AUSTIN LIFECARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- AUSTIN LIFECARE INC (EIN 74-2333473)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202103199349307310
- 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 | 2021-11-15T10:20:43-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273726128 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TABER & BURNETT PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1519 | AddressLine1Txt |
| City | BURNET | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 786117519 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742333473 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUSTIN LIFECARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AUST | BusinessNameControlTxt |
| Phone | 5123740626 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8401 N INTERSTATE 35 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY WHITEHURST | PersonNm |
| Person Title | CHIEF EXEC OFFICER | PersonTitleTxt |
| Phone | 5123740626 | PhoneNum |
| Signature | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | WHITEHUST | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PHYLLIS M BURNETT | PreparerPersonNm |
| PTIN | P00138892 | PTIN |
| Phone | 5127564904 | PhoneNum |
| Preparation | 2021-11-12 | PreparationDt |
| 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 | THE SOURCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY WHITEHURST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 W ANDERSON LANE | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78757 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,139,377 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THESOURCE.ORG/REGIONS/AUSTIN | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE SOURCE EXISTS TO SUPPORT, CARE FOR, AND EQUIP WOMEN BY PROVIDING HIGH-QUALITY, WHOLE-PERSON HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 30 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,101,346 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,018,028 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $55,676 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$15,358 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $300,134 | PYOtherRevenueAmt |
| CY Other Revenue | $120,076 | CYOtherRevenueAmt |
| PY Total Revenue | $1,441,798 | PYTotalRevenueAmt |
| CY Total Revenue | $1,138,175 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $712,313 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $769,046 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $69,558 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $893,847 | PYOtherExpensesAmt |
| CY Other Expenses | $419,817 | CYOtherExpensesAmt |
| PY Total Expenses | $1,606,160 | PYTotalExpensesAmt |
| CY Total Expenses | $1,188,863 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$164,362 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$50,688 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $670,068 | TotalAssetsBOYAmt |
| Total Assets EOY | $776,421 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $71,202 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $228,243 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $598,866 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $548,178 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE SOURCE EXISTS TO SUPPORT, CARE FOR, AND EQUIP WOMEN BY PROVIDING HIGH-QUALITY, WHOLE-PERSON HEALTH SERVICES. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $833,848 | ExpenseAmt |
| Revenue | $71 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES PREGNANCY TESTING, OPTIONS COUNSELING, LIMITED OBSTETRICAL ULTRASOUNDS, PROFESSIONAL COUNSELING, PERSONAL MENTOR SUPPORT, LIFE SKILLS EDUCATION PROGRAMS, CLOTHING AND BABY ITEM SUPPORT, WELL-WOMAN ANNUAL EXAMS, PAP SMEAR TESTS, BREAST EXAMS, STI/STD TESTING AND TREATMENT, CONTRACEPTIVE CARE, AND EDUCATION. THE ORGANIZATION ALSO PROVIDES CHARACTER-BASED SEXUAL RISK AVOIDANCE PROGRAMS AND BIBLICALLY BASED SUPPORT GROUPS THAT MINISTER TO WOMEN AND MEN WHO ARE SUFFERING EMOTIONALLY FROM A PAST ABORTION, SEXUAL ABUSE, OR A PREGNANCY LOSS THROUGH MISCARRIAGE. | Desc |
| Total Program Service Expenses | $833,848 | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | 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 | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 30 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | 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 | ANNE TENG | PersonNm |
| Phone | 5123740626 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8401 N INTERSTATE 35 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78753 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARY WHITEHURST | ||||||
| CHIEF EXEC O | 40.00 | Yes (X) | Yes (X) | $65,000 | $0 | $0 |
| AMBER ANDERSON | ||||||
| SECRETARY | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MATT CASSIDY | ||||||
| DIRECTOR | 0.23 | Yes (X) | $0 | $0 | $0 | |
| RANDY FINDLEY | ||||||
| CHAIRMAN | 0.38 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MELINDA GRACE | ||||||
| DIRECTOR | 0.13 | Yes (X) | $0 | $0 | $0 | |
| MATT HEININGER | ||||||
| TREASURER | 0.35 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ADAM HULL | ||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |
| PAUL SCHAPPERT | ||||||
| DIRECTOR | 0.23 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $65,000 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $385,910 | GovernmentGrantsAmt |
| All Other Contributions | $632,118 | AllOtherContributionsAmt |
| Total Contributions | $1,018,028 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LIFEGUARD PROJECT | Desc |
| Total Revenue Column | $71 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,500 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,500 | TotalRevenueColumnAmt |
| Exclusion | $34,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $86,778 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,202 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,576 | TotalRevenueColumnAmt |
| Exclusion | $85,576 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,138,175 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $120,076 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,493 | TotalAmt |
| Program Services | $493,365 | ProgramServicesAmt |
| Management And General | $158,472 | ManagementAndGeneralAmt |
