LUMINA HOSPICE AND PALLIATIVE CARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LUMINA HOSPICE AND PALLIATIVE CARE (EIN 93-0742686)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349324077
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

FieldValueIRS element (for citing)
Return2021-11-15T14:40:03-08:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN813917978PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CAPSTONE CPAS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1698 NW York DriveAddressLine1Txt
CityBendCityNm
State AbbreviationORStateAbbreviationCd
ZIP97703ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930742686EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lumina Hospice and Palliative CareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUMIBusinessNameControlTxt
Phone5417579616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1740 SW 4th StAddressLine1Txt
CityCorvallisCityNm
State AbbreviationORStateAbbreviationCd
ZIP97333ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonElizabeth FrenchPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstElizabethPersonFirstNm
Person LastFrenchPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonZachary L HarmonPreparerPersonNm
PTINP01247333PTIN
Phone5413825099PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1740 SW 4th StAddressLine1Txt
CityCorvallisCityNm
State AbbreviationORStateAbbreviationCd
ZIP97333ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,359,788GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.luminahospice.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionSupport for the terminally ill.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee73TotalEmployeeCnt
Total Volunteers124TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$347,870PYContributionsGrantsAmt
CY Contributions Grants$1,507,868CYContributionsGrantsAmt
PY Program Service Revenue$5,114,358PYProgramServiceRevenueAmt
CY Program Service Revenue$5,296,318CYProgramServiceRevenueAmt
PY Investment Income$288,996PYInvestmentIncomeAmt
CY Investment Income$32,389CYInvestmentIncomeAmt
CY Other Revenue$523,213CYOtherRevenueAmt
PY Total Revenue$5,751,224PYTotalRevenueAmt
CY Total Revenue$7,359,788CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,013,299PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,488,651CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$181,260CYTotalFundraisingExpenseAmt
PY Other Expenses$1,811,322PYOtherExpensesAmt
CY Other Expenses$1,643,681CYOtherExpensesAmt
PY Total Expenses$5,824,621PYTotalExpensesAmt
CY Total Expenses$6,132,332CYTotalExpensesAmt
PY Revenues Less Expenses-$73,397PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,227,456CYRevenuesLessExpensesAmt
Total Assets BOY$6,764,212TotalAssetsBOYAmt
Total Assets EOY$7,355,638TotalAssetsEOYAmt
Total Liabilities BOY$1,843,310TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,070,890TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,920,902NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,284,748NetAssetsOrFundBalancesEOYAmt
MissionSupport for the terminally ill.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,141,933ExpenseAmt
DescHospice: Lumina Hospice and Palliative Care is an independent, non-profit community resource providing reposnsive care for local residents nearing the end of life. Founded as Benton Hospice Service in 1908, we are the reconized regional source for the coninuum of end-of-life services in the mid-Willamette Valley. We built our reputation on a commitment to promote dignity, respect choices, ease suffering and honor the grieving process. Our team-based approach includes physicians, nurses, social workers, chaplains, physical therapists, bereavement specialists and trained volunteers, enhancing our ability to provide repsonsive, personalized care to patients and their families. Medical equipment, supplies and medication related to the terminal illness are all covered within Hospice care. Hospice is for anyone with any life-limiting illness, including cancer, heart or lund disease, AIDS, Alzheimer's, and other end-stage diseases. Care is available for people of all ages, including infants and children, and for persons of any race or ethnicity. U.S. citizenship is not a requirement, nor is the ability to speak English. Medicare, Medicaid, and most private insurance covers the cost of hospice for patients. Inability to pay will never prevent a patient from receiving the best care. Donations help cover charity care as well as many auxiliary services not required by Medicare. Donor-supported programs include Charity Care, Transitions, Caregiver support, community grief support, we honor veterans, art and music treatments, volunteer servies, and care for patients' pets (food, vet treatment, finding a new home for a pet that has lost his owner, finding a temporary home for a pet when their owner needs to go to a facility for a short stay, gooming, and walking dogs.)Palliative care: Lumina offers two types of palliative care services described below. Palliative Care Case Management: Pallitative care case management focuses on improving the patient's quality of life and comfort when they face a serious illness or complicated medical decision. It is a medical program for individuals who are not under hospice care but are living with serious or chronic illness. Our interdisciplinary palliative care team works with the patient and their provider(s) to help relieve pain and ease other uncomfortable symptoms during the course of a patient's primary care, including curative care. Palliative Care Consults: Palliative Care Consults provide clinical guidance for patients to assist with sympton management and advnce care planning. Palliative care consults are provided by board certified palliative care physicians and nurse practitioners to patients in the comfort of their own reisdence.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$137,712ExpenseAmt
