POTOMAC HEALTHCARE FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- POTOMAC HEALTHCARE FOUNDATION (EIN 52-1116578)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201911359349102491
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- Land Etc Schedule2
- Legal Fees Schedule
- Mortgages And Notes Payable Sch
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T14:26:40-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 521158459 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERTZBACH & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 RED BROOK BLVD SUITE 300 | AddressLine1Txt |
| City | OWINGS MILLS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521116578 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POTOMAC HEALTHCARE FOUNDATIONINC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | POTO | BusinessNameControlTxt |
| Phone | 3014472360 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 FREDERICK AVENUE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21229 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC FISHMANMD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3014472360 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK STEINBERG | PreparerPersonNm |
| PTIN | P01345125 | PTIN |
| Phone | 4103633200 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 107.1.94.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 14:04:50 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7BBD03227C685B96888C68DC7B49958DE715E775 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $7,152,964 | FMVAssetsEOYAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $5,033,902 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $785 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $785 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $785 | InterestOnSavingsAdjNetIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $5,092,728 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $5,092,728 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $10,127,415 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $785 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $5,093,513 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $260,030 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $1,201 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $258,829 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $2,119,839 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $9,794 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $2,110,045 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $178,491 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $825 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $177,666 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $16,387 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $76 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $16,311 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $24,501 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $113 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $24,388 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $24,013 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $111 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $23,902 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $71 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $0 | InterestNetInvstIncmAmt |
| Interest Adj Net Incm | $0 | InterestAdjNetIncmAmt |
| Interest Dsbrs Chrtbl | $71 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $172,792 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $798 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $171,994 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $55,444 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $256 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $1,271,504 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Adj Net Incm | $5,875 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $1,265,629 | OccupancyDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $9,452 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $44 | PrintingAndPubAdjNetIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $9,408 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $4,792,417 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $4,018,169 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $774,248 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $8,924,941 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $4,037,262 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,832,491 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $8,924,941 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $4,037,262 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,832,491 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,202,474 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $785 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $1,056,251 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,943,754 | CashBOYAmt |
| Cash EOY | $2,757,489 | CashEOYAmt |
| Cash EOYFMV | $2,757,489 | CashEOYFMVAmt |
| Acct Rcvbl | $1,547,703 | AcctRcvblAmt |
| Acct Rcvbl BOY | $913,345 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $1,547,703 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $1,547,703 | AcctRcvblEOYFMVAmt |
| Grants Receivable BOY | $82,996 | GrantsReceivableBOYAmt |
| Grants Receivable EOY | $239,733 | GrantsReceivableEOYAmt |
| Grants Receivable EOYFMV | $239,733 | GrantsReceivableEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $2,812,661 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $437,245 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $1,936,158 | LandBOYAmt |
| Land EOY | $2,375,416 | LandEOYAmt |
| Land EOYFMV | $2,375,416 | LandEOYFMVAmt |
| Other Assets BOY | $580,718 | OtherAssetsBOYAmt |
| Other Assets EOY | $232,623 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $232,623 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $5,456,971 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,152,964 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $7,152,964 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $452,907 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $477,240 | AccountsPayableEOYAmt |
| Deferred Revenue EOY | $74,623 | DeferredRevenueEOYAmt |
| Mortgages And Notes Payable BOY | $384,338 | MortgagesAndNotesPayableBOYAmt |
| Mortgages And Notes Payable EOY | $778,901 | MortgagesAndNotesPayableEOYAmt |
| Total Liabilities BOY | $837,245 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,330,764 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $3,379,725 | UnrestrictedBOYAmt |
| Unrestricted EOY | $4,635,533 | UnrestrictedEOYAmt |
| Temporarily Restricted BOY | $1,240,001 | TemporarilyRestrictedBOYAmt |
