KOINONIA PRIMARY CARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
KOINONIA PRIMARY CARE INC (EIN 45-3448794)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-09-04
IRS object ID
202022489349300212
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

FieldValueIRS element (for citing)
Return2020-09-04T06:35:29-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN141815961PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROBERT J PALMERINO CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line179 NORTH PEARL STAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122072294ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453448794EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KOINONIA PRIMARY CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKOINBusinessNameControlTxt
Phone5186890282PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1553 CLINTON AVEAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR ROBERT PAEGLOWPersonNm
Person TitlePresidentPersonTitleTxt
Signature2020-09-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT J PALMERINO CPAPreparerPersonNm
PTINP01214589PTIN
Phone5184324930PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHERBERT L SHULTZ JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1553 CLINTON AVEAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,287,699GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresskoinoniapc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionKoinonia Primary Care, Inc. (Koinonia) is a NYS Diagnostic and Treatment Center whose mission is to provide compassionate, high quality, patient-centered healthcare, in a faith-based environment, to the underserved in the capital region of New York StateActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee26TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$579,226PYContributionsGrantsAmt
CY Contributions Grants$309,401CYContributionsGrantsAmt
PY Program Service Revenue$1,043,676PYProgramServiceRevenueAmt
CY Program Service Revenue$978,298CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,622,902PYTotalRevenueAmt
CY Total Revenue$1,287,699CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$824,964PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$867,436CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,676CYTotalFundraisingExpenseAmt
PY Other Expenses$425,608PYOtherExpensesAmt
CY Other Expenses$390,106CYOtherExpensesAmt
PY Total Expenses$1,250,572PYTotalExpensesAmt
CY Total Expenses$1,257,542CYTotalExpensesAmt
PY Revenues Less Expenses$372,330PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,157CYRevenuesLessExpensesAmt
Total Assets BOY$696,810TotalAssetsBOYAmt
Total Assets EOY$740,580TotalAssetsEOYAmt
Total Liabilities BOY$43,795TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,408TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$653,015NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$683,172NetAssetsOrFundBalancesEOYAmt
MissionKoinonia Primary Care, Inc. (Koinonia) is a NYS Diagnostic and Treatment Center that provides quality patient centered healthcare to the underserved in the capital region of New York StateMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$953,136ExpenseAmt
DescKoinonia provides holistic care body, mind and spirit - to patients in New Yorks Capital Region. Annually, it serves around 1,700 patients at more than 8,000 visits. Its particular focus is the West Hill and Arbor Hill neighborhoods of Albany, which are among the most underserved areas in the region. To further support this community and address the social determinants of health needs that occur there Koinonia holds outreach activities, including holding a summer camp, community barbeques and holiday parties. Koinonia also provides space to other community-serving organizations, including local churches, the Albany Police Department Community Engagement Bureau and Narcotics Anonymous.Desc
Total Program Service Expenses$953,136TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee26EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCORRIE PAEGLOWPersonNm
Phone5186890282PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1553 CLINTON AVEAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12206ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR ROBERT PAEGLOW
President60.000.00Yes (X)Yes (X)$148,344$0$484
CORRIE PAEGLOW
Executive Dir.60.000.00Yes (X)$81,446$0$5,823
SHARON LOBEL
Director1.000.00Yes (X)$0$0$0
DR FREDERICK EAMES
Director1.000.00Yes (X)$0$0$0
DR JAMES CRUCETTI
Director1.000.00Yes (X)$0$0$0
DAVID POLLITZER
Secretary1.000.00Yes (X)Yes (X)$0$0$0
THOMAS PUTNAM
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
DEAN RUECKERT
VICE CHAIR1.000.00Yes (X)$0$0$0
HERBERT L SHULTZ JR
Chairman1.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$229,790TotalReportableCompFromOrgAmt
Total Other Compensation$6,307TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$309,401AllOtherContributionsAmt
Total Contributions$309,401TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICESDesc
Total Revenue Column$978,298TotalRevenueColumnAmt
Related Or Exempt Func Income$978,298RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$978,298TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,287,699TotalRevenueColumnAmt
Related Or Exempt Func Income$978,298RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$229,790TotalAmt
Program Services$141,655ProgramServicesAmt
Management And General$88,135ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$546,042TotalAmt
Program Services$462,336ProgramServicesAmt
Management And General$82,406ManagementAndGeneralAmt
Fundraising$1,300FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,234TotalAmt
Program Services$22,759ProgramServicesAmt
Management And General$6,425ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$62,370TotalAmt
Program Services$48,556ProgramServicesAmt
Management And General$13,714ManagementAndGeneralAmt
Fundraising$100FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,965TotalAmt
Management And General$9,965ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,850TotalAmt
Program Services$14,850ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$503TotalAmt
Management And General$503ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,291TotalAmt
Program Services$7,233ProgramServicesAmt
Management And General$2,028ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$234TotalAmt
Program Services$182ProgramServicesAmt
Management And General$52ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,400TotalAmt
Program Services$14,956ProgramServicesAmt
Management And General$11,444ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,342TotalAmt
Program Services$14,279ProgramServicesAmt
Management And General$4,063ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BILLING SERVICE$67,695$67,695
MEDICAL SUPPLIES$47,569$47,569
EQUIPMENT MAINT AND REPAIRS$40,889$31,832$9,057
BUILDING REP AND MAINT$38,656$8,118$30,538