DescTransitions: Transitions is a non-medical program for individuals who are living with serious illness. We offer assistance navigating this difficult time, with companionship, compassion, and connection to community resources. The program is provided free of charge. It is funded through grants and donations, and a community of volunteers who help support the transitions program.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,279,645TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
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Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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More Than5000 K To OrgfalseMoreThan5000KToOrgInd
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Schedule J RequiredYes (true)ScheduleJRequiredInd
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PY Excess Benefit TransfalsePYExcessBenefitTransInd
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Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
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Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
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Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee73EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
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Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
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Election Of Board MembersfalseElectionOfBoardMembersInd
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Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJeana AndersonPersonNm
Phone5417579616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1740 SW 4th StAddressLine1Txt
CityCorvallisCityNm
State AbbreviationORStateAbbreviationCd
ZIP97330ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Daniel Harris
Medical Director20.000.00$152,214$0$0
Helen Siaolan Kao
Physician20.000.00$144,248$0$0
Elizabeth French
Executive Director40.000.00$142,896$0$0
Maureen Schwallie
Clinical Manager40.000.00$119,907$0$0
Stacy Cole
Clincal Manager40.000.00$116,998$0$0
Tracy Calhoun
RN40.000.00$111,148$0$0
Joan Hayes
Director2.000.00$0$0$0Yes (X)
Ilene Kleinsorge
Treasurer2.000.00$0$0$0Yes (X)Yes (X)
Tamara Scoville
Vice Chair2.000.00$0$0$0Yes (X)Yes (X)
David Grube
Director2.000.00$0$0$0Yes (X)
Marnie Noble
Director2.000.00$0$0$0Yes (X)
Jill McAllister
Secretary2.000.00$0$0$0Yes (X)Yes (X)
Kathleen Petrucela
Director2.000.00$0$0$0Yes (X)
Kay Schaffer
Director2.000.00$0$0$0Yes (X)
Seth Bernstein
Chair2.000.00$0$0$0Yes (X)Yes (X)
Jill Schuster
Director2.000.00$0$0$0Yes (X)
Anne DeLander
Director2.000.00$0$0$0Yes (X)
Greg Bachman
Director2.000.00$0$0$0Yes (X)
David Cutsfoth
Director2.000.00$0$0$0Yes (X)
Barbara Trione
Director2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$787,411TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$961,093GovernmentGrantsAmt
All Other Contributions$546,775AllOtherContributionsAmt
Total Contributions$1,507,868TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Services IncomeDesc
Business624100BusinessCd
Total Revenue Column$5,296,318TotalRevenueColumnAmt
Related Or Exempt Func Income$5,296,318RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,296,318TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,389TotalRevenueColumnAmt
Related Or Exempt Func Income$32,389RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Gain on Sale of Asset$517,028$517,028
Miscellaneous$6,185$6,185
FieldValueIRS element (for citing)
Other Revenue Total$523,213OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,359,788TotalRevenueColumnAmt
Related Or Exempt Func Income$5,851,920RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$152,214TotalAmt
Program Services$152,214ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,563,905TotalAmt
Program Services$3,313,816ProgramServicesAmt
Management And General$156,466ManagementAndGeneralAmt
Fundraising$93,623FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$140,716TotalAmt
Program Services$122,423ProgramServicesAmt
Management And General$15,479ManagementAndGeneralAmt
Fundraising$2,814FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$333,060TotalAmt
Program Services$256,977ProgramServicesAmt
Management And General$62,546ManagementAndGeneralAmt
Fundraising$13,537FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$298,756TotalAmt
Program Services$259,918ProgramServicesAmt
Management And General$32,863ManagementAndGeneralAmt
Fundraising$5,975FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$89,042TotalAmt
Program Services$3,470ProgramServicesAmt
Management And General$77,242ManagementAndGeneralAmt
Fundraising$8,330FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$274,608TotalAmt
Program Services$197,475ProgramServicesAmt
Management And General$64,001ManagementAndGeneralAmt
Fundraising$13,132FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$66,015TotalAmt
Program Services$63,481ProgramServicesAmt
Management And General$2,534ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$136,345TotalAmt
Program Services$50,036ProgramServicesAmt
Management And General$84,537ManagementAndGeneralAmt
Fundraising$1,772FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136,896TotalAmt
Program Services$135,350ProgramServicesAmt
Management And General$1,546ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,489TotalAmt
Program Services$16,241ProgramServicesAmt
Management And General$6,215ManagementAndGeneralAmt
Fundraising$33FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$140,779TotalAmt
Program Services$44,778ProgramServicesAmt
Management And General$94,408ManagementAndGeneralAmt
Fundraising$1,593FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,305TotalAmt
Program Services$9,840ProgramServicesAmt
Management And General$15,117ManagementAndGeneralAmt
Fundraising$348FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Pharmaceuticals$217,361$217,361
Equipment Rent$149,908$149,132$610$166
Professional Services$108,827$64,188$15,581$29,058
Medical Supplies$101,610$101,610

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$174,496TotalAmt
Program Services$121,335ProgramServicesAmt
