SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE (EIN 74-2336442)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202243189349316189
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T16:23:21-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | 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 | 742336442 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RON PADILLA | InCareOfNm |
| Business Name Control | SANG | BusinessNameControlTxt |
| Phone | 7195420032 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 VALLEY DR | AddressLine1Txt |
| City | PUEBLO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81008 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RON PADILLA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7195420032 | PhoneNum |
| Signature | 2022-04-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAMES | PersonFirstNm |
| Person Last | HRUBY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| 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 | RON PADILLA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 VALLEY DR | AddressLine1Txt |
| City | PUEBLO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,628,242 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SANGRE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO MAINTAIN THE INTEGRITY OF INDIVIDUALS AND FAMILIES IN NEED OF SUPPORTIVE OR END-OF-LIFE SERVICES BY OFFERING SYMPTOM MANAGEMENT, SUPPORT, COMFORT, AND COMPASSION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 314 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $158,683 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,591,609 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,183,170 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,705,801 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,125,565 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,405 | PYInvestmentIncomeAmt |
| CY Investment Income | $499,685 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$20,017 | PYOtherRevenueAmt |
| CY Other Revenue | -$7,792 | CYOtherRevenueAmt |
| PY Total Revenue | $21,279,798 | PYTotalRevenueAmt |
| CY Total Revenue | $24,800,628 | 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 | $13,637,203 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,574,471 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $394,631 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,262,878 | PYOtherExpensesAmt |
| CY Other Expenses | $7,045,107 | CYOtherExpensesAmt |
| PY Total Expenses | $19,900,081 | PYTotalExpensesAmt |
| CY Total Expenses | $21,619,578 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,379,717 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,181,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,781,967 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,193,317 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,395,871 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,596,700 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,386,096 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,596,617 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO MAINTAIN THE INTEGRITY OF INDIVIDUALS AND FAMILIES IN NEED OF SUPPORTIVE OR END-OF-LIFE SERVICES BY OFFERING SYMPTOM MANAGEMENT, SUPPORT, COMFORT, AND COMPASSION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,962,528 | ExpenseAmt |
| Revenue | $16,513,686 | RevenueAmt |
| Desc | FOR MANY SERIOUSLY ILL PATIENTS, HOSPICE AND PALLIATIVE CARE OFFERS A MORE DIGNIFIED AND COMFORTABLE ALTERNATIVE TO SPENDING ONE'S FINAL MONTHS IN THE HOSPITAL. SANGRE DE CRISTO HOSPICE AND PALLIATIVE CARE (SDCHPC) HAS BEEN THE PREFERRED CHOICE OF TERMINALLY ILL INDIVIDUALS AND HEALTH CARE PROFESSIONALS IN THE AREA FOR OVER 30 YEARS. MEDICARE'S FEATURED TOOL HOSPICE COMPARE COMPARES HOSPICE CENTERS BASED ON THE QUALITY OF CARE THEY PROVIDE. SDCHPC RATES ARE HIGHER THAN ALL OTHER REGIONAL HOSPICES AND HIGHER THAN THE NATIONAL AVERAGES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,404,050 | ExpenseAmt |
| Revenue | $3,593,130 | RevenueAmt |
| Desc | OUR HOME HEALTH PROGRAM COVERS MOST OF OUR RURAL A CLINICAL AND THERAPIES, WE SERVE THOSE IN NEED OF OUTCOMES HAVE BEEN SUCCESSFUL AND THIS PROGRAM APPEARS TO HAVE GROWTH POTENTIAL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,609,906 | ExpenseAmt |
| Revenue | $2,976,895 | RevenueAmt |
| Desc | OUR INPATIENT UNIT LOCATED IN PUEBLO IS THE ONLY ONE OF ITS KIND IN SOUTHERN COLORADO. IT IS STAFFED WITH PROFESSIONALLY TRAINED TEAMS OF PHYSICIANS, NURSES AND CERTIFIED ASSISTANTS, SOCIAL WORKERS, CHAPLAINS, AND VOLUNTEERS WHO HELP PROVIDE QUALITY, COMPASSIONATE CARE IN A HOME-LIKE SETTING. THE GOAL AT HOSPICE HOUSE IS TO ESTABLISH AN ENVIRONMENT OF SKILLED CARE FOR BOTH PATIENT AND FAMILY MEMBERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $251,699 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $41,855 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $16,228,183 | 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 | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | 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 | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 314 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RON PADILLA | PersonNm |
| Phone | 7195420032 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 VALLEY DR | AddressLine1Txt |