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$115,712TotalAmt
Program Services$71,116ProgramServicesAmt
Management And General$40,400ManagementAndGeneralAmt
Fundraising$4,196FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,257,542TotalAmt
Program Services$953,136ProgramServicesAmt
Management And General$298,730ManagementAndGeneralAmt
Fundraising$5,676FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$114,793BOYAmt
EOY$121,561EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$96,848BOYAmt
EOY$98,329EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,522BOYAmt
EOY$21,099EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$674,671LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$175,080LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$470,647BOYAmt
EOY$499,591EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$696,810BOYAmt
EOY$740,580EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,795BOYAmt
EOY$57,408EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,795BOYAmt
EOY$57,408EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$618,015BOYAmt
EOY$683,172EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,000BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$653,015BOYAmt
EOY$683,172EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$696,810BOYAmt
EOY$740,580EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$30,157ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$188,360CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$216,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$579,226CurrentTaxYearMinus1YearAmt
Current Tax Year$309,401CurrentTaxYearAmt
Total$1,581,871TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$704,517CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$815,427CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$838,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,043,676CurrentTaxYearMinus1YearAmt
Current Tax Year$978,298CurrentTaxYearAmt
Total$4,380,165TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$892,877CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,031,743CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,126,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,622,902CurrentTaxYearMinus1YearAmt
Current Tax Year$1,287,699CurrentTaxYearAmt
Total$5,962,036TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$80,001CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,000CurrentTaxYearMinus1YearAmt
Current Tax Year$70,000CurrentTaxYearAmt
Total$290,959TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,941CurrentTaxYearMinus1YearAmt
Current Tax Year$19,246CurrentTaxYearAmt
Total$303,453TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$89,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,866CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$204,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,941CurrentTaxYearMinus1YearAmt
Current Tax Year$89,246CurrentTaxYearAmt
Total$594,412TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,367,624PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$892,877CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,031,743CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,126,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,622,902CurrentTaxYearMinus1YearAmt
Current Tax Year$1,287,699CurrentTaxYearAmt
Total$5,962,036TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.90030PublicSupportCY509Pct
Public Support PY5090.89460PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,700OtherCostOrOtherBasisAmt
Book Value$31,700BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$540,889OtherCostOrOtherBasisAmt
Depreciation$88,285DepreciationAmt
Book Value$452,604BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,082OtherCostOrOtherBasisAmt
Depreciation$86,795DepreciationAmt
Book Value$15,287BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$499,591TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,437,261TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$114,562DonatedServicesAndUseFcltsAmt
Other Revenue$35,000OtherRevenueAmt
Revenue Not Reported$149,562RevenueNotReportedAmt
Revenue Subtotal$1,287,699RevenueSubtotalAmt
Total Revenue Per Form990$1,287,699TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,372,104TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$114,562DonatedServicesUseFcltsAmt
Expenses Not Reported$114,562ExpensesNotReportedAmt
Expenses Subtotal$1,257,542ExpensesSubtotalAmt
Total Expenses Per Form990$1,257,542TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteKoinonia adopted the authoritative guidance on accounting for and disclosure of uncertainty in tax positions as required by generally accepted accounting principles with no cumulative adjustment required.Income tax benefits are recognized for income tax positions taken or expected to be taken on a tax return, only when it is deemed that the income tax position will be more likely than not sustained upon examination by taxing authorities. Koinonia believes that its income tax positions would be sustained under examination by taxing authorities. Generally, tax years prior to 2016 are no longer subject to examination.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990NET ASSESTS RELEASED FROM RESTRICTIONS $35000

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTHE EXECUTIVE DIRECTOR IS THE DAUGHTER OF THE PRESIDENT.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FINANCE COMMITTEE REVIEWS THE 990 AND PRESENTS IT TO THE BOARD BEFORE FILING
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsANNUALLY, BOARD MEMBERS ARE PROVIDED WITH THE CONFLICT OF INTEREST POLICY AND CONFIRM THAT NO CONFLICTS EXIST OR PROVIDE DETAILS IF A CONFLICT OR POTENTIAL CONFLICT EXISTS
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementAll compensation and review procedures are established by the finance committee based on the review of similar non-profit's compensation structure, current market rate and standard human resource guidelines. Compensation is reviewed during the annual budgeting process and submitted to the Board for final approval.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAll compensation and review procedures are established by the finance committee based on the review of similar non-profit's compensation structure, current market rate and standard human resource guidelines. Compensation is reviewed during the annual budgeting process and submitted to the Board for final approval.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailablePROVIDED UPON REQUEST

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