HOSPICE OF NORTH IDAHO INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF NORTH IDAHO INC (EIN 82-0368366)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202213159349302956
- Schema version
- 2021v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T08:06:08-08:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 820331228 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Magnuson McHugh & Company PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 Northwest Blvd Suite 400 | AddressLine1Txt |
| City | Coeur dAlene | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83814 | 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 | 820368366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF NORTH IDAHO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 2087727994 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2290 W PRAIRIE AVE | AddressLine1Txt |
| City | COEUR DALENE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83815 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC LADWIG | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ERIC | PersonFirstNm |
| Person Last | LADWIG | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michelle Schini Haneline | PreparerPersonNm |
| PTIN | P00073653 | PTIN |
| Phone | 2087659500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| 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 | ERIC LADWIG | PrincipalOfficerNm |
| Gross Receipts | $13,627,047 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hospiceofnorthidaho.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | Our mission at Hospice of North Idaho is to provide comprehensive, high quality end of life care in Kootenai, Shoshone, and Benewah Counties, Idaho. We provide hospice services to patients with a prognosis of six months or less to live. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 158 | TotalEmployeeCnt |
| Total Volunteers | 178 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,022,212 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,051,275 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,294,269 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,008,244 | CYProgramServiceRevenueAmt |
| PY Investment Income | $160,258 | PYInvestmentIncomeAmt |
| CY Investment Income | $84,273 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$17,937 | PYOtherRevenueAmt |
| CY Other Revenue | $16,438 | CYOtherRevenueAmt |
| PY Total Revenue | $13,458,802 | PYTotalRevenueAmt |
| CY Total Revenue | $13,160,230 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,222,896 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,902,622 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $2,574 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $4,980 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $317,623 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,174,809 | PYOtherExpensesAmt |
| CY Other Expenses | $3,256,534 | CYOtherExpensesAmt |
| PY Total Expenses | $11,400,279 | PYTotalExpensesAmt |
| CY Total Expenses | $12,164,136 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,058,523 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $996,094 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,822,930 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,514,294 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,103,310 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $798,580 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,719,620 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,715,714 | NetAssetsOrFundBalancesEOYAmt |
| Mission | "With open hearts and expertise, we serve the seriously ill and those touched by loss." Our grief and loss program is provided to patients' loved ones, but is also available to other members of our community. Palliative services are offered to patients with advanced illness and a limited prognosis. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,931,683 | ExpenseAmt |
| Revenue | $12,089,007 | RevenueAmt |
| Desc | Hospice of North Idaho Inc is a community based nonprofit provider of hospice and palliative care services to the seriously ill of Kootenai, Shoshone, and Benewah Counties, Idaho. During 2021, Hospice of North Idaho cared for more than 1,122 Hospice patients. Hospice of North Idaho provided bereavement services to families of hospice patients and community members. Many of the services provided are not reimbursed including community bereavement, kids camp, grief and loss programs and End of Life Community Education Programs. Hospice and palliative care patients are not turned away for their inability to pay for care. | Desc |
| Total Program Service Expenses | $9,931,683 | 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 | false | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 158 | 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 | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC LADWIG | PersonNm |
| Phone | 2087727994 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2290 W PRAIRIE AVE | AddressLine1Txt |
| City | COEUR D ALENE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83815 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| KIM RANSIER | |||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | $201,073 | $0 | $17,892 | |
| ROBERT ANCKER MD | |||||||
| FORMER EMPLOYEE | 40.00 | 0.00 | $185,212 | $0 | $27,102 | ||
| LISA BREISACHER | |||||||
| EMPLOYEE | 40.00 | 0.00 | $116,320 | $0 | $14,830 | ||
