SACRED HEART COMMUNITY CLINIC INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SACRED HEART COMMUNITY CLINIC INC (EIN 27-2901548)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-10
- IRS object ID
- 202102839349300000
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-10T06:18:44-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272901548 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Community Clinic | BusinessNameLine1Txt |
| Business Name Line2 | Sacred Heart Community Clinic | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Jody Posluszny | InCareOfNm |
| Business Name Control | SACR | BusinessNameControlTxt |
| Phone | 5127163929 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 Round Rock West Dr Ste BLD 8 | AddressLine1Txt |
| City | Round Rock | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78681 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JODY POSLUSZNY | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 5127163929 | PhoneNum |
| Signature | 2021-10-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JODY | PersonFirstNm |
| Person Last | POSLUSZNY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 1 | TrustedCustomerCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Community Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBORAH HOPPS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 Round Rock West Dr Ste Bld 8 | AddressLine1Txt |
| City | Round Rock | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78681 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $990,416 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sacredheartclinic.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | To provide nocost outpatient health and dental services to the to the uninsured and underinsured of Williamson County TX | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $565,395 | PYContributionsGrantsAmt |
| CY Contributions Grants | $817,032 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $540 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $230 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,836 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,195 | CYInvestmentIncomeAmt |
| PY Other Revenue | $105,297 | PYOtherRevenueAmt |
| CY Other Revenue | $111,161 | CYOtherRevenueAmt |
| PY Total Revenue | $681,068 | PYTotalRevenueAmt |
| CY Total Revenue | $938,618 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $351,349 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $374,963 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $41,302 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $386,344 | PYOtherExpensesAmt |
| CY Other Expenses | $349,915 | CYOtherExpensesAmt |
| PY Total Expenses | $737,693 | PYTotalExpensesAmt |
| CY Total Expenses | $724,878 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$56,625 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $213,740 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,012,266 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,223,144 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $64,342 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,027 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $947,924 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,197,117 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide no-cost outpatient basic health and dental services, and nutrition and diabetic education to low-income, uninsured and under- insured adult residents of Williamson County, Texas | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $498,488 | ExpenseAmt |
| Revenue | $230 | RevenueAmt |
| Desc | Basic outpatient health and dental services, diabetic and nutrition education to qualifying low-income adult residents of Williamson County, Texas | Desc |
| Total Program Service Expenses | $498,488 | 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 | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JODY POSLUSZNY | PersonNm |
| Phone | 5127163929 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 Round Rock West Dr Ste Bld 8 | AddressLine1Txt |
| City | Round Rock | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78681 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DEBORAH HOPPS | ||||||
| President | 3.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ISAAC KORENSTEIN | ||||||
| Vice President | 2.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NORMA RODRIGUEZ | ||||||
| Secretary | 2.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JODY POSLUSZNY | ||||||
| Treasurer | 4.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATE WALTERS | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| CAROLINE HILBERT | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| REV DAVID KOPPEL | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| TINO HERNANDEZ | ||||||
| Past President | 1.000 | Yes (X) | $0 | $0 | $0 | |
| REV DEAN WILHEIM | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| CYNTHIA FLORES | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| RUDOLFO URIEGAS | ||||||
| Past Vice President | 1.000 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $25,000 | FederatedCampaignsAmt |
| Fundraising | $14,362 | FundraisingAmt |
| Government Grants | $138,381 | GovernmentGrantsAmt |
| All Other Contributions | $639,289 | AllOtherContributionsAmt |
| Noncash Contributions | $89,861 | NoncashContributionsAmt |
| Total Contributions | $817,032 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Record Requests | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $230 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $230 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,195 | TotalRevenueColumnAmt |
| Exclusion | $10,195 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $162,959 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $14,362 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $51,798 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,161 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $938,618 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,195 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,317 | TotalAmt |
| Program Services | $177,642 | ProgramServicesAmt |
| Management And General | $132,360 | ManagementAndGeneralAmt |
| Fundraising | $38,315 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,646 | TotalAmt |
| Program Services | $13,590 | ProgramServicesAmt |
| Management And General | $10,125 | ManagementAndGeneralAmt |
| Fundraising | $2,931 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,508 | TotalAmt |
| Management And General | $8,508 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,308 | TotalAmt |
| Program Services | $126,308 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56 | TotalAmt |
| Fundraising | $56 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,138 | TotalAmt |
| Management And General | $9,138 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,607 | TotalAmt |
| Management And General | $12,607 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,208 | TotalAmt |
| Management And General | $5,208 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282 | TotalAmt |
