FAIRFIELD COUNTY HOSPICE HOUSE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: FAIRFIELD COUNTY HOSPICE HOUSE INC (EIN 45-4166197)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202133199349310508
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T11:55:35-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	061253566	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WALTER J MCKEEVER & COMPANY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5147 15 VALLEY DRIVE	AddressLine1Txt
City	GREENWICH	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06831	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	454166197	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FAIRFIELD COUNTY HOSPICE HOUSE INC	BusinessNameLine1Txt
Business Name Line2	D/B/A FAIRFIELD COUNTY HOUSE	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	FAIR	BusinessNameControlTxt
Phone	2039216405	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE DEN ROAD	AddressLine1Txt
City	STAMFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06902	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT J GRANATA	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	2039216405	PhoneNum
Signature	2021-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ROBERT	PersonFirstNm
Person Last	GRANATA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DENISE C DORIA	PreparerPersonNm
PTIN	P01283182	PTIN
Phone	2036228625	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	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	LARRY WEISMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE DEN ROAD	AddressLine1Txt
City	STAMFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06902	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$783,298	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FAIRFIELDCOUNTYHOUSE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE A WARM AND WELCOMING RESIDENCE FOR PEOPLE AT THE END OF LIFE WHICH PROVIDES PROFESSIONAL AND COMPASSIONATE CARE IN A PLACE TO SPEND MEANINGFUL TIME WITH LOVED ONES.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	26	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$235,893	PYContributionsGrantsAmt
CY Contributions Grants	$242,480	CYContributionsGrantsAmt
PY Program Service Revenue	$521,154	PYProgramServiceRevenueAmt
CY Program Service Revenue	$523,841	CYProgramServiceRevenueAmt
PY Investment Income	$7	PYInvestmentIncomeAmt
CY Investment Income	$950	CYInvestmentIncomeAmt
PY Other Revenue	-$17,746	PYOtherRevenueAmt
CY Other Revenue	-$5,329	CYOtherRevenueAmt
PY Total Revenue	$739,308	PYTotalRevenueAmt
CY Total Revenue	$761,942	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	$699,182	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$708,622	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$32,128	CYTotalFundraisingExpenseAmt
PY Other Expenses	$266,919	PYOtherExpensesAmt
CY Other Expenses	$243,777	CYOtherExpensesAmt
PY Total Expenses	$966,101	PYTotalExpensesAmt
CY Total Expenses	$952,399	CYTotalExpensesAmt
PY Revenues Less Expenses	-$226,793	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$190,457	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,953,908	TotalAssetsBOYAmt
Total Assets EOY	$2,895,277	TotalAssetsEOYAmt
Total Liabilities BOY	$103,642	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$235,468	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,850,266	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,659,809	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE A WARM AND WELCOMING RESIDENCE FOR PEOPLE AT THE END OF LIFE WHICH PROVIDES PROFESSIONAL AND COMPASSIONATE CARE IN A PLACE TO SPEND MEANINGFUL TIME WITH LOVED ONES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$781,462	ExpenseAmt
Revenue	$523,841	RevenueAmt
Desc	CONSTRUCTION OF THE HOUSE BEGAN IN 2015 AND WAS COMPLETED IN 2017. THE FACILITY OPENED TO THE PUBLIC IN JANUARY 2018. PROVIDING A WARM AND WELCOMING RESIDENCE FOR PEOPLE AT THE END OF LIFE WHICH PROVIDES PROFESSIONAL AND COMPASSIONATE CARE IN A PLACE TO SPEND MEANINGFUL TIME WITH LOVED ONES.	Desc
Total Program Service Expenses	$781,462	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	Yes (1)	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	Yes (1)	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	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	26	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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WALTER J MCKEEVER & CO LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2036228625	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 VALLEY DRIVE	AddressLine1Txt
City	GREENWICH	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06831	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
LARRY WEISMAN
CHAIRMAN	0.25	Yes (X)	Yes (X)	$0	$0	$0
ROBERT J GRANATA
TREASURER	0.25	Yes (X)	Yes (X)	$0	$0	$0
THERESA CARLUCCI-TYSKA
SECRETARY	0.25	Yes (X)	Yes (X)	$0	$0	$0
SHARON BRADLEY
DIRECTOR	0.25	Yes (X)		$0	$0	$0
CHRISTOPHER M FARRUGIO
DIRECTOR	0.25	Yes (X)		$0	$0	$0
MICHAEL LAMAGNA