| SHAWNA CAULEY | |||||||
| Vice President | 40.00 | 0.00 | Yes (X) | $95,549 | $0 | $20,049 | |
| CINDY REED | |||||||
| EMPLOYEE | 40.00 | 0.00 | $108,512 | $0 | $2,969 | ||
| JENNIFER DAVIS | |||||||
| Treasurer | 40.00 | 0.00 | Yes (X) | $86,977 | $0 | $21,928 | |
| APRIL NALL | |||||||
| EMPLOYEE | 40.00 | 0.00 | $103,408 | $0 | $870 | ||
| ERIC LADWIG | |||||||
| EMPLOYEE | 40.00 | 0.00 | $101,882 | $0 | $1,859 | ||
| CHRISTY MILLER | |||||||
| Secretary | 40.00 | 0.00 | Yes (X) | $49,241 | $0 | $10,293 | |
| MICHAEL BIBIN | |||||||
| BOARD MEMBER | 0.96 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| DWIGHT HOECK | |||||||
| BOARD MEMBER | 0.35 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MICHAEL GRABENSTEIN | |||||||
| BOARD MEMBER | 0.29 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SHERI ISCH | |||||||
| Chairman | 0.94 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GEORGE BALLING | |||||||
| BOARD MEMBER | 0.73 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| ALAN WASSERMAN | |||||||
| BOARD MEMBER | 0.38 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| BARBARA MUELLER | |||||||
| BOARD MEMBER | 0.37 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| KAREN CABELL | |||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SHARI SUGIMURA | |||||||
| BOARD MEMBER | 0.31 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SCOTT VENERA | |||||||
| BOARD MEMBER | 0.29 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| GEORGIANNE JESSEN | |||||||
| BOARD MEMBER | 0.60 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,048,174 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $117,792 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $163,680 | FundraisingAmt |
| All Other Contributions | $887,595 | AllOtherContributionsAmt |
| Noncash Contributions | $493,955 | NoncashContributionsAmt |
| Total Contributions | $1,051,275 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CHARITY CARE | 900099 | -$122,973 | -$122,973 |
| OTHER INCOME | 900099 | $42,210 | $42,210 |
| PATIENT CARE SERVICES | 621610 | $12,089,007 | $12,089,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,008,244 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,720 | TotalRevenueColumnAmt |
| Exclusion | $87,720 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,947 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,447 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,447 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$3,447 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $65,064 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $163,680 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $55,056 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,008 | TotalRevenueColumnAmt |
| Exclusion | $10,008 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $11,425 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $4,995 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,430 | TotalRevenueColumnAmt |
| Exclusion | $6,430 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $402,819 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $402,819 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,160,230 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,004,797 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $104,158 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,004 | TotalAmt |
| Program Services | $44,903 | ProgramServicesAmt |
| Management And General | $487,926 | ManagementAndGeneralAmt |
| Fundraising | $67,175 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,727,903 | TotalAmt |
| Program Services | $6,116,573 | ProgramServicesAmt |
| Management And General | $485,748 | ManagementAndGeneralAmt |
| Fundraising | $125,582 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,204 | TotalAmt |
| Program Services | $809,316 | ProgramServicesAmt |
| Management And General | $64,272 | ManagementAndGeneralAmt |
| Fundraising | $16,616 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684,511 | TotalAmt |
| Program Services | $579,783 | ProgramServicesAmt |
| Management And General | $87,195 | ManagementAndGeneralAmt |
| Fundraising | $17,533 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,098 | TotalAmt |
| Management And General | $2,098 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,972 | TotalAmt |
| Management And General | $19,972 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,980 | TotalAmt |
| Fundraising | $4,980 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,900 | TotalAmt |
| Program Services | $3,900 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,503 | TotalAmt |
| Program Services | $37 | ProgramServicesAmt |
| Management And General | $55,166 | ManagementAndGeneralAmt |
| Fundraising | $300 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,318 | TotalAmt |
| Program Services | $70,006 | ProgramServicesAmt |
| Management And General | $91,390 | ManagementAndGeneralAmt |
| Fundraising | $15,922 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,104 | TotalAmt |
| Program Services | $105,048 | ProgramServicesAmt |
| Management And General | $218,056 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,185 | TotalAmt |
| Program Services | $102,006 | ProgramServicesAmt |
| Management And General | $101,664 | ManagementAndGeneralAmt |
| Fundraising | $69,515 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,629 | TotalAmt |
| Program Services | $195,587 | ProgramServicesAmt |
| Management And General | $2,042 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,123 | TotalAmt |
| Program Services | $29,961 | ProgramServicesAmt |
| Management And General | $34,162 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,789 | TotalAmt |
| Program Services | $370,356 | ProgramServicesAmt |
| Management And General | $212,433 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,480 | TotalAmt |
| Management And General | $25,480 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE EXPENSES | $1,490,201 | $1,490,201 | |
| DUES | $27,226 | $27,226 | |
| BEREAVEMENT PROGRAM | $8,965 | $8,965 | |
| VOLUNTEER PROGRAM | $5,041 | $5,041 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,164,136 | TotalAmt |
| Program Services | $9,931,683 | ProgramServicesAmt |
| Management And General | $1,914,830 | ManagementAndGeneralAmt |
| Fundraising | $317,623 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,963 | BOYAmt |
| EOY | $190,350 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,804,728 | BOYAmt |
| EOY | $2,231,354 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,175 | BOYAmt |
| EOY | $100,775 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424,613 | BOYAmt |
| EOY | $1,284,692 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,705 | BOYAmt |
| EOY | $85,483 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,840 | BOYAmt |
| EOY | $129,989 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,454,017 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,237,452 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,664,071 | BOYAmt |
| EOY | $8,216,565 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,124,999 | BOYAmt |
| EOY | $126,542 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,836 | BOYAmt |
| EOY | $148,544 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,822,930 | BOYAmt |
| EOY | $12,514,294 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $795,336 | BOYAmt |
| EOY | $694,890 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,645 | BOYAmt |
| EOY | $103,690 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,280,329 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,103,310 | BOYAmt |
| EOY | $798,580 | 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 | $10,693,938 | BOYAmt |
| EOY | $11,709,842 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,682 | BOYAmt |
| EOY | $5,872 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,719,620 | BOYAmt |
| EOY | $11,715,714 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,822,930 | BOYAmt |
| EOY | $12,514,294 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $996,094 | ReconcilationRevenueExpnssAmt |
| 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 | $1,392,251 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,252,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,136,906 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,548,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,169,974 | CurrentTaxYearAmt |
| Total | $6,500,152 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,392,251 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,252,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,136,906 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,548,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,169,974 | CurrentTaxYearAmt |
| Total | $6,500,152 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,500,152 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $121,785 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$90,505 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $177,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $160,258 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $84,273 | CurrentTaxYearAmt |
| Total | $453,168 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $176,966 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$4,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$23,694 | CurrentTaxYearMinus1YearAmt |
| Total | $148,980 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,102,300 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $50,973,011 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91520 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93680 | 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 | $604,236 | OtherCostOrOtherBasisAmt |
| Book Value | $604,236 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,082,621 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,264,220 | DepreciationAmt |
| Book Value | $6,818,401 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $643,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $436,737 | DepreciationAmt |
| Book Value | $206,683 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,895 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,530 | DepreciationAmt |
| Book Value | $20,365 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,036,845 | OtherCostOrOtherBasisAmt |
| Depreciation | $469,965 | DepreciationAmt |
| Book Value | $566,880 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,216,565 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,559,272 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $1,399,042 | OtherRevenueAmt |
