KIDS IN NEED OF DENTISTRY: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- KIDS IN NEED OF DENTISTRY (EIN 84-6038681)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202023219349309342
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T12:23:15-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203746583 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR ROTH AND COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GRANT ST STE 205 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802032944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 846038681 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIDS IN NEED OF DENTISTRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KIDS | BusinessNameControlTxt |
| Phone | 3037333710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2465 S DOWNING ST STE 210 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLIE BURBEE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3037333710 | PhoneNum |
| Signature | 2020-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEN ROTH | PreparerPersonNm |
| PTIN | P01389203 | PTIN |
| Phone | 3038308109 | PhoneNum |
| Preparation | 2020-11-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELLIE BURBEE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2465 S DOWNING | AddressLine1Txt |
| Address Line2 | SUITE 210 | AddressLine2Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,307,015 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KINDSMILES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 24 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $368,965 | PYContributionsGrantsAmt |
| CY Contributions Grants | $400,415 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $687,397 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $651,933 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,775 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,775 | CYInvestmentIncomeAmt |
| PY Other Revenue | $107,466 | PYOtherRevenueAmt |
| CY Other Revenue | $153,332 | CYOtherRevenueAmt |
| PY Total Revenue | $1,166,603 | PYTotalRevenueAmt |
| CY Total Revenue | $1,208,455 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $854,855 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $862,706 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $130,409 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $273,916 | PYOtherExpensesAmt |
| CY Other Expenses | $331,305 | CYOtherExpensesAmt |
| PY Total Expenses | $1,128,771 | PYTotalExpensesAmt |
| CY Total Expenses | $1,194,011 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $37,832 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,444 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $725,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $739,872 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $90,511 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,588 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $634,840 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $649,284 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $920,624 | ExpenseAmt |
| Revenue | $651,933 | RevenueAmt |
| Desc | KIND PROVIDES PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES. DONATED DENTAL SERVICES, SUPPLIES AND FACILITIES USED IN THE PROGRAM IN 2019 TOTALED 283,372. | Desc |
| Total Program Service Expenses | $920,624 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 24 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLIE BURBEE | PersonNm |
| Phone | 3037333710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2465 S DOWNING STREET SUITE 210 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| ELLIE BURBEE | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $107,655 | $0 | $0 | |
| JOSH AUSTIN | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KERRIE BUNCE | ||||||
| IMMEDIATE PA | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ELLIOTT CARSON | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MARK COLLIER | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR JIM BIENEMAN DDS | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DR ELIZABETH CRESPI DMD | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| CLARISA HERNANDEZ | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| PAUL JEREZ | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PAM SLETTEN | ||||||
| MEMBER | $0 | $0 | $0 | Yes (X) | ||
| STEPHEN STRECKER | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MARY ANN WAUGH | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $107,655 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $400,415 | AllOtherContributionsAmt |
| Noncash Contributions | $28,946 | NoncashContributionsAmt |
| Total Contributions | $400,415 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $651,933 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $651,933 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $651,933 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,775 | TotalRevenueColumnAmt |
| Exclusion | $2,775 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $248,230 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $98,560 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $149,670 | TotalRevenueColumnAmt |
| Exclusion | $149,670 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,662 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,662 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,662 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,208,455 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $655,595 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $152,445 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,655 | TotalAmt |
| Program Services | $89,353 | ProgramServicesAmt |
| Management And General | $7,536 | ManagementAndGeneralAmt |
| Fundraising | $10,766 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $654,380 | TotalAmt |
| Program Services | $541,814 | ProgramServicesAmt |
| Management And General | $47,688 | ManagementAndGeneralAmt |
| Fundraising | $64,878 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,149 | TotalAmt |
| Program Services | $36,485 | ProgramServicesAmt |
| Management And General | $2,426 | ManagementAndGeneralAmt |
| Fundraising | $5,238 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,522 | TotalAmt |
| Program Services | $46,914 | ProgramServicesAmt |
| Management And General | $3,391 | ManagementAndGeneralAmt |
| Fundraising | $6,217 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,953 | TotalAmt |
| Program Services | $24,096 | ProgramServicesAmt |
| Management And General | $12,991 | ManagementAndGeneralAmt |
| Fundraising | $1,866 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,689 | TotalAmt |
| Program Services | $37,559 | ProgramServicesAmt |
| Management And General | $1,085 | ManagementAndGeneralAmt |
| Fundraising | $29,045 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,901 | TotalAmt |
| Program Services | $956 | ProgramServicesAmt |
| Management And General | $514 | ManagementAndGeneralAmt |
| Fundraising | $1,431 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,612 | TotalAmt |
| Program Services | $25,175 | ProgramServicesAmt |
| Management And General | $8,947 | ManagementAndGeneralAmt |
| Fundraising | $2,490 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,052 | TotalAmt |
