HOSPICE OF ORLEANS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF ORLEANS INC (EIN 16-1336090)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-06-22
IRS object ID
202111739349300331
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-06-22T12:40:30-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 CORPORATE PARKWAY SUITE 200AddressLine1Txt
CityAMHERSTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14226ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161336090EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF ORLEANS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone5855890809PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114080 ROUTE 31 WEST PO BOX 489AddressLine1Txt
CityALBIONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14411ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID SCHUBELPersonNm
Person TitleESQPersonTitleTxt
Phone5855890809PhoneNum
Signature2021-06-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastSCHUBELPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN N REIDPreparerPersonNm
PTINP01321869PTIN
Phone7162506600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SUPPORTIVE CARE OF ORLEANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDAVID SCHUBELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114080 ROUTE 31 WEST PO BOX 489AddressLine1Txt
CityALBIONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14411ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,252,777GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUPPORTIVECAREORLEANS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee54TotalEmployeeCnt
Total Volunteers160TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$155,866PYContributionsGrantsAmt
CY Contributions Grants$504,750CYContributionsGrantsAmt
PY Program Service Revenue$2,077,054PYProgramServiceRevenueAmt
CY Program Service Revenue$1,696,017CYProgramServiceRevenueAmt
PY Investment Income$5,974PYInvestmentIncomeAmt
CY Investment Income$9,655CYInvestmentIncomeAmt
PY Other Revenue$63,822PYOtherRevenueAmt
CY Other Revenue$31,742CYOtherRevenueAmt
PY Total Revenue$2,302,716PYTotalRevenueAmt
CY Total Revenue$2,242,164CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,439,780PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,641,838CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$90,218CYTotalFundraisingExpenseAmt
PY Other Expenses$820,514PYOtherExpensesAmt
CY Other Expenses$715,910CYOtherExpensesAmt
PY Total Expenses$2,260,294PYTotalExpensesAmt
CY Total Expenses$2,357,748CYTotalExpensesAmt
PY Revenues Less Expenses$42,422PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$115,584CYRevenuesLessExpensesAmt
Total Assets BOY$3,543,516TotalAssetsBOYAmt
Total Assets EOY$3,489,770TotalAssetsEOYAmt
Total Liabilities BOY$124,335TotalLiabilitiesBOYAmt
Total Liabilities EOY$105,547TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,419,181NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,384,223NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,977,897ExpenseAmt
Revenue$1,696,017RevenueAmt
DescPROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. A TOTAL OF 92 INDIVIDUALS WERE SERVED THROUGH HOME CARE SERVICES AND 24 THROUGH RESIDENCE SERVICES.Desc
Total Program Service Expenses$1,977,897TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee54EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRI JORDAN FINANCE MANAGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5855890809PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114080 ROUTE 31 WEST PO BOX 489AddressLine1Txt
CityALBIONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14411ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KELLIE SPYCHALSKI
CEO40.00Yes (X)$101,982$0$19,848
TERRI JORDAN
FINANCE MANAGER32.00Yes (X)$43,421$0$8,954
MAURA PIERCE
CHAIR1.00Yes (X)$0$0$0Yes (X)
DOUG MILLER
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
BEVERLY SASKOWSKI
TREASURER1.00Yes (X)$0$0$0Yes (X)
ANNETTE PEARL
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ADA GRABOWSKI
VICE SECRETARY1.00Yes (X)$0$0$0Yes (X)
DAVID MITCHELL
DIRECTOR1.00$0$0$0Yes (X)
DAVID SCHUBEL
DIRECTOR1.00$0$0$0Yes (X)
PATRICIA EICK
DIRECTOR1.00$0$0$0Yes (X)
MARY JANET SAHUKAR
DIRECTOR EMERITUS1.00$0$0$0Yes (X)
ROLAND HOWELL
DIRECTOR EMERITUS1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$145,403TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$28,802TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$7,532FederatedCampaignsAmt
Membership Dues$3,740MembershipDuesAmt
Government Grants$250,000GovernmentGrantsAmt
All Other Contributions$243,478AllOtherContributionsAmt
Total Contributions$504,750TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFEES FOR SERVICESDesc
Business621610BusinessCd
Total Revenue Column$1,696,017TotalRevenueColumnAmt
Related Or Exempt Func Income$1,696,017RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,696,017TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,655TotalRevenueColumnAmt
Exclusion$9,655ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$42,355FundraisingGrossIncomeAmt
Fundraising Direct Expenses$10,613FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,742TotalRevenueColumnAmt
Exclusion$31,742ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,242,164TotalRevenueColumnAmt
Related Or Exempt Func Income$1,696,017RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$41,397ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$144,803TotalAmt
Management And General$144,803ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,246,774TotalAmt
Program Services$1,141,093ProgramServicesAmt
Management And General$36,102ManagementAndGeneralAmt
Fundraising$69,579FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,662TotalAmt
Program Services$12,023ProgramServicesAmt
Management And General$1,906ManagementAndGeneralAmt
Fundraising$733FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$139,231TotalAmt
Program Services$114,169ProgramServicesAmt
Management And General$18,100ManagementAndGeneralAmt
Fundraising$6,962FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$96,368TotalAmt
Program Services$79,022ProgramServicesAmt
Management And General$12,528ManagementAndGeneralAmt
Fundraising$4,818FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,977TotalAmt
Management And General$21,977ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,720TotalAmt
Program Services$3,300ProgramServicesAmt
Management And General$19,420ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$46,882TotalAmt
Program Services$44,705ProgramServicesAmt
Management And General$2,177ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$41,163TotalAmt
