUBEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN N REID | PreparerPersonNm |
| PTIN | P01321869 | PTIN |
| Phone | 7162506600 | PhoneNum |
| Preparation | 2022-09-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPPORTIVE CARE OF ORLEANS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID SCHUBEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14080 ROUTE 31 WEST PO BOX 489 | AddressLine1Txt |
| City | ALBION | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14411 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,427,656 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUPPORTIVECAREORLEANS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 54 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $504,750 | PYContributionsGrantsAmt |
| CY Contributions Grants | $431,322 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,696,017 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,634,234 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,655 | PYInvestmentIncomeAmt |
| CY Investment Income | $75,738 | CYInvestmentIncomeAmt |
| PY Other Revenue | $31,742 | PYOtherRevenueAmt |
| CY Other Revenue | $42,304 | CYOtherRevenueAmt |
| PY Total Revenue | $2,242,164 | PYTotalRevenueAmt |
| CY Total Revenue | $2,183,598 | 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 | $1,641,838 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,865,527 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $84,953 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $715,910 | PYOtherExpensesAmt |
| CY Other Expenses | $774,440 | CYOtherExpensesAmt |
| PY Total Expenses | $2,357,748 | PYTotalExpensesAmt |
| CY Total Expenses | $2,639,967 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$115,584 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$456,369 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,489,770 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,320,782 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $105,547 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $360,608 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,384,223 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,960,174 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,171,235 | ExpenseAmt |
| Revenue | $1,712,266 | RevenueAmt |
| Desc | PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. A TOTAL OF 90 INDIVIDUALS WERE SERVED THROUGH HOME CARE SERVICES AND 39 THROUGH RESIDENCE SERVICES. | Desc |
| Total Program Service Expenses | $2,171,235 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 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 | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 54 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE KUMIEGA CHIEF EXECUTIVE OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5855890809 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14080 ROUTE 31 WEST PO BOX 489 | AddressLine1Txt |
| City | ALBION | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14411 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DAVID SCHUBEL | ||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MAURA PIERCE | ||||||
| DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BEVERLY SASKOWSKI | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATRICIA EICK | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID MITCHELL | ||||||
| DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANNETTE MANNELLA | ||||||
| VICE SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ADA GRABOWSKI | ||||||
| DIRECTOR EMERITUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROLAND HOWELL | ||||||
| DIRECTOR EMERITUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY JANET SAHUKAR | ||||||
| DIRECTOR EMERITUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KELLIE SPYCHALSKI | ||||||
| CEO (THRU MAY 2021) | 40.00 | Yes (X) | $49,394 | $0 | $10,342 | |
| ELISA CHAMBERRY | ||||||
| CEO (EFFECTIVE MAY 2021) | 40.00 | Yes (X) | $57,219 | $0 | $6,711 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $106,613 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,053 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 |
| Federated Campaigns | $5,661 | FederatedCampaignsAmt |
| Government Grants | $250,000 | GovernmentGrantsAmt |
| All Other Contributions | $175,661 | AllOtherContributionsAmt |
| Total Contributions | $431,322 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES FOR SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $1,634,234 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,634,234 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,634,234 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,962 | TotalRevenueColumnAmt |
| Exclusion | $8,962 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $286,563 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $219,787 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,776 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,776 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $55,319 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $24,271 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,048 | TotalRevenueColumnAmt |
| Exclusion | $31,048 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 623990 | BusinessCd |
| Total Revenue Column | $11,256 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,256 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,256 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,183,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,712,266 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $40,010 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,013 | TotalAmt |
| Program Services | $21,203 | ProgramServicesAmt |
| Management And General | $84,810 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,505,743 | TotalAmt |
| Program Services | $1,291,879 | ProgramServicesAmt |
| Management And General | $146,885 | ManagementAndGeneralAmt |
| Fundraising | $66,979 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,990 | TotalAmt |
| Program Services | $8,192 | ProgramServicesAmt |
| Management And General | $1,399 | ManagementAndGeneralAmt |
| Fundraising | $399 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,542 | TotalAmt |
| Program Services | $117,997 | ProgramServicesAmt |
| Management And General | $21,328 | ManagementAndGeneralAmt |
| Fundraising | $6,217 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,239 | TotalAmt |
| Program Services | $80,556 | ProgramServicesAmt |
| Management And General | $13,753 | ManagementAndGeneralAmt |
| Fundraising | $3,930 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,429 | TotalAmt |
| Management And General | $22,429 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,475 | TotalAmt |
| Program Services | $2,475 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,989 | TotalAmt |
| Program Services | $93,821 | ProgramServicesAmt |
| Management And General | $2,168 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,251 | TotalAmt |
| Program Services | $37,251 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,292 | TotalAmt |
| Program Services | $7,565 | ProgramServicesAmt |
| Management And General | $590 | ManagementAndGeneralAmt |
| Fundraising | $137 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,267 | TotalAmt |
| Program Services | $18,955 | ProgramServicesAmt |