| Fundraising | $56,656 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,250 | TotalAmt |
| Program Services | $7,250 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,303 | TotalAmt |
| Program Services | $35,761 | ProgramServicesAmt |
| Management And General | $13,342 | ManagementAndGeneralAmt |
| Fundraising | $4,200 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,104 | TotalAmt |
| Management And General | $6,104 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,493 | TotalAmt |
| Program Services | $13,139 | ProgramServicesAmt |
| Management And General | $34,354 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,411 | TotalAmt |
| Program Services | $273 | ProgramServicesAmt |
| Management And General | $12,924 | ManagementAndGeneralAmt |
| Fundraising | $1,214 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,997 | TotalAmt |
| Program Services | $168 | ProgramServicesAmt |
| Management And General | $2,517 | ManagementAndGeneralAmt |
| Fundraising | $312 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,319 | TotalAmt |
| Program Services | $589 | ProgramServicesAmt |
| Management And General | $1,730 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,328 | TotalAmt |
| Program Services | $154,859 | ProgramServicesAmt |
| Management And General | $16,469 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,435 | TotalAmt |
| Program Services | $5,643 | ProgramServicesAmt |
| Management And General | $16,593 | ManagementAndGeneralAmt |
| Fundraising | $199 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,165 | TotalAmt |
| Program Services | $48,749 | ProgramServicesAmt |
| Management And General | $5,416 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,276 | TotalAmt |
| Program Services | $14,217 | ProgramServicesAmt |
| Management And General | $59 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $57,317 | $53,351 | $3,723 | $243 |
| DUES & FEES | $8,719 | $596 | $5,221 | $2,902 |
| STAFF APPRECIATION | $7,952 | $416 | $7,536 | |
| TELEPHONE | $6,017 | $5,415 | $602 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,284 | TotalAmt |
| Program Services | $57 | ProgramServicesAmt |
| Management And General | $395 | ManagementAndGeneralAmt |
| Fundraising | $3,832 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,188,863 | TotalAmt |
| Program Services | $833,848 | ProgramServicesAmt |
| Management And General | $285,457 | ManagementAndGeneralAmt |
| Fundraising | $69,558 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,714 | BOYAmt |
| EOY | $261,060 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $98,764 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,859 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $802,656 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $393,723 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,811 | BOYAmt |
| EOY | $408,933 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,684 | BOYAmt |
| EOY | $7,664 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,068 | BOYAmt |
| EOY | $776,421 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,202 | BOYAmt |
| EOY | $94,193 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $134,050 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,202 | BOYAmt |
| EOY | $228,243 | 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 | $598,866 | BOYAmt |
| EOY | $548,178 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,866 | BOYAmt |
| EOY | $548,178 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,068 | BOYAmt |
| EOY | $776,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$50,688 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $568,592 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $596,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,090,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,380,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,104,806 | CurrentTaxYearAmt |
| Total | $4,739,576 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $568,592 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $596,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,090,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,380,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,104,806 | CurrentTaxYearAmt |
| Total | $4,739,576 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $155,108 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,584,468 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $34,500 | CurrentTaxYearAmt |
| Total | $34,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,774,076 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $116,481 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96030 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,534 | OtherCostOrOtherBasisAmt |
| Book Value | $67,534 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $534,527 | OtherCostOrOtherBasisAmt |
| Depreciation | $303,886 | DepreciationAmt |
| Book Value | $230,641 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,837 | DepreciationAmt |
| Book Value | $110,758 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $408,933 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PPP LOAN | Desc |
| Amt | $134,050 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $134,050 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SOHLS | Event1Nm |
| Gross Receipts Event1 | $74,201 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $74,201 | GrossRevenueEvent1Amt |
| Event2 | EOY | Event2Nm |
| Gross Receipts Event2 | $12,577 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $12,577 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $1,202 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $86,778 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $86,778 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,202 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $1,202 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $85,576 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 2 | DURING 2020, THE ORGANIZATION ADDED ADDITIONAL MEDICAL SERVICES TO THEIR PROGRAMS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE EXECUTIVE DIRECTOR AND THE BOARD MEMBERS MEET ON A TIMELY BASIS AND WILL DISCUSS AND HANDLE CONFLICTS OF INTEREST IF AND WHEN NEEDED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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