| Program Services | $3,149 | ProgramServicesAmt |
| Management And General | $608 | ManagementAndGeneralAmt |
| Fundraising | $295 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,519 | TotalAmt |
| Program Services | $24,081 | ProgramServicesAmt |
| Management And General | $7,935 | ManagementAndGeneralAmt |
| Fundraising | $1,503 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,218 | TotalAmt |
| Program Services | $3,264 | ProgramServicesAmt |
| Management And General | $2,458 | ManagementAndGeneralAmt |
| Fundraising | $2,496 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,818 | TotalAmt |
| Program Services | $3,129 | ProgramServicesAmt |
| Management And General | $1,093 | ManagementAndGeneralAmt |
| Fundraising | $2,596 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679 | TotalAmt |
| Program Services | $10 | ProgramServicesAmt |
| Management And General | $669 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,004 | TotalAmt |
| Management And General | $31,004 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,070 | TotalAmt |
| Program Services | $10,400 | ProgramServicesAmt |
| Management And General | $5,550 | ManagementAndGeneralAmt |
| Fundraising | $120 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM & OFFICE SUPPLIES | $68,179 | $63,140 | $4,689 | $350 |
| STAFF DEVELOPMENT | $6,670 | $3,780 | $2,406 | $484 |
| PATIENT LAB BILLS | $4,116 | $3,753 | $363 | |
| OTHER EXPENSES | $3,102 | $1,683 | $962 | $457 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,723 | TotalAmt |
| Program Services | $1,883 | ProgramServicesAmt |
| Management And General | $663 | ManagementAndGeneralAmt |
| Fundraising | $177 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,011 | TotalAmt |
| Program Services | $920,624 | ProgramServicesAmt |
| Management And General | $142,978 | ManagementAndGeneralAmt |
| Fundraising | $130,409 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,447 | BOYAmt |
| EOY | $124,580 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,976 | BOYAmt |
| EOY | $250,819 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $95,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,939 | BOYAmt |
| EOY | $203,428 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,343 | BOYAmt |
| EOY | $9,403 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,002 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $122,360 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,646 | BOYAmt |
| EOY | $56,642 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $725,351 | BOYAmt |
| EOY | $739,872 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,658 | BOYAmt |
| EOY | $71,426 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,853 | BOYAmt |
| EOY | $19,162 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,511 | BOYAmt |
| EOY | $90,588 | 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 | $629,840 | BOYAmt |
| EOY | $515,279 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $134,005 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $634,840 | BOYAmt |
| EOY | $649,284 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $725,351 | BOYAmt |
| EOY | $739,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,444 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $454,797 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $363,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,974 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $368,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,415 | CurrentTaxYearAmt |
| Total | $1,924,149 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $454,797 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $363,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,974 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $368,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,415 | CurrentTaxYearAmt |
| Total | $1,924,149 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $235,800 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,688,349 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,790 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,775 | CurrentTaxYearAmt |
| Total | $11,334 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $75,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,090 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $97,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,466 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,332 | CurrentTaxYearAmt |
| Total | $481,516 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,416,999 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,205,457 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.69850 | PublicSupportCY170Pct |
| Public Support PY170 | 0.74270 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | SPECIAL EVENTS NET 432,303 ALL OTHER 14,838 INSURANCE PROCEEDS 34,375 | ExplanationTxt |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,586 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,999 | DepreciationAmt |
| Book Value | $41,587 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,682 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,061 | DepreciationAmt |
| Book Value | $621 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,154 | DepreciationAmt |
| Book Value | $4,264 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,472 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $19,162 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,162 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,491,827 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $283,372 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $283,372 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,208,455 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,208,455 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,477,383 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $283,372 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $283,372 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,194,011 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,194,011 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | EXPRESSIONS KIN | Event1Nm |
| Gross Receipts Event1 | $156,171 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $156,171 | GrossRevenueEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $80,572 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $80,572 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $45,969 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $10,185 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $10,185 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $246,928 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $246,928 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $45,969 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $45,969 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $200,959 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt |
|---|---|---|---|
| Yes (X) | MATERIALS | 1 | $27,666 |
| Yes (X) | EQUIPMENT | 1 | $1,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | DIRECTORS ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY, AND ARE ASKED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
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