LUMINA HOSPICE AND PALLIATIVE CARE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LUMINA HOSPICE AND PALLIATIVE CARE (EIN 93-0742686)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202223199349325117
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:29:09-08:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 813917978 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPSTONE CPAS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 698 NW York Drive | AddressLine1Txt |
| City | Bend | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97703 | 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 | 930742686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lumina Hospice and Palliative Care | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LUMI | BusinessNameControlTxt |
| Phone | 5417579616 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 SW 4th St | AddressLine1Txt |
| City | Corvallis | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97333 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Amy Baird | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Amy | PersonFirstNm |
| Person Last | Baird | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Zachary L Harmon | PreparerPersonNm |
| PTIN | P01247333 | PTIN |
| Phone | 5413825099 | 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
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 SW 4th St | AddressLine1Txt |
| City | Corvallis | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97333 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,903,950 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.luminahospice.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Support for the terminally ill. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 71 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,507,868 | PYContributionsGrantsAmt |
| CY Contributions Grants | $819,115 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,296,318 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,834,649 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,389 | PYInvestmentIncomeAmt |
| CY Investment Income | $240,302 | CYInvestmentIncomeAmt |
| PY Other Revenue | $523,213 | PYOtherRevenueAmt |
| CY Other Revenue | $9,884 | CYOtherRevenueAmt |
| PY Total Revenue | $7,359,788 | PYTotalRevenueAmt |
| CY Total Revenue | $5,903,950 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,488,651 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,465,573 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $147,102 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,643,681 | PYOtherExpensesAmt |
| CY Other Expenses | $1,675,223 | CYOtherExpensesAmt |
| PY Total Expenses | $6,132,332 | PYTotalExpensesAmt |
| CY Total Expenses | $6,140,796 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,227,456 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$236,846 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,355,638 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,763,686 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,070,890 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $718,502 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,284,748 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,045,184 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Support for the terminally ill. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,818,878 | ExpenseAmt |
| Desc | Hospice: Lumina Hospice and Palliative Care is an independent, non-profit community resource providing reposnsive care for local residents nearing the end of life. Founded as Benton Hospice Service in 1908, we are the reconized regional source for the coninuum of end-of-life services in the mid-Willamette Valley. We built our reputation on a commitment to promote dignity, respect choices, ease suffering and honor the grieving process. Our team-based approach includes physicians, nurses, social workers, chaplains, physical therapists, bereavement specialists and trained volunteers, enhancing our ability to provide repsonsive, personalized care to patients and their families. Medical equipment, supplies and medication related to the terminal illness are all covered within Hospice care. Hospice is for anyone with any life-limiting illness, including cancer, heart or lund disease, AIDS, Alzheimer's, and other end-stage diseases. Care is available for people of all ages, including infants and children, and for persons of any race or ethnicity. U.S. citizenship is not a requirement, nor is the ability to speak English. Medicare, Medicaid, and most private insurance covers the cost of hospice for patients. Inability to pay will never prevent a patient from receiving the best care. Donations help cover charity care as well as many auxiliary services not required by Medicare. Donor-supported programs include Charity Care, Transitions, Caregiver support, community grief support, we honor veterans, art and music treatments, volunteer servies, and care for patients' pets (food, vet treatment, finding a new home for a pet that has lost his owner, finding a temporary home for a pet when their owner needs to go to a facility for a short stay, gooming, and walking dogs.)Palliative care: Lumina offers two types of palliative care services described below. Palliative Care Case Management: Pallitative care case management focuses on improving the patient's quality of life and comfort when they face a serious illness or complicated medical decision. It is a medical program for individuals who are not under hospice care but are living with serious or chronic illness. Our interdisciplinary palliative care team works with the patient and their provider(s) to help relieve pain and ease other uncomfortable symptoms during the course of a patient's primary care, including curative care. Palliative Care Consults: Palliative Care Consults provide clinical guidance for patients to assist with sympton management and advnce care planning. Palliative care consults are provided by board certified palliative care physicians and nurse practitioners to patients in the comfort of their own reisdence. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $133,336 | ExpenseAmt |
| Desc | Transitions: Transitions is a non-medical program for individuals who are living with serious illness. We offer assistance navigating this difficult time, with companionship, compassion, and connection to community resources. The program is provided free of charge. It is funded through grants and donations, and a community of volunteers who help support the transitions program. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,952,214 | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 | false | 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 | false | 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 | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 71 | 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 |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeana Anderson | PersonNm |
| Phone | 5417579616 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 740 SW 4th St | AddressLine1Txt |
| City | Corvallis | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Daniel Harris | |||||||
| Medical Director | 20.00 | 0.00 | $189,543 | $0 | $0 | ||
| Helen Siaolan Kao | |||||||
| Physician | 20.00 | 0.00 | $154,320 | $0 | $0 | ||
| Elizabeth French | |||||||
| Executive Director | 40.00 | 0.00 | $152,229 | $0 | $0 | ||
| Tracy Calhoun | |||||||
| RN | 40.00 | 0.00 | $114,464 | $0 | $0 | ||
| Maureen Schwallie | |||||||
| Clinical Manager | 40.00 | 0.00 | $103,348 | $0 | $0 | ||
| Heidi Yaich | |||||||
| Clincal Manager | 40.00 | 0.00 | $102,443 | $0 | $0 | ||
| Joan Hayes | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Barbra Trione | |||||||
| Treasurer | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| Tamara Scoville | |||||||
| Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| Courtney Campball | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Marnie Noble | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Jill McAllister | |||||||
| Secretary | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| Tamina Toray | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Kay Schaffer | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Seth Bernstein | |||||||
| Past Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Jill Schuster | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Anne DeLander | |||||||
| Vice Chair | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) |
| Greg Bachman | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| David Cutsfoth | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| David Lerman | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| James Schupp | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Rev Leslie Chartier | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $816,347 | TotalReportableCompFromOrgAmt |
| 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 |
| Government Grants | $340,677 | GovernmentGrantsAmt |
| All Other Contributions | $478,438 | AllOtherContributionsAmt |
| Total Contributions | $819,115 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Services Income | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $4,834,649 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,834,649 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,834,649 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $240,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,302 | RelatedOrExemptFuncIncomeAmt |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| Gain on Sale of Asset | ||
| Miscellaneous | $9,884 | $9,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,884 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,903,950 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,084,835 | RelatedOrExemptFuncIncomeAmt |
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 | $189,543 | TotalAmt |
| Program Services | $189,543 | ProgramServicesAmt |
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 | $3,455,799 | TotalAmt |
| Program Services | $2,870,181 | ProgramServicesAmt |
| Management And General | $494,410 | ManagementAndGeneralAmt |
| Fundraising | $91,208 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,741 | TotalAmt |
| Program Services | $115,301 | ProgramServicesAmt |
| Management And General | $29,948 | ManagementAndGeneralAmt |
| Fundraising | $4,492 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,878 | TotalAmt |
| Program Services | $292,352 | ProgramServicesAmt |
| Management And General | $70,862 | ManagementAndGeneralAmt |
| Fundraising | $14,664 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,612 | TotalAmt |
| Program Services | $225,312 | ProgramServicesAmt |
| Management And General | $58,522 | ManagementAndGeneralAmt |
| Fundraising | $8,778 | 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 | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
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 | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,858 | TotalAmt |
| Program Services | $99,293 | ProgramServicesAmt |
| Management And General | $12,565 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,828 | TotalAmt |
| Program Services | $113,918 | ProgramServicesAmt |
| Management And General | $102,816 | ManagementAndGeneralAmt |
| Fundraising | $10,094 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,551 | TotalAmt |
| Program Services | $108,551 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,278 | TotalAmt |
| Program Services | $8,986 | ProgramServicesAmt |
| Management And General | $59,601 | ManagementAndGeneralAmt |
| Fundraising | $691 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,537 | TotalAmt |
| Program Services | $105,753 | ProgramServicesAmt |
| Management And General | $691 | ManagementAndGeneralAmt |
| Fundraising | $93 | FundraisingAmt |
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 | $18,703 | TotalAmt |
| Program Services | $12,669 | ProgramServicesAmt |
| Management And General | $6,034 | 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 | $150,000 | TotalAmt |
| Program Services | $50,708 | ProgramServicesAmt |
| Management And General | $96,106 | ManagementAndGeneralAmt |
| Fundraising | $3,186 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,038 | TotalAmt |
| Program Services | $24,038 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Respite and Outpatient | $192,448 | $192,448 | ||
| Professional Services | $181,841 | $125,041 | $56,605 | $195 |
| Pharmaceuticals | $180,421 | $180,421 | ||
| Equipment Rent | $133,417 | $124,326 | $9,091 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,303 | TotalAmt |
| Program Services | $113,373 | ProgramServicesAmt |
| Management And General | $44,229 | ManagementAndGeneralAmt |
| Fundraising | $13,701 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,140,796 | TotalAmt |
| Program Services | $4,952,214 | ProgramServicesAmt |
| Management And General | $1,041,480 | ManagementAndGeneralAmt |
| Fundraising | $147,102 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $647,246 | BOYAmt |
| EOY | $465,539 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,646 | BOYAmt |
| EOY | $29,838 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,451 | BOYAmt |
| EOY | $26,245 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,444 | BOYAmt |
| EOY | $323,817 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $887 | BOYAmt |
| EOY | $3,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,377,358 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $593,457 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,775,415 | BOYAmt |
| EOY | $3,783,901 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,196,989 | BOYAmt |
| EOY | $2,062,053 | 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 | $63,560 | BOYAmt |
| EOY | $68,759 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,355,638 | BOYAmt |
| EOY | $6,763,686 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,316 | BOYAmt |
| EOY | $384,458 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,574 | BOYAmt |
| EOY | $334,044 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,070,890 | BOYAmt |
| EOY | $718,502 | 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 | $6,246,263 | BOYAmt |
| EOY | $6,009,390 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,485 | BOYAmt |
| EOY | $35,794 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,284,748 | BOYAmt |
| EOY | $6,045,184 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,355,638 | BOYAmt |
| EOY | $6,763,686 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$236,846 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,718 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $349,784 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $263,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $347,870 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,507,868 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $819,115 | CurrentTaxYearAmt |
| Total | $3,287,680 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,629,639 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,018,677 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,144,358 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,296,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,834,649 | CurrentTaxYearAmt |
| Total | $24,923,641 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $53,461 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,961 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54,912 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $523,213 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,884 | CurrentTaxYearAmt |
| Total | $673,431 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,032,884 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,313,681 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,547,140 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,327,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,663,648 | CurrentTaxYearAmt |
| Total | $28,884,752 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,770 | CurrentTaxYearMinus3YearsAmt |
| Total | $16,890 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,463 | CurrentTaxYearMinus4YearsAmt |
| Total | $56,463 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,770 | CurrentTaxYearMinus3YearsAmt |
| Total | $73,353 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $28,811,399 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $105,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $248,233 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $234,084 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,389 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $240,302 | CurrentTaxYearAmt |
| Total | $860,780 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $105,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $248,233 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $234,084 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,389 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $240,302 | CurrentTaxYearAmt |
| Total | $860,780 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,138,656 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,561,914 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,781,224 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,359,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,903,950 | CurrentTaxYearAmt |
| Total | $29,745,532 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96210 | PublicSupportPY509Pct |
| Investment Income CY | 0.02890 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02540 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $344,004 | OtherCostOrOtherBasisAmt |
| Book Value | $344,004 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,374,689 | OtherCostOrOtherBasisAmt |
| Depreciation | $191,483 | DepreciationAmt |
| Book Value | $3,183,206 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $395,856 | OtherCostOrOtherBasisAmt |
| Depreciation | $318,032 | DepreciationAmt |
| Book Value | $77,824 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $262,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,942 | DepreciationAmt |
| Book Value | $178,867 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,783,901 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| Daniel Harris | ||
| Medical Director | $189,543 | $189,543 |
| Elizabeth French | ||
| Executive Director | $152,229 | $152,229 |
| Helen Siaolan Kao | ||
| Physician | $154,320 | $154,320 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | The Form 990 is reviewed by the executive director and controller prior to its filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Board members and the executive director are required to annually disclose in a signed document a conflict of interest statement. Potential conflicts are brought to the attention of the chair who in turn informs the baord. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | Board committee meets with the leadership team for review. Any increase depends on the performance of the agency. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | No documents available to the public. |
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