PINE RIVER GROUP HOME INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PINE RIVER GROUP HOME INC (EIN 41-1305200)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-22
- IRS object ID
- 202132959349301428
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-22T14:28:33-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 818 SECOND STREET SOUTH SUITE 320 | AddressLine1Txt |
| City | WAITE PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56387 | 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 | 411305200 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINE RIVER GROUP HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PINE | BusinessNameControlTxt |
| Phone | 2185874888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 96 | AddressLine1Txt |
| City | PINE RIVER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56474 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL FRANK | PersonNm |
| Person Title | BOARD CHAIRPERSON | PersonTitleTxt |
| Phone | 2185874888 | PhoneNum |
| Signature | 2021-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DANIEL | PersonFirstNm |
| Person Last | FRANK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JASON R NEUMANN CPA | PreparerPersonNm |
| PTIN | P01690179 | PTIN |
| Phone | 3202035500 | PhoneNum |
| Preparation | 2021-08-25 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL FRANK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 96 | AddressLine1Txt |
| City | PINE RIVER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56474 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,408,969 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | SUPPORTING PERSONS WITH DISABILITIES THROUGH A PERSON CENTERED APPROACH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 93 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $59,753 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,970,404 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,278,502 | CYProgramServiceRevenueAmt |
| PY Investment Income | $119,824 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,029 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $3,713 | CYOtherRevenueAmt |
| PY Total Revenue | $3,090,775 | PYTotalRevenueAmt |
| CY Total Revenue | $3,358,997 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,159,867 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,308,527 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $529,339 | PYOtherExpensesAmt |
| CY Other Expenses | $583,844 | CYOtherExpensesAmt |
| PY Total Expenses | $2,689,206 | PYTotalExpensesAmt |
| CY Total Expenses | $2,892,371 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $401,569 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $466,626 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,725,796 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,395,305 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $92,852 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $286,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,632,944 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,108,409 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SUPPORTING PERSONS WITH DISABILITIES THROUGH A PERSON CENTERED APPROACH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $2,419,784 | ExpenseAmt |
| Revenue | $3,282,215 | RevenueAmt |
| Desc | PINE RIVER GROUP HOME, INC. CURRENTLY SUPPORTS 26 PERSONS WITH DEVELOPMENTAL AND OTHER DISABILITIES IN FIVE RESIDENTIAL HOMES AND FOUR APARTMENTS AND 20-25 INDIVIDUALS IN THE OWN HOMES IN THE PINE RIVER AREA. | Desc |
| Total Program Service Expenses | $2,419,784 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 93 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIE GUIDA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2185874888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 96 | AddressLine1Txt |
| City | PINE RIVER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56474 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| CARRIE GUIDA | ||||||
| EXECUTIVE DIRECTOR | 46.80 | Yes (X) | $85,264 | $0 | $2,436 | |
| BRUCE WINDER | ||||||
| CHAIRPERSON | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| FRED FEY | ||||||
| VICE CHAIRPERSON | 0.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAN RILEY | ||||||
| TREASURER | 0.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PENNY OLSON | ||||||
| SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CRAIG ANDERSON | ||||||
| DIRECTOR | 0.30 | $0 | $0 | $0 | Yes (X) | |
| DAN FRANK | ||||||
| DIRECTOR | 0.30 | $0 | $0 | $0 | Yes (X) | |
| BUTCH LUND | ||||||
| DIRECTOR | 0.30 | $0 | $0 | $0 | Yes (X) | |
| DON PEDERSON | ||||||
| DIRECTOR | 0.30 | $0 | $0 | $0 | Yes (X) | |
| BEVERLY WIGNES | ||||||
| DIRECTOR | 0.30 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $85,264 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,436 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $59,408 | GovernmentGrantsAmt |
| All Other Contributions | $345 | AllOtherContributionsAmt |
| Total Contributions | $59,753 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENTS | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $3,278,502 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,278,502 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,278,502 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,562 | TotalRevenueColumnAmt |
| Exclusion | $13,562 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,139 | SecuritiesAmt |
| Other | $300 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39,965 | SecuritiesAmt |
| Other | $10,007 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,174 | SecuritiesAmt |
| Other | -$9,707 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,467 | TotalRevenueColumnAmt |
| Exclusion | $3,467 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,713 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,713 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,713 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,358,997 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,282,215 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,029 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,700 | TotalAmt |
| Management And General | $87,700 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,032,358 | TotalAmt |
| Program Services | $1,967,188 | ProgramServicesAmt |
| Management And General | $65,170 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,152 | TotalAmt |
| Program Services | $29,152 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,317 | TotalAmt |
| Program Services | $127,781 | ProgramServicesAmt |
| Management And General | $31,536 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200 | TotalAmt |
| Management And General | $200 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,946 | TotalAmt |
| Management And General | $9,946 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,294 | TotalAmt |
| Program Services | $8,710 | ProgramServicesAmt |
| Management And General | $584 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,806 | TotalAmt |
| Management And General | $1,806 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,330 | TotalAmt |
| Management And General | $39,330 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,211 | TotalAmt |
| Program Services | $37,327 | ProgramServicesAmt |
| Management And General | $2,884 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,954 | TotalAmt |