Management And General$42,282ManagementAndGeneralAmt
Fundraising$10,879FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,132,332TotalAmt
Program Services$5,279,645ProgramServicesAmt
Management And General$671,427ManagementAndGeneralAmt
Fundraising$181,260FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$320,139BOYAmt
EOY$647,246EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$50,822BOYAmt
EOY$39,646EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$80,628BOYAmt
EOY$41,451EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$512,623BOYAmt
EOY$590,444EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$283BOYAmt
EOY$887EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,356,673LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$581,258LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,333,899BOYAmt
EOY$3,775,415EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,402,256BOYAmt
EOY$2,196,989EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$63,562BOYAmt
EOY$63,560EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,764,212BOYAmt
EOY$7,355,638EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$380,164BOYAmt
EOY$651,316EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,463,146BOYAmt
EOY$419,574EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,843,310BOYAmt
EOY$1,070,890EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,920,902BOYAmt
EOY$6,284,748EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,920,902BOYAmt
EOY$6,284,748EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,764,212BOYAmt
EOY$7,355,638EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,227,456ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$136,390NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$343,443CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$349,784CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$263,043CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$347,870CurrentTaxYearMinus1YearAmt
Current Tax Year$1,507,868CurrentTaxYearAmt
Total$2,812,008TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,706,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,629,639CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,018,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,144,358CurrentTaxYearMinus1YearAmt
Current Tax Year$5,296,318CurrentTaxYearAmt
Total$24,795,961TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$53,461CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,912CurrentTaxYearMinus1YearAmt
Current Tax Year$523,213CurrentTaxYearAmt
Total$663,547TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,050,412CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,032,884CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,313,681CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,547,140CurrentTaxYearMinus1YearAmt
Current Tax Year$7,327,399CurrentTaxYearAmt
Total$28,271,516TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,973CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,120CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,770CurrentTaxYearMinus2YearsAmt
Total$26,863TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,463CurrentTaxYearMinus3YearsAmt
Total$335,582TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$289,092CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,770CurrentTaxYearMinus2YearsAmt
Total$362,445TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$27,909,071PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,403CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,772CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$248,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$234,084CurrentTaxYearMinus1YearAmt
Current Tax Year$32,389CurrentTaxYearAmt
Total$735,881TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,403CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,772CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$248,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$234,084CurrentTaxYearMinus1YearAmt
Current Tax Year$32,389CurrentTaxYearAmt
Total$735,881TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,165,815CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,138,656CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,561,914CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,781,224CurrentTaxYearMinus1YearAmt
Current Tax Year$7,359,788CurrentTaxYearAmt
Total$29,007,397TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96210PublicSupportCY509Pct
Public Support PY5090.95080PublicSupportPY509Pct
Investment Income CY0.02540InvestmentIncomeCYPct
Investment Income PY0.03120InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$344,004OtherCostOrOtherBasisAmt
Book Value$344,004BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,248,169OtherCostOrOtherBasisAmt
Depreciation$104,096DepreciationAmt
Book Value$3,144,073BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$369,833OtherCostOrOtherBasisAmt
Depreciation$305,648DepreciationAmt
Book Value$64,185BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$394,667OtherCostOrOtherBasisAmt
Depreciation$171,514DepreciationAmt
Book Value$223,153BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,775,415TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDaniel HarrisPersonNm
TitleMedical DirectorTitleTxt
Base Compensation Filing Org$152,214BaseCompensationFilingOrgAmt
Total Compensation Filing Org$152,214TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 is reviewed by the executive director and controller prior to its filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBoard members and the executive director are required to annually disclose in a signed document a conflict of interest statement. Potential conflicts are brought to the attention of the chair who in turn informs the baord.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBoard committee meets with the leadership team for review. Any increase depends on the performance of the agency.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.

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