| Program Services | $57 | ProgramServicesAmt |
| Management And General | $1,225 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,328 | TotalAmt |
| Program Services | $23,514 | ProgramServicesAmt |
| Management And General | $1,814 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,804 | TotalAmt |
| Program Services | $7,804 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Pharmaceuticals | $106,168 | $106,168 |
| Medical Services | $17,286 | $17,286 |
| Med & Dental suplies | $22,097 | $22,097 |
| Fees & Dues | $2,691 | $2,691 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,434 | TotalAmt |
| Program Services | $1,331 | ProgramServicesAmt |
| Management And General | $4,103 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,878 | TotalAmt |
| Program Services | $498,488 | ProgramServicesAmt |
| Management And General | $185,088 | ManagementAndGeneralAmt |
| Fundraising | $41,302 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,308 | BOYAmt |
| EOY | $364,903 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,500 | BOYAmt |
| EOY | $54,082 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,790 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $692,527 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $133,175 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,618 | BOYAmt |
| EOY | $559,352 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,050 | BOYAmt |
| EOY | $244,807 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,012,266 | BOYAmt |
| EOY | $1,223,144 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,038 | BOYAmt |
| EOY | $6,527 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,304 | BOYAmt |
| EOY | $19,500 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,342 | BOYAmt |
| EOY | $26,027 | 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 | $932,924 | BOYAmt |
| EOY | $1,182,117 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,000 | BOYAmt |
| EOY | $15,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $947,924 | BOYAmt |
| EOY | $1,197,117 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,012,266 | BOYAmt |
| EOY | $1,223,144 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $213,740 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $35,453 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $736,925 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $775,351 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $610,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $565,395 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $817,032 | CurrentTaxYearAmt |
| Total | $3,504,800 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $736,925 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $775,351 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $610,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $565,395 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $817,032 | CurrentTaxYearAmt |
| Total | $3,504,800 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,504,800 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,934 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,667 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,384 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,477 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,447 | CurrentTaxYearAmt |
| Total | $17,909 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,522,709 | TotalSupportAmt |
| Public Support CY170 | 0.99492 | PublicSupportCY170Pct |
| 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) |
|---|---|---|
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
| Written Policy Monitoring | false | WrittenPolicyMonitoringInd |
| Section170h Rqr Stsfd | false | Section170hRqrStsfdInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $557,893 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $58,983 | DepreciationAmt |
| Book Value | $498,910 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $134,634 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $74,192 | DepreciationAmt |
| Book Value | $60,442 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $559,352 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,232,454 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $35,453 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $206,585 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $51,798 | OtherRevenueAmt |
| Revenue Not Reported | $293,836 | RevenueNotReportedAmt |
| Revenue Subtotal | $938,618 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $938,618 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $983,261 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $206,585 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $51,798 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $258,383 | ExpensesNotReportedAmt |
| Expenses Subtotal | $724,878 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $724,878 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| P11, Ln 2d | Fund raising expenses netted in 990 revenue |
| P12, Ln 2d | Fund raising expenses netted in 990 revenue |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $161,049 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $161,049 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,396 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,980 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $24,818 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $7,902 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $8,378 | OtherDirectExpensesEvent1Amt |
| Event2 | Decor sales | Event2Nm |
| Gross Receipts Event2 | $11,674 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $11,674 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $210 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $4,598 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $4,598 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $309 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $177,321 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $177,321 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,396 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,980 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $24,818 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $7,902 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,897 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $47,993 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $129,328 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $89,861 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | P1, Ln 32b | FormAndLineReferenceDesc |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI Line 4 | Updated Bylaws |
| Part VI Line 11b | Detail review is done with Ex. Director and President. Board is emailed |
| Part VI Line 11b | 990 for review and questions and approved at mtg. or via email. |
| Part VI Line 12c | Reviewed by board as discovered. |
| Part VI Line 19 | No requests were made in 2020 |
| Part IX Line 11g | Licensed Med. Professio Total expenses - $126308.00 Program service expenses - $126308.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
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