DIRECTOR	0.25	Yes (X)		$0	$0	$0
KEN BERNHARD
DIRECTOR	0.25	Yes (X)		$0	$0	$0
NICOLE ENSLEIN
DIRECTOR	0.25	Yes (X)		$0	$0	$0
LYNDA TUCKER
DIRECTOR	0.25	Yes (X)		$0	$0	$0
STEPHEN CORMAN
DIRECTOR	0.25	Yes (X)		$0	$0	$0
BRUCE MOORE JR
DIRECTOR	0.25	Yes (X)		$0	$0	$0
DONNA E COLETTI
DIRECTOR	0.25	Yes (X)		$0	$0	$0
JULIA PORTALE EX-OFFICIO
INTERIM EXEC DIRECTOR	25.00	Yes (X)		$31,077	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$31,077	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	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
Fundraising	$70,365	FundraisingAmt
All Other Contributions	$172,115	AllOtherContributionsAmt
Noncash Contributions	$12,723	NoncashContributionsAmt
Total Contributions	$242,480	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	RESIDENCE FEES	Desc
Business	900099	BusinessCd
Total Revenue Column	$523,841	TotalRevenueColumnAmt
Related Or Exempt Func Income	$523,841	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$523,841	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50	TotalRevenueColumnAmt
Exclusion	$50	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,324	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$10,424	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$900	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900	TotalRevenueColumnAmt
Exclusion	$900	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$5,603	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$70,365	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$10,932	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,329	TotalRevenueColumnAmt
Exclusion	-$5,329	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$761,942	TotalRevenueColumnAmt
Related Or Exempt Func Income	$523,841	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$4,379	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$93,463	TotalAmt
Program Services	$70,097	ProgramServicesAmt
Management And General	$14,020	ManagementAndGeneralAmt
Fundraising	$9,346	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$509,291	TotalAmt
Program Services	$447,941	ProgramServicesAmt
Management And General	$61,350	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$54,793	TotalAmt
Program Services	$47,418	ProgramServicesAmt
Management And General	$6,777	ManagementAndGeneralAmt
Fundraising	$598	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$51,075	TotalAmt
Program Services	$44,201	ProgramServicesAmt
Management And General	$6,317	ManagementAndGeneralAmt
Fundraising	$557	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,755	TotalAmt
Program Services	$10,061	ProgramServicesAmt
Management And General	$4,654	ManagementAndGeneralAmt
Fundraising	$12,040	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,655	TotalAmt
Program Services	$2,343	ProgramServicesAmt
Management And General	$2,343	ManagementAndGeneralAmt
Fundraising	$4,969	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,505	TotalAmt
Program Services	$502	ProgramServicesAmt
Management And General	$501	ManagementAndGeneralAmt
Fundraising	$502	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,327	TotalAmt
Program Services	$12,261	ProgramServicesAmt
Management And General	$3,058	ManagementAndGeneralAmt
Fundraising	$8	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$238	TotalAmt
Program Services	$214	ProgramServicesAmt
Fundraising	$24	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$102,995	TotalAmt
Program Services	$80,468	ProgramServicesAmt
Management And General	$20,301	ManagementAndGeneralAmt
Fundraising	$2,226	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$27,138	TotalAmt
Program Services	$16,309	ProgramServicesAmt
Management And General	$10,719	ManagementAndGeneralAmt
Fundraising	$110	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
UTILITIES	$27,145	$21,716	$5,429
SUPPLIES & FOOD - RESID	$14,308	$14,308
SUPPLIES - OFFICE & HOU	$11,617	$9,293	$1,162	$1,162
TELEPHONE	$5,298	$3,432	$1,280	$586

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,796	TotalAmt
Program Services	$898	ProgramServicesAmt
Management And General	$898	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$952,399	TotalAmt
Program Services	$781,462	ProgramServicesAmt
Management And General	$138,809	ManagementAndGeneralAmt
Fundraising	$32,128	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$244,385	BOYAmt
EOY	$290,247	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,171	BOYAmt
EOY	$1,557	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,907,932	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$308,959	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,700,852	BOYAmt
EOY	$2,598,973	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,500	BOYAmt
EOY	$4,500	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,953,908	BOYAmt
EOY	$2,895,277	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$100,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,642	BOYAmt
EOY	$135,468	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,642	BOYAmt