| Revenue Not Reported | $1,399,042 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,160,230 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $13,160,230 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,563,178 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,399,042 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,399,042 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,164,136 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $12,164,136 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X : FIN48 Footnote | THE CORPORATION IS A NONPROFIT EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE 501(C)3. IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE CORPORATION IS REQUIRED TO DISCLOSE CERTAIN INFORMATION REGARDING POTENTIAL LIABILITIES REGARDING ITS TAX POSITIONS IT CURRENTLY TAKES OR HAS TAKEN IN PRIOR YEARS. CURRENTLY, THERE ARE NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES THAT NEED TO BE RECOGNIZED DURING THE CURRENT YEAR OR DUE TO A TAX POSITION TAKEN IN A PRIOR YEAR. IF THE CORPORATION WERE TO HAVE A POTENTIAL LIABILITY FOR SUCH TAXES, IT WOULD ALSO ACCRUE INTEREST AND PENALTIES AS A LIABILITY IN THE FINANCIAL STATEMENTS. THE CORPORATION EXPECTS NO RECOGNIZED TAX BENEFITS THAT WILL BE INCURRED WITHIN THE NEXT YEAR OF THE DATE OF THESE FINANCIAL STATEMENTS. THE CORPORATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO THREE YEARS OF THE CURRENT YEAR. |
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Direct Fundraising Exp deducted from Rev $60051 Medicaid & Medicare Passthrough Receipts $1117559 IN-KIND REVENUE & EXPENSE $221432 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | Direct Fundraising Netted on Revenue $60051 Medicaid & Medicare Passthrough Receipts $1117559 IN-KIND REVENUE & EXPENSE $221432 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | ID | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Winetaste | Event1Nm |
| Gross Receipts Event1 | $182,858 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $117,794 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $65,064 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $7,560 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $39,178 | OtherDirectExpensesEvent1Amt |
| Event2 | Tree Lighting Memorial Event | Event2Nm |
| Gross Receipts Event2 | $45,886 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $45,886 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $8,318 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $228,744 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $163,680 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $65,064 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $7,560 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $47,496 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $55,056 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $10,008 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| KIM RANSIER | ||||
| President & CEO | $172,113 | $28,960 | $17,892 | $218,965 |
| ROBERT ANCKER MD | ||||
| FORMER EMPLOYEE | $185,212 | $27,102 | $212,314 | |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ID HEALTH FACILITIES AUTH | |||||||
| A | 826051863 | 2010-06-03 | $1,983,951 | Build Hospice Inpatient Unit | false | false | false |
| ID HEALTH FACILITIES AUTH | |||||||
| B | 826051863 | 2017-04-20 | $2,500,000 | CONSTRUCTION OF COMM SVCS BLDG | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|
| A | $1,983,951 | $63,557 | $1,983,951 | false | false | Yes (true) | Yes (true) |
| B | $1,535,329 | $1,535,329 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $402,819 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | RETAIL SALES | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | AUCTION | Desc |
| Noncash Contributions Rpt F990 | $91,136 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | PROCEEDS | 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE DIRECTOR OF FINANCE AND EXECUTIVE DIRECTOR REVIEW THE 990. A COPY OF THE FORM 990 IS THEREAFTER PROVIDED TO ALL BOARD MEMBERS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization discusses conflicts of interest annually at a board meeting. Board members and officers are given conflict of interest statements to sign at that time. Officers are governed by employment agreements and are monitored by the Executive Director. Should issues of possible conflict of interest arise, the Executive Director will meet with the Board of Directors in executive session to consider the matter. The Board of Directors will follow the process set out in the by-laws. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The Human Resources Director worked with a committee of the Board to determine an appropriate salary and benefit package and to conduct a search for the position of Executive Director. The executive director contract is renewed annually with a performance evaluation. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The Director of Human Resources makes inquiries regarding health care provider salary scales in our community for positions similar to positions in our organization and reviews salary surveys for the state of Idaho. Annual changes are determined through the budget process. Consideration is given to like salaries in the community and the budgetary constraints of the organization. The budget is presented to the Finance Committee for review and to the full Board of Directors for approval. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The organization follows the public disclosure rules regarding the Form 990. Other governing documents, policies and financial statements may be provided upon reasonable request. |