| Management And General | $3,345 | ManagementAndGeneralAmt |
| Fundraising | $967 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,774 | TotalAmt |
| Program Services | $17,541 | ProgramServicesAmt |
| Management And General | $233 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,472 | TotalAmt |
| Program Services | $18,606 | ProgramServicesAmt |
| Management And General | $1,866 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,004 | TotalAmt |
| Program Services | $41 | ProgramServicesAmt |
| Management And General | $2,963 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,198 | TotalAmt |
| Program Services | $89,777 | ProgramServicesAmt |
| Management And General | $15,841 | ManagementAndGeneralAmt |
| Fundraising | $4,580 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,810 | TotalAmt |
| Program Services | $10,436 | ProgramServicesAmt |
| Management And General | $1,841 | ManagementAndGeneralAmt |
| Fundraising | $533 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| PATIENT EXPENSES | $191,442 | $191,442 | ||
| SUPPLIES - PROGRAM | $93,186 | $91,975 | $1,211 | |
| DEPARTMENT OF HEALTH PE | $57,000 | $57,000 | ||
| REPAIRS AND MAINTENANCE | $29,270 | $27,332 | $1,938 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,581 | TotalAmt |
| Program Services | $44,191 | ProgramServicesAmt |
| Management And General | $5,390 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,639,967 | TotalAmt |
| Program Services | $2,171,235 | ProgramServicesAmt |
| Management And General | $383,779 | ManagementAndGeneralAmt |
| Fundraising | $84,953 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,018 | BOYAmt |
| EOY | $28,455 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,142 | BOYAmt |
| EOY | $9,918 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,973 | BOYAmt |
| EOY | $176,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,308,900 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,110,023 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,300,744 | BOYAmt |
| EOY | $2,198,877 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $865,893 | BOYAmt |
| EOY | $907,175 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,489,770 | BOYAmt |
| EOY | $3,320,782 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,547 | BOYAmt |
| EOY | $360,608 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,547 | BOYAmt |
| EOY | $360,608 | 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 | $3,356,530 | BOYAmt |
| EOY | $2,927,684 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,693 | BOYAmt |
| EOY | $32,490 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,384,223 | BOYAmt |
| EOY | $2,960,174 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,489,770 | BOYAmt |
| EOY | $3,320,782 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$456,369 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $32,320 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $213,065 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $153,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $155,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $504,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,363 | CurrentTaxYearAmt |
| Total | $1,458,923 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $213,065 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $153,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $155,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $504,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,363 | CurrentTaxYearAmt |
| Total | $1,458,923 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,458,923 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,388 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,974 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,655 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,836 | CurrentTaxYearAmt |
| Total | $65,130 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,524,053 | TotalSupportAmt |
| Public Support CY170 | 0.95730 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95210 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,193 | OtherCostOrOtherBasisAmt |
| Book Value | $30,193 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,658,995 | OtherCostOrOtherBasisAmt |
| Depreciation | $691,549 | DepreciationAmt |
| Book Value | $1,967,446 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $400,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $233,176 | DepreciationAmt |
| Book Value | $167,179 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $219,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,298 | DepreciationAmt |
| Book Value | $34,059 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,198,877 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,240,189 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $32,320 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $24,271 | OtherRevenueAmt |
| Revenue Not Reported | $56,591 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,183,598 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,183,598 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,664,238 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $24,271 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $24,271 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,639,967 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,639,967 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE 24,271. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE 24,271. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BOUQUET SALE | Event1Nm |
| Gross Receipts Event1 | $25,303 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $25,303 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $10,128 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $23,000 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $23,000 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,633 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $2,508 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $6,812 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $7,016 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $7,016 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,190 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $55,319 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $55,319 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,633 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $2,508 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $20,130 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $24,271 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $31,048 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPICE HAS A BOARD OF DIRECTORS ETHICS POLICY WHICH STATES IT IS THE BOARD MEMBERS' RESPONSIBILITY TO DISCLOSE ALL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL COMPENSATION IS PAID ACCORDING TO A PAY SCALE BY POSITION AND RAISES ARE GRANTED BASED ON YEARS OF SERVICE. COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY BASED ON A PERFORMANCE REVIEW BY THE PERSONNEL COMMITTEE AND A DISCUSSION WITH THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990, ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE, AS LISTED ON PAGE 1 OF FORM 990. |
| FORM 990, PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. |
Comments