HOSPICE HOUSE OF SHIAWASSEE COUNTY: Form 990EZ, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE HOUSE OF SHIAWASSEE COUNTY (EIN 27-3233159)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-27
- IRS object ID
- 202103009349201405
- 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 | 2021-10-27T13:43:10-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 472826558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VMD & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 37 | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488670037 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273233159 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE HOUSE OF SHIAWASSEE COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9897439000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 COPAS RD | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET SHERRARD | PersonNm |
| Person Title | EX. DIRECTOR/SEC | PersonTitleTxt |
| Signature | 2021-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JANET | PersonFirstNm |
| Person Last | SHERRARD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RANDY F MEDER | PreparerPersonNm |
| PTIN | P00095907 | PTIN |
| Phone | 9897238171 | PhoneNum |
| Preparation | 2021-10-25 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | WWW.HOSPICEHOUSESHIA.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $106,130 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $106,130 | ContributionsGiftsGrantsEtcAmt |
| Total Revenue | $106,130 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $67,159 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $2,442 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $222 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $17,897 | OtherExpensesTotalAmt |
| Total Expenses | $87,720 | TotalExpensesAmt |
| Excess Or Deficit For Year | $18,410 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $102,687 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $121,097 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,590 | BOYAmt |
| EOY | $103,416 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,399 | BOYAmt |
| EOY | $78,599 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,989 | BOYAmt |
| EOY | $182,015 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,302 | BOYAmt |
| EOY | $60,918 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,687 | BOYAmt |
| EOY | $121,097 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | MISSION OF THE ORGANIZATION IS TO PROVIDE COMFORT, CARE, AND SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN THEIR FINAL DAYS | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PROVIDE A FREE STANDING HOSPICE TO PROVIDE PHYSICAL, EMOTIONAL, AND SPIRITUAL COMFORT FOR THE TERMINALLY ILL AND THEIR LOVED ONES GIVING THE PATIIENT DIGNITY AND PEACE. PROVIDING FREE ROOM, BOARD, AND PERSONAL CARE TO THE PATIENT. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $87,720 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $87,720 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JANET SHERRARD | ||
| EX. DIRECTOR | 40.00 | $7,000 |
| JOHN WALWORTH | ||
| PRESIDENT | 2.00 | $0 |
| SUSAN BUSNARDO | ||
| VICE PRESIDE | 2.00 | $0 |
| RYAN DRAKE | ||
| TREASURER | 2.00 | $0 |
| KEVIN KREGGER | ||
| DIRECTOR | 2.00 | $0 |
| TRAVIS WATKINS | ||
| DIRECTOR | 2.00 | $0 |
| JASON GEORGES | ||
| DIRECTOR | 2.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VMD & ASSOCIATES PLLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 E MASON | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9897238171 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
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 | $80,352 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,585 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $97,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $117,796 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,130 | CurrentTaxYearAmt |
| Total | $516,422 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,352 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,585 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $97,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $117,796 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,130 | CurrentTaxYearAmt |
| Total | $516,422 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $516,422 | PublicSupportTotal170Amt |
| Total Support | $516,422 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE 3,334 INTEREST 1,300 INSURANCE 3,694 BANK CHARGES 80 UTILITIES 1,879 MISCELLANEOUS 1,962 REFUSE 144 REPAIRS AND MAINT 704 NON-INVESTMENT DEPRECIATION 4,800 TOTAL 17,897 |
| FORM 990-EZ, PART II, LINE 24 | PROPERTY AND EQUIPMENT 102,600 102,600 LESS ACCUMULATED DEPRECIATION 19,201 24,001 TOTAL 83,399 78,599 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 0 315 LAND CONTRACT 74,302 60,603 |
| FORM 990-EZ, PART III | MISSION OF THE ORGANIZATION IS TO PROVIDE COMFORT, CARE, AND SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN THEIR FINAL DAYS |
| FORM 990-EZ, PART III, LINE 28 | PROVIDE A FREE STANDING HOSPICE TO PROVIDE PHYSICAL, EMOTIONAL, AND SPIRITUAL COMFORT FOR THE TERMINALLY ILL AND THEIR LOVED ONES GIVING THE PATIIENT DIGNITY AND PEACE. PROVIDING FREE ROOM, BOARD, AND PERSONAL CARE TO THE PATIENT. |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp (7 entries)
| JANET SHERRARD |
| JOHN WALWORTH |
| SUSAN BUSNARDO |
| RYAN DRAKE |
| KEVIN KREGGER |
| TRAVIS WATKINS |
| JASON GEORGES |