| City | PUEBLO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81008 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| REBECCA HOLDER | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | Yes (X) | $235,871 | $0 | $7,420 | ||
| TARRAH LOWRY | ||||||||
| PRESIDENT/CEO END 06/21 | 40.0 | 0.0 | $170,079 | $0 | $6,350 | Yes (X) | ||
| KEVIN MCCLINTOCK | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $161,673 | $0 | $7,593 | ||
| AMY ROSE | ||||||||
| DIRECTOR OF NURSING END 11/21 | 40.0 | 0.0 | Yes (X) | $140,979 | $0 | $5,657 | ||
| RICKY MONETT | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | Yes (X) | $108,769 | $0 | $4,578 | ||
| KAREN JO AGNELLO | ||||||||
| OCCUPATIONAL THERAPIST | 40.0 | 0.0 | Yes (X) | $107,116 | $0 | $4,621 | ||
| JAMES HRUBY | ||||||||
| TREAS;INTERIM CEO BEG 07/21 | 1.0 | 0.0 | $61,776 | $0 | $0 | Yes (X) | ||
| MARTINE ORR | ||||||||
| BOARD CHAIR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| NANCY GREENSTREET | ||||||||
| BOARD VICE CHAIR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DOREEN GONZALES | ||||||||
| BOARD MBR;TREASURER BEG 07/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DAVE RITTERLING | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| THOMAS GUINS | ||||||||
| BOARD MBR;SECRETARY BEG 10/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| GEEPRESS CORPUZ MD | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| BETH HOLT-MADONE | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| AMI BAJAH-ONYEJEKWE | ||||||||
| BOARD MEMBER BEG 08/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JOHN ROTH | ||||||||
| BOARD MEMBER BEG 09/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| SABRINA FETTY | ||||||||
| BOARD MEMBER BEG 10/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| TONY ORESKOVICH | ||||||||
| BOARD MEMBER END 07/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| RANDY EVETTS | ||||||||
| BOARD SECRETARY END 10/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $986,263 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $36,219 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 | $36,723 | FundraisingAmt |
| Government Grants | $698,300 | GovernmentGrantsAmt |
| All Other Contributions | $448,147 | AllOtherContributionsAmt |
| Noncash Contributions | $45,100 | NoncashContributionsAmt |
| Total Contributions | $1,183,170 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621610 | $21,024,243 | $21,024,243 | |
| OTHER REVENUE | 623990 | $2,101,322 | $1,942,639 | $158,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,125,565 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $529 | TotalRevenueColumnAmt |
| Exclusion | $529 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
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 | $1,255,445 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $756,289 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $499,156 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $499,156 | TotalRevenueColumnAmt |
| Exclusion | $499,156 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $600 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $36,723 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,392 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,792 | TotalRevenueColumnAmt |
| Exclusion | -$7,792 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $62,933 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $62,933 | CostOfGoodsSoldAmt |
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,800,628 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,966,882 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $158,683 | UnrelatedBusinessRevenueAmt |
| Exclusion | $491,893 | 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 | $238,205 | TotalAmt |
| Management And General | $238,205 | ManagementAndGeneralAmt |
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 | $12,115,714 | TotalAmt |
| Program Services | $9,082,473 | ProgramServicesAmt |
| Management And General | $2,755,420 | ManagementAndGeneralAmt |
| Fundraising | $277,821 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,423 | TotalAmt |
| Program Services | $157,244 | ProgramServicesAmt |
| Management And General | $45,369 | ManagementAndGeneralAmt |
| Fundraising | $4,810 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,061,858 | TotalAmt |
| Program Services | $781,068 | ProgramServicesAmt |
| Management And General | $256,898 | ManagementAndGeneralAmt |
| Fundraising | $23,892 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $951,271 | TotalAmt |
| Program Services | $699,724 | ProgramServicesAmt |
| Management And General | $230,143 | ManagementAndGeneralAmt |
| Fundraising | $21,404 | 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 | $1,304 | TotalAmt |
| Management And General | $1,304 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,102 | TotalAmt |
| Management And General | $32,102 | 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 | $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 | $536,841 | TotalAmt |
| Management And General | $536,841 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,712 | TotalAmt |
| Program Services | $17,438 | ProgramServicesAmt |
| Management And General | $7,274 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811,539 | TotalAmt |