EOY	$235,468	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	$2,823,665	BOYAmt
EOY	$2,646,935	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,601	BOYAmt
EOY	$12,874	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,850,266	BOYAmt
EOY	$2,659,809	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,953,908	BOYAmt
EOY	$2,895,277	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$190,457	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
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	0	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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	$333,440	OtherCostOrOtherBasisAmt
Book Value	$333,440	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,485,449	OtherCostOrOtherBasisAmt
Depreciation	$269,423	DepreciationAmt
Book Value	$2,216,026	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,845	OtherCostOrOtherBasisAmt
Depreciation	$4,910	DepreciationAmt
Book Value	$1,935	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,198	OtherCostOrOtherBasisAmt
Depreciation	$34,626	DepreciationAmt
Book Value	$47,572	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,598,973	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CREDIT CARD PAYABLE	$752
EMPLOYEE RETIREMENT CONTRIBUTIONS PAYABLE	$2,816
SBA PPP LOAN PAYABLE	$131,900

Field	Value	IRS element (for citing)
Total Liability	$135,468	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$778,130	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$16,188	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$16,188	RevenueNotReportedAmt
Revenue Subtotal	$761,942	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$761,942	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$968,587	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$16,188	DonatedServicesUseFcltsAmt
Expenses Not Reported	$16,188	ExpensesNotReportedAmt
Expenses Subtotal	$952,399	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$952,399	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS IN THE FINANCIAL STATEMENTS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF 12/31/20, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$58,460	GrossReceiptsEvent1Amt
Charitable Contri Event1	$52,857	CharitableContriEvent1Amt
Gross Revenue Event1	$5,603	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$30	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$5,603	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$40	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$1,716	OtherDirectExpensesEvent1Amt
Event2	FLIGHT OF LIFE	Event2Nm
Gross Receipts Event2	$15,768	GrossReceiptsEvent2Amt
Charitable Contri Event2	$15,768	CharitableContriEvent2Amt
Rent Facility Costs Event2	$196	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$2,580	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$1,740	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,740	CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events	$407	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$75,968	GrossReceiptsTotalAmt
Charitable Contributions Tot	$70,365	CharitableContributionsTotAmt
Gross Revenue Total Events	$5,603	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$30	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$5,799	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$40	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$4,703	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$10,572	DirectExpenseSummaryEventsAmt
Net Income Summary	-$4,969	NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	STEPHEN CORMAN	PersonNm
Loan Purpose	WORKING CAPITAL	LoanPurposeTxt
Loan To Organization	Yes (X)	LoanToOrganizationInd
Original Principal	$100,000	OriginalPrincipalAmt
Balance Due	$100,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$100,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	A DRAFT COPY OF THE 990 IS REVIEWED IN DETAIL BY THE TREASURER BEFORE FILING. THE TREASURER REPORTS THE RESULTS TO THE BOARD AND A COPY IS AVAILABLE TO ALL BOARD MEMBERS EITHER BY PAPER OR ELECTRONICALLY.
FORM 990, PART VI, SECTION B, LINE 12C	UPON JOINING THE BOARD, EVERY BOARD MEMBER IS EDUCATED ABOUT THE CONFLICT OF INTEREST POLICY AND IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. BOARD MEMBERS UPDATE THESE FORMS AS NECESSARY. ANNUALLY THE BOARD MEMBERS ARE REMINDED OF THE IMPORTANCE OF THE POLICY AND ITS PURPOSE.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD IN CONJUNCTION WITH THE ORGANIZATION'S BUDGET IN COMPARISION TO REASONABLENESS FOR THE DUTIES AND THE REPSONSIBILITIES. THE PROCESS IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:	THE TREASURER COORDINATES THE SELECTION OF THE AUDITOR AND SIGNS THE ENGAGEMENT LETTER UPON APPROVAL BY THE BOARD OF DIRECTORS. OVERSIGHT OF THE AUDIT IS PROVIDED PRIMARILY BY THE TREASURER IN CONJUNCTION WITH THE ORGANIZATION'S BOOKKEEPER/ACCOUNTANT. THE TREASURER PERFORMS THE DETAIL REVIEW OF THE DRAFT OF THE AUDITED FINANCIAL STATEMENTS. UPON THE TREASURER'S APPROVAL, THE DRAFT IS CIRCULATED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL.