BREATH OF LIFE INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BREATH OF LIFE INC (EIN 20-5120368)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-09-22
- IRS object ID
- 202012669349300136
- 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 | 2020-09-22T11:53:13-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593201239 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SYMANSKI & MCKNIGHT PA CPA'S | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 N BELCHER RD | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 337652605 | 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 | 205120368 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREATH OF LIFE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BREA | BusinessNameControlTxt |
| Phone | 7272161402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 EAST BAY DRIVE | AddressLine1Txt |
| City | LARGO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33771 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GLENDA PEARSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7272161402 | PhoneNum |
| Signature | 2020-09-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN J MCKNIGHT JR CPA | PreparerPersonNm |
| PTIN | P00127035 | PTIN |
| Phone | 7277258272 | PhoneNum |
| Preparation | 2020-09-22 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 207.98.208.34 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-22 | IPDt |
| IP Tm | 11:53:13 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C772AD01F9C71885E404040DEFE3B895D4F3117F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 01EFC33CC812723DF0D01D83D26B071814980E09 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CYNTHIA FLYNN CNM PHD FACNM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4362 WEST PAYETTE AVE | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99336 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,489,164 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BREATHOFLIFE.CC | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES MIDWIFERY SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL-WOMEN HEALTH CARE AND OTHER MIDWIFERY RELATED SERVICES. THE ORGANIZATION WAS AN AFFILIATE OF NEW LIFE SOLUTIONS, INC. DURING THE YEAR ENDED DECEMBER 31, 2019. EFFECTIVE FEBRUARY 1, 2020, THE ORGANIZATION BECAME AN INDEPENDENT ORGANIZATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 16 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $14,698 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,698 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,372,075 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,439,816 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $47,650 | CYOtherRevenueAmt |
| PY Total Revenue | $1,386,773 | PYTotalRevenueAmt |
| CY Total Revenue | $1,489,164 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $934,860 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $888,058 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $507,379 | PYOtherExpensesAmt |
| CY Other Expenses | $575,282 | CYOtherExpensesAmt |
| PY Total Expenses | $1,442,239 | PYTotalExpensesAmt |
| CY Total Expenses | $1,463,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$55,466 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,824 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $282,675 | TotalAssetsBOYAmt |
| Total Assets EOY | $240,734 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $374,510 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $306,745 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$91,835 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$66,011 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION PROVIDES MIDWIFERY SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL-WOMEN HEALTH CARE AND OTHER MIDWIFERY RELATED SERVICES. THE ORGANIZATION WAS AN AFFILIATE OF NEW LIFE SOLUTIONS, INC. DURING THE YEAR ENDED DECEMBER 31, 2019. EFFECTIVE FEBRUARY 1, 2020, THE ORGANIZATION BECAME AN INDEPENDENT ORGANIZATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,423,618 | ExpenseAmt |
| Revenue | $1,439,816 | RevenueAmt |
| Desc | BREATH OF LIFE, INC. WAS ESTABLISHED TO PROVIDE MIDWIFERY, CLINICAL, EDUCATIONAL AND ROUTINE HEALTH SERVICES TO WOMEN. THE MIDWIFERY SERVICES INCLUDE ROUTINE HEALTH CARE EXAMINATIONS. IN ADDITION, WOMEN WHO DESIRE TO HAVE NATURAL CHILDBIRTH ARE ABLE TO DO SO IN THE CENTER'S STATE OF THE ART FACILITIES. | Desc |
| Total Program Service Expenses | $1,423,618 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | false | 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 | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | 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 | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 16 | 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 | Yes (true) | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY ROSEN | PersonNm |