Program Services$41,163ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,275TotalAmt
Program Services$17,956ProgramServicesAmt
Management And General$2,124ManagementAndGeneralAmt
Fundraising$195FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,532TotalAmt
Program Services$15,196ProgramServicesAmt
Management And General$2,409ManagementAndGeneralAmt
Fundraising$927FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,788TotalAmt
Program Services$16,752ProgramServicesAmt
Management And General$36ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,610TotalAmt
Program Services$10,952ProgramServicesAmt
Management And General$1,658ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$719TotalAmt
Program Services$38ProgramServicesAmt
Management And General$681ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$110,591TotalAmt
Program Services$90,685ProgramServicesAmt
Management And General$14,377ManagementAndGeneralAmt
Fundraising$5,529FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,942TotalAmt
Program Services$11,432ProgramServicesAmt
Management And General$1,812ManagementAndGeneralAmt
Fundraising$698FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
PATIENT EXPENSES$203,582$203,582
SUPPLIES - PROGRAM$102,500$102,155$345
SPECIFIC PURPOSE EXPENS$45,813$45,813
REPAIRS AND MAINTENANCE$20,897$16,643$4,254

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,919TotalAmt
Program Services$11,218ProgramServicesAmt
Management And General$5,269ManagementAndGeneralAmt
Fundraising$432FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,357,748TotalAmt
Program Services$1,977,897ProgramServicesAmt
Management And General$289,633ManagementAndGeneralAmt
Fundraising$90,218FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$135,030BOYAmt
EOY$171,018EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$82,963BOYAmt
EOY$43,142EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$229,812BOYAmt
EOY$108,973EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,868BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,300,567LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$999,823LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,323,051BOYAmt
EOY$2,300,744EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$770,792BOYAmt
EOY$865,893EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,543,516BOYAmt
EOY$3,489,770EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$124,335BOYAmt
EOY$105,547EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,335BOYAmt
EOY$105,547EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,380,462BOYAmt
EOY$3,356,530EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,719BOYAmt
EOY$27,693EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,419,181BOYAmt
EOY$3,384,223EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,543,516BOYAmt
EOY$3,489,770EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$115,584ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$80,626NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$236,779CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$213,065CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$155,866CurrentTaxYearMinus1YearAmt
Current Tax Year$504,750CurrentTaxYearAmt
Total$1,264,339TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$236,779CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$213,065CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$155,866CurrentTaxYearMinus1YearAmt
Current Tax Year$504,750CurrentTaxYearAmt
Total$1,264,339TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,264,339PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,277CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,974CurrentTaxYearMinus1YearAmt
Current Tax Year$9,655CurrentTaxYearAmt
Total$63,545TotalAmt
FieldValueIRS element (for citing)
Total Support$1,327,884TotalSupportAmt
Public Support CY1700.95210PublicSupportCY170Pct
Public Support PY1700.92640PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,193OtherCostOrOtherBasisAmt
Book Value$30,193BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,655,720OtherCostOrOtherBasisAmt
Depreciation$646,257DepreciationAmt
Book Value$2,009,463BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$400,355OtherCostOrOtherBasisAmt
Depreciation$183,014DepreciationAmt
Book Value$217,341BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$214,299OtherCostOrOtherBasisAmt
Depreciation$170,552DepreciationAmt
Book Value$43,747BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,300,744TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$2,333,403TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$80,626NetUnrealizedGainsInvstAmt
Other Revenue$10,613OtherRevenueAmt
Revenue Not Reported$91,239RevenueNotReportedAmt
Revenue Subtotal$2,242,164RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,242,164TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,368,361TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$10,613OtherExpensesIncludedAmt
Expenses Not Reported$10,613ExpensesNotReportedAmt
Expenses Subtotal$2,357,748ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,357,748TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 10,613.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 10,613.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BOUQUET SALEEvent1Nm
Gross Receipts Event1$19,960GrossReceiptsEvent1Amt
Gross Revenue Event1$19,960GrossRevenueEvent1Amt
Other Direct Expenses Event1$9,303OtherDirectExpensesEvent1Amt
Event2ANNUAL APPEALEvent2Nm
Gross Receipts Event2$10,460GrossReceiptsEvent2Amt
Gross Revenue Event2$10,460GrossRevenueEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$11,935GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$11,935GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$1,310OthDirectExpnssOtherEventsAmt
Gross Receipts Total$42,355GrossReceiptsTotalAmt
Gross Revenue Total Events$42,355GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$10,613OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,613DirectExpenseSummaryEventsAmt
Net Income Summary$31,742NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPICE HAS A BOARD OF DIRECTORS ETHICS POLICY WHICH STATES IT IS THE BOARD MEMBERS' RESPONSIBILITY TO DISCLOSE ALL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ALL COMPENSATION IS PAID ACCORDING TO A PAY SCALE BY POSITION AND RAISES ARE GRANTED BASED ON YEARS OF SERVICE. COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY BASED ON A PERFORMANCE REVIEW BY THE PERSONNEL COMMITTEE AND A DISCUSSION WITH THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FORM 990, ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE, AS LISTED ON PAGE 1 OF FORM 990.

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