| Program Services | $618,009 | ProgramServicesAmt |
| Management And General | $178,375 | ManagementAndGeneralAmt |
| Fundraising | $15,155 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,673 | TotalAmt |
| Program Services | $363,256 | ProgramServicesAmt |
| Management And General | $94,509 | ManagementAndGeneralAmt |
| Fundraising | $8,908 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,235 | TotalAmt |
| Program Services | $167,818 | ProgramServicesAmt |
| Management And General | $47,302 | ManagementAndGeneralAmt |
| Fundraising | $4,115 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,809 | TotalAmt |
| Program Services | $467,590 | ProgramServicesAmt |
| Management And General | $121,753 | ManagementAndGeneralAmt |
| Fundraising | $11,466 | 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 | $39,463 | TotalAmt |
| Program Services | $30,718 | ProgramServicesAmt |
| Management And General | $7,992 | ManagementAndGeneralAmt |
| Fundraising | $753 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,752 | TotalAmt |
| Program Services | $289 | ProgramServicesAmt |
| Management And General | $40,456 | ManagementAndGeneralAmt |
| Fundraising | $7 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,539 | TotalAmt |
| Program Services | $227,711 | ProgramServicesAmt |
| Management And General | $59,244 | ManagementAndGeneralAmt |
| Fundraising | $5,584 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,222 | TotalAmt |
| Program Services | $63,223 | ProgramServicesAmt |
| Management And General | $16,449 | ManagementAndGeneralAmt |
| Fundraising | $1,550 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DIRECT PATIENT SERVICES | $3,354,305 | $3,354,305 | ||
| MISCELLANEOUS EXPENSES | $393,377 | $80,376 | $296,703 | $16,298 |
| LICENSES, DUES, SUBSCRIPTIONS | $150,234 | $116,941 | $30,425 | $2,868 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,619,578 | TotalAmt |
| Program Services | $16,228,183 | ProgramServicesAmt |
| Management And General | $4,996,764 | ManagementAndGeneralAmt |
| Fundraising | $394,631 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,554 | BOYAmt |
| EOY | $258,963 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,496,525 | BOYAmt |
| EOY | $6,682,476 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,687,960 | BOYAmt |
| EOY | $3,437,787 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,437 | BOYAmt |
| EOY | $292,814 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,164 | BOYAmt |
| EOY | $363,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,471,004 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,470,788 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,666,510 | BOYAmt |
| EOY | $4,000,216 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $899,543 | BOYAmt |
| EOY | $929,014 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,225 | BOYAmt |
| EOY | $150,225 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,049 | BOYAmt |
| EOY | $78,350 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,781,967 | BOYAmt |
| EOY | $16,193,317 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420,623 | BOYAmt |
| EOY | $1,536,404 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,107,916 | BOYAmt |
| EOY | $1,060,296 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,867,332 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,395,871 | BOYAmt |
| EOY | $2,596,700 | 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 | $10,374,726 | BOYAmt |
| EOY | $13,109,330 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,370 | BOYAmt |
| EOY | $487,287 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,386,096 | BOYAmt |
| EOY | $13,596,617 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,781,967 | BOYAmt |
| EOY | $16,193,317 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,181,050 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $29,471 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $394,282 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $460,755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $781,817 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,591,609 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,183,170 | CurrentTaxYearAmt |
| Total | $4,411,633 | 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 | $394,282 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $460,755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $781,817 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,591,609 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,183,170 | CurrentTaxYearAmt |
| Total | $4,411,633 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $123,853 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,287,780 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,795 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,722 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $529 | CurrentTaxYearAmt |
| Total | $70,598 | 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 Minus4 Years | $157,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97,373 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $86,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,933 | CurrentTaxYearAmt |