| Phone | 7272161402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1910 EAST BAY DRIVE | AddressLine1Txt |
| City | LARGO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33771 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| CHARLES DIMARCO | ||||||||
| PRESIDENT/CE | 3.20 | 36.80 | Yes (X) | $9,045 | $104,014 | $0 | ||
| CYNTHIA MCCULLOUGH | ||||||||
| CLINICAL DIR | 40.00 | 0.00 | $112,775 | $0 | $0 | Yes (X) | ||
| KATHY ARRINGTON | ||||||||
| CHAIR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RICK STUART CPA | ||||||||
| TREASURER | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| THOMAS CHAPMAN | ||||||||
| DIRECTOR | 1.00 | 2.50 | $0 | $0 | $0 | Yes (X) | ||
| BLAKE GAYLORD | ||||||||
| 2ND VICE CHA | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| HUGH HIGGINS | ||||||||
| DIRECTOR | 1.00 | 2.50 | $0 | $0 | $0 | Yes (X) | ||
| NANCY LATHROP | ||||||||
| DIRECTOR | 1.00 | 2.50 | $0 | $0 | $0 | Yes (X) | ||
| JUSTIN PRICE | ||||||||
| DIRECTOR | 1.00 | 2.50 | $0 | $0 | $0 | Yes (X) | ||
| JODY SHIRLEY | ||||||||
| SECRETARY | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN ULLRICH | ||||||||
| VICE CHAIR | 1.00 | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOSH WEIS | ||||||||
| DIRECTOR | 1.00 | 2.50 | $0 | $0 | $0 | Yes (X) | ||
| CYNTHIA FLYNN CNM PHD FACNM | ||||||||
| PRINCIPAL OF | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $121,820 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $104,014 | TotReportableCompRltdOrgAmt |
| 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 |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INNOVATION BILLING SERVICES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 131 WEST MAIN STREET SUITE 322 | AddressLine1Txt |
| City | ORANGE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01364 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | BILLING SERVICE | ServicesDesc |
| Compensation | $104,035 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,698 | AllOtherContributionsAmt |
| Total Contributions | $1,698 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BIRTH CENTER FEES | Desc |
| Total Revenue Column | $1,439,816 | TotalRevenueColumnAmt |
| Exclusion | $1,439,816 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,439,816 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SETTLEMENT | Desc |
| Total Revenue Column | $47,650 | TotalRevenueColumnAmt |
| Exclusion | $47,650 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $47,650 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,489,164 | TotalRevenueColumnAmt |
| Exclusion | $1,487,466 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $793,461 | TotalAmt |
| Program Services | $759,590 | ProgramServicesAmt |
| Management And General | $33,871 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,532 | TotalAmt |
| Program Services | $35,184 | ProgramServicesAmt |
| Management And General | $3,348 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,065 | TotalAmt |
| Program Services | $53,562 | ProgramServicesAmt |
| Management And General | $2,503 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,204 | TotalAmt |
| Program Services | $56,204 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,562 | TotalAmt |
| Program Services | $98,562 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,465 | TotalAmt |
| Program Services | $6,465 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253 | TotalAmt |
| Program Services | $253 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,668 | TotalAmt |
| Program Services | $15,668 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,603 | TotalAmt |
| Program Services | $97,603 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CONTRACT SERVICE | $190,086 | $190,086 |
| MATERIALS & SUPPLIES | $41,783 | $41,783 |
| TELEPHONE | $13,184 | $13,184 |
| EQUIPMENT | $13,041 | $13,041 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,433 | TotalAmt |
| Program Services | $36,433 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,463,340 | TotalAmt |
| Program Services | $1,423,618 | ProgramServicesAmt |
| Management And General | $39,722 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,942 | BOYAmt |
| EOY | $20,555 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,900 | BOYAmt |
| EOY | $110,200 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,538 | BOYAmt |
| EOY | $55,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $131,329 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $77,302 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,695 | BOYAmt |
| EOY | $54,027 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $600 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,675 | BOYAmt |