| Program Services | $17,954 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,019 | TotalAmt |
| Program Services | $46,817 | ProgramServicesAmt |
| Management And General | $5,202 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,071 | TotalAmt |
| Program Services | $39,236 | ProgramServicesAmt |
| Management And General | $87,835 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| AFFORDABLE CARE ACT PEN | $86,502 | $86,502 | |
| REPAIRS AND MAINTENANCE | $80,702 | $24,763 | $55,939 |
| FOOD | $78,405 | $78,405 | |
| RESIDENT PROGRAMS | $11,275 | $11,275 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,129 | TotalAmt |
| Management And General | $29,129 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,892,371 | TotalAmt |
| Program Services | $2,419,784 | ProgramServicesAmt |
| Management And General | $472,587 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,660 | BOYAmt |
| EOY | $799,809 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,163 | BOYAmt |
| EOY | $750,424 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,351 | BOYAmt |
| EOY | $260,757 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,835 | BOYAmt |
| EOY | $15,979 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,664,465 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $774,851 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $901,494 | BOYAmt |
| EOY | $889,614 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $647,879 | BOYAmt |
| EOY | $678,722 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,725,796 | BOYAmt |
| EOY | $3,395,305 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,345 | BOYAmt |
| EOY | $161,994 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $38,400 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,507 | BOYAmt |
| EOY | $86,502 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,852 | BOYAmt |
| EOY | $286,896 | 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 | $2,632,944 | BOYAmt |
| EOY | $3,108,409 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,632,944 | BOYAmt |
| EOY | $3,108,409 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,725,796 | BOYAmt |
| EOY | $3,395,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $466,626 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,605 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$2,766 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $576 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $710 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $547 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,753 | CurrentTaxYearAmt |
| Total | $61,586 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,911,761 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,829,084 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,830,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,970,404 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,278,502 | CurrentTaxYearAmt |
| Total | $14,820,587 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,911,761 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,829,660 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,831,546 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,970,951 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,338,255 | CurrentTaxYearAmt |
| Total | $14,882,173 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $14,882,173 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,025 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,629 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,481 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,562 | CurrentTaxYearAmt |
| Total | $61,877 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,025 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,629 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,481 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,562 | CurrentTaxYearAmt |
| Total | $61,877 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,409 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$5,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,333 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,180 | CurrentTaxYearAmt |
| Total | $63,894 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,930,195 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,864,536 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,838,451 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,015,765 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,358,997 | CurrentTaxYearAmt |
| Total | $15,007,944 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99160 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99230 | PublicSupportPY509Pct |
| Investment Income CY | 0.00410 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $33,685 | OtherCostOrOtherBasisAmt |
| Book Value | $33,685 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,341,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $563,722 | DepreciationAmt |
| Book Value | $778,200 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,736 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,345 | DepreciationAmt |
| Book Value | $12,391 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $235,122 | OtherCostOrOtherBasisAmt |
| Depreciation | $169,784 | DepreciationAmt |
| Book Value | $65,338 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $889,614 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED ACA PENALTY | Desc |
| Amt | $86,502 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $86,502 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,367,836 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $11,605 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $11,605 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,356,231 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $2,766 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $2,766 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,358,997 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,892,371 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,892,371 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,892,371 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX CODES, AND THERFORE, THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION BY THE CONTRIBUTOR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | WE PAUSED SOME NONESSENTIAL SERVICES, IN OUR HOME AND COMMUNITY BASED SERVICES, DURING COVID, DUE TO GOVERNMENT CLOSURES OR MANDATES. SERVICES FOR ACTIVITIES SUCH AS SOCIALIZATION OR COMMUNITY INTEGRATION WERE SUSPENDED. THESE ARE SERVICES WHICH HAPPEN WITH CLIENTS WHO DO NOT LIVE IN OUR GROUP HOMES, BUT IN PRIVATE HOMES IN THE COMMUNITY. THERE WERE MANY PAUSES IN SERVICES DUE TO ISOLATION OR QUARANTINE ORDERS AS WELL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE AUDIT FIRM PROVIDES A DRAFT RETURN FOR THE BOARD TO REVIEW. IT IS APPROVED AND SIGNED AT A BOARD MEETING AND SUBMITTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNNUAL WRITTEN CONFLICT OF INTEREST (COI) FORMS ARE SUBMITTED AND REVIEWED. PERSONS WITH KNOWN OR DOCUMENTED COI ARE EXCUSED FROM OR ABSTAIN FROM DECISIONS OR ACTIONS PERTAINING TO THAT COI. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY THE BOARD IN A MEETING WITHOUT THE ED PRESENT. THIS PROECESS IS DOCUMENTED IN THE BOARD MINUTES. THIS WAS RECENTLY COMPLETED IN 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
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