| Total | $461,889 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,944,120 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $95,222,921 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.86725 | PublicSupportCY170Pct |
| Public Support PY170 | 0.80959 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $344,754 | OtherCostOrOtherBasisAmt |
| Book Value | $344,754 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,511,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,104,264 | DepreciationAmt |
| Book Value | $3,407,385 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $982 | DepreciationAmt |
| Book Value | $4,044 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,517,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,282,288 | DepreciationAmt |
| Book Value | $235,038 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,254 | DepreciationAmt |
| Book Value | $8,995 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,000,216 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $24,838,491 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $29,471 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $29,471 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,809,020 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$8,392 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$8,392 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $24,800,628 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,627,970 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,392 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,392 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,619,578 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $21,619,578 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 4B | OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (8,392) SPECIAL EVENTS EXPENSES |
| SCHEDULE D, PART XII, LINE 2D | OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 8,392 SPECIAL EVENTS EXPENSES |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | REFLECTIONS | Event1Nm |
| Gross Receipts Event1 | $26,705 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $26,705 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $4,174 | OtherDirectExpensesEvent1Amt |
| Event2 | KIDS CAMP | Event2Nm |
| Gross Receipts Event2 | $10,618 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $10,018 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $600 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $4,218 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $37,323 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $36,723 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $600 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,392 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,392 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,792 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REBECCA HOLDER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $213,764 | $0 | $22,107 | $0 | $0 | $0 | $7,420 | $0 | $0 | $0 | $243,291 | $0 | $0 | $0 |
| TARRAH LOWRY | ||||||||||||||
| PRESIDENT/CEO END 06/21 | $102,942 | $0 | $40,000 | $0 | $27,137 | $0 | $6,350 | $0 | $0 | $0 | $176,429 | $0 | $0 | $0 |
| KEVIN MCCLINTOCK | ||||||||||||||
| PHYSICIAN | $149,782 | $0 | $1,304 | $0 | $10,587 | $0 | $7,593 | $0 | $0 | $0 | $169,266 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4A | SEVERANCE PAYMENT: AMY ROSE RECEIVED A SEVERANCE PAYMENT OF $18,462. |
| SCHEDULE J, PART I, LINE 7 | NON-FIXED PAYMENTS: INDIVIDUALS ARE ELIGIBLE TO RECEIVE BONUSES BASED ON INDIVIDUAL GOALS AND PRODUCTIVITY METRICS. THE PAYMENT OF A BONUS IS CONTINGENT ON AVAILABILITY OF FUNDS OVER AND ABOVE BUDGETED GAIN. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $45,100 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, LINE 20, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTORS: THE ORGANIZATION RECEIVED MEDICAL SUPPLIES FROM THREE CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: OUR ILLNESS MANAGEMENT AND PROVISIONAL ASSISTANT CARE TEAM (IMPACT) PROGRAM GIVES CARE MANAGEMENT SERVICES WITH AN EMPHASIS ON PALLIATIVE CARE FOR PATIENTS WHO MAY STILL BE RECEIVING ACTIVE, CURATIVE TREATMENT AND ARE NOT YET READY TO RECEIVE HOSPICE SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: EMPLOYEES AND BOARD MEMBERS SIGN A FORM ACKNOWLEDGING THAT THEY KNOW AND UNDERSTAND THE POLICY. THE POLICY IS REVIEWED ANNUALLY AND THE REVIEW IS DOCUMENTED. ON A PERIODIC BASIS, THE POLICY IS REVIEWED WITH STAFF AND ACKNOWLEDGEMENT OF THE REVIEW IS DOCUMENTED. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE COMPENSATION REVIEW: THE BOARD REVIEWS AND APPROVES COMPENSATION OF CEO AND APPROVES AN AGGREGATE PERSONNEL BUDGET. THE CEO ALLOCATES THE AGGREGATE PERSONNEL BUDGET. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENT AVAILABILITY: COPIES OF THE SANGRE DE CRISTO HOSPICE AND PALLIATIVE CARE'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANGRE DE CRISTO COMMUNITY CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 VALLEY DR | AddressLine1Txt |
| City | PUEBLO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 831218505 | EIN |
| Primary Activities | HOME HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Total Income | $3,412,309 | TotalIncomeAmt |
| End Of Year Assets | $1,119,544 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANGRE DE CR | BusinessNameLine1Txt |
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