| EOY | $240,734 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,510 | BOYAmt |
| EOY | $306,745 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,510 | BOYAmt |
| EOY | $306,745 | 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 | -$91,835 | BOYAmt |
| EOY | -$66,011 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$91,835 | BOYAmt |
| EOY | -$66,011 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,675 | BOYAmt |
| EOY | $240,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $25,824 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW LIFE SOLUTIONS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592588366 | EIN |
| Organization Type | 7 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (true) | MajorityDirTrstSupportedOrgInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,329 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,302 | DepreciationAmt |
| Book Value | $54,027 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $54,027 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,558,091 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $68,927 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $68,927 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,489,164 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,489,164 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,532,267 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $68,927 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $68,927 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,463,340 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,463,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX- EXEMPT ENTITY AS ITS ONLY SIGNIFICANT TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. THE ORGANIZATION'S FEDERAL RETURNS ARE GENERALLY OPEN FOR EXAMINATION FOR THREE YEARS FOLLOWING THE DATE FILED. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JOHN ULLRICH | |||
| DIRECTOR | $13,827 | INSURANCE PREMIUMS | false |
| JUSTIN PRICE | |||
| DIRECTOR | $48,000 | MARKETING | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION PROVIDES MIDWIFERY SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL-WOMEN HEALTH CARE AND OTHER MIDWIFERY RELATED SERVICES. THE ORGANIZATION WAS AN AFFILIATE OF NEW LIFE SOLUTIONS, INC. DURING THE YEAR ENDED DECEMBER 31, 2019. EFFECTIVE FEBRUARY 1, 2020, THE ORGANIZATION BECAME AN INDEPENDENT ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | INFORMATION USED TO PREPARE THE 990 TAX RETURN WAS OBTAINED FROM THE ORGANIZATION'S ANNUAL AUDIT CONDUCTED BY INDEPENDENT CPAS. THE RETURN WAS REVIEWED BY BOTH ORGANIZATION'S DIRECTORS OF ACCOUNTING AND BOTH BOARDS OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD MEMBER, ON AN ANNUAL BASIS, DISCLOSES CONFLICT OF INTEREST SO THAT THEY MAY BE REVIEWED AND EVALUATED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BREATH OF LIFE REIMBURSED NEW LIFE SOLUTIONS FOR A PORTION OF THE CEO'S COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE ORGANIZATION HAS SEVERAL KEY EMPLOYEES. ON AN ANNUAL BASIS, THE CEO CONDUCTED A PERFORMANCE EVALUATION OF THEIR WORK, GOALS OF THE ORGANIZATION AND FUTURE GROWTH. THE BOARD OF DIRECTORS HAD GIVEN THE CEO THE AUTHORITY TO SET ALL SALARIES AND WAGES, WITH THE EXCEPTION OF HIS OWN. UNDER THE BUDGET CONSTRAINTS, THE CEO WAS AUTHORIZED TO SET WAGES FOR KEY EMPLOYEES. DURING THE ANNUAL BUDGET PROCESS, THE GOVERNANCE COMMITTEE AND THE BOARD OF DIRECTORS REVIEWED THE SALARIES OF KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL GOVERNANCE DOCUMENTS ARE ON FILE IN THE ADMINISTRATIVE OFFICES. UPON WRITTEN REQUEST, THESE DOCUMENTS WOULD BE AVAILABLE FOR EXAMINATION. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREATH OF LIFE BIRTH CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 EAST BAY DRIVE | AddressLine1Txt |
| City | LARGO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33771 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261612730 | EIN |
| Primary Activities | FACILITIES | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NEW LIFE SOLUTIONS INC | ||||||||||
| 1910 EAST BAY DRIVE | LARGO | FL | 33771 | 592588366 | SUPP ORG | FL | 501C3 | 7 | N/A | false |
| SHEPHERD'S VILLAGE INC | ||||||||||
| 1910 EAST BAY DRIVE | LARGO | FL | 33771 | 593096209 | SAME BOARD | FL | 501C3 | 7 | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NEW LIFE SOLUTIONS INC | ||
| K | $71,280 | ACTUAL COSTS |
| NEW LIFE SOLUTIONS INC | ||
| P | $58,917 | ACTUAL COSTS |
| NEW LIFE SOLUTIONS INC | ||
| Q | $5,433 | ACTUAL COSTS |
| NEW LIFE SOLUTIONS INC | ||
| D | $139,322 | ACTUAL COSTS |
| NEW LIFE SOLUTIONS INC | ||
| E | $90,000 | ACTUAL COSTS |
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