| Temporarily Restricted EOY | $1,186,667 | TemporarilyRestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $4,619,726 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $5,822,200 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,456,971 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $7,152,964 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $4,619,726 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,202,474 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $5,822,200 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $5,822,200 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $6,150,231 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,974,880 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 2.067388 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $4,235,799 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,723,249 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 2.458031 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $4,519,236 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $3,634,286 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 1.243500 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $3,849,283 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,468,795 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.861369 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $3,752,947 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $3,562,193 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 1.053550 | DistributionYr5Rt |
| Total Distribution | 7.683838 | TotalDistributionRt |
| Average Distribution | 1.536768 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,122,966 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $3,262,506 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $8 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $3,262,514 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $4,832,491 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $8 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $8 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $8 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $8 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MD | OrgReportOrRegisterStateCd |
| Org Report Or Register State | DC | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (1) | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | GARY GAGNON | IndividualWithBooksNm |
| Phone | 3014472360 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 136 | AddressLine1Txt |
| City | EMMITSBURG | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21727 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| MARC J FISHMAN | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | CHAIRMAN/PRESIDENT/TRUSTEE | 5.00 | $31,731 | $0 | $0 |
| WILLIAM J ROBY | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | EXECUTIVE VICE PRESIDENT | 40.00 | $228,299 | $0 | $0 |
| REBECCA FISHMAN | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | VICE PRESIDENT/TRUSTEE | 1.00 | $0 | $0 | $0 |
| BARBARA GROVES | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | SECRETARY/TRUSTEE | 1.00 | $0 | $0 | $0 |
| SUSAN LIEDLICH | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | TREASURER | 10.00 | $0 | $0 | $0 |
| LAWRENCE FREEDMAN | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | TRUSTEE | 1.00 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt | Expense AccountExpenseAccountAmt |
|---|---|---|---|---|---|---|---|---|
| PHYLLIS STAHLEY | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | ADMIS/TRAN COORDINAT | 40.00 | $93,557 | $0 | $0 |
| AMY MARTIN | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | CRNP | 25.00 | $90,038 | $0 | $0 |
| GARY GAGNON | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | COMPTROLLER | 40.00 | $75,500 | $0 | $0 |
| DONNA BURRIER | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | ADMIN ASSISTANT | 40.00 | $67,000 | $0 | $0 |
| STEPHANIE YEAGER | ||||||||
| 3800 FREDERICK AVE | BALTIMORE | MD | 21229 | ADMIN ASSISTANT | 40.00 | $63,295 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 2 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NOELKER & HULL | |||||
| 30 W KING ST | CHAMBERSGURG | PA | 17201 | ARCHITECTURAL DESIGN | $634,471 |
| NETSMART | |||||
| PO BOX 823519 | PHILADELPHIA | PA | 19182 | HEALTH INFORMATION TECHNOLOGY | $267,113 |
| SYSCO FS OF CENTRAL PA | |||||
| PO BOX 3641 | HARRISBURG | PA | 171053641 | FOOD | $255,668 |
| KELLY & ASSOCIATES INSURANCE GROUP | |||||
| PO BOX 418926 | BOSTON | MA | 02241 | INSURANCE | $150,404 |
| STAPLES ADVANTAGE | |||||
| PO BOX 70242 | PHILADELPHIA | PA | 19176 | OFFICE SUPPLIES | $51,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE FOUNDATION PROVIDES RESIDENTIAL TREATMENT AND SERVICES FOR ALCOHOL AND/OR DRUG DEPENDENT PREGNANT AND POSTPARTUM WOMEN ALONG WITH THEIR CHILDREN. | Description1Txt |
| Expenses1 | $8,904,352 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,155,295 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,155,295 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,155,295 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $32,329 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,122,966 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $106,148 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,832,491 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $4,832,491 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $8 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $4,832,483 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $3,403,308 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $3,625,843 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $4,337,522 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $11,366,673 | TotalExcessDistributionCyovAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $11,366,673 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $3,403,308 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $7,963,365 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $3,625,843 | ExcessFromYear4Amt |
| Excess From Year3 | $4,337,522 | ExcessFromYear3Amt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $106,148 | CurrentYearAmt |
| Year1 | $1,401 | Year1Amt |
| Year2 | $680 | Year2Amt |
| Year3 | $437 | Year3Amt |
| Total | $108,666 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $90,226 | CurrentYearAmt |
| Year1 | $1,191 | Year1Amt |
| Year2 | $578 | Year2Amt |
| Year3 | $371 | Year3Amt |
| Total | $92,366 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $4,832,491 | CurrentYearAmt |
| Year1 | $6,150,231 | Year1Amt |
| Year2 | $4,235,799 | Year2Amt |
| Year3 | $4,519,236 | Year3Amt |
| Total | $19,737,757 | TotalAmt |
Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Year1 | $0 | Year1Amt |
| Year2 | $0 | Year2Amt |
| Year3 | $0 | Year3Amt |
| Total | $0 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $4,832,491 | CurrentYearAmt |
| Year1 | $6,150,231 | Year1Amt |
| Year2 | $4,235,799 | Year2Amt |
| Year3 | $4,519,236 | Year3Amt |
| Total | $19,737,757 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $70,765 | CurrentYearAmt |
| Year1 | $99,163 | Year1Amt |
| Year2 | $57,441 | Year2Amt |
| Year3 | $58,314 | Year3Amt |
| Total | $285,683 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
| Total Grant Or Contri Pd Dur Yr | $0 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 623990 | BusinessCd |
| Related Or Exempt Function Incm | $5,092,728 | RelatedOrExemptFunctionIncmAmt |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $785 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $785 | ExclusionAmt |
| Related Or Exempt Function Incm | $5,092,728 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $5,093,513 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 1A | LineNumberTxt |
| Relationship Statement | PATIENT INCOME | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $24,501 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $113 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $24,388 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (5 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | RtRt |
|---|---|---|---|---|---|---|---|---|---|
| BUILDINGS | 2010-10-01 | $2,162,297 | $371,801 | SL | 39.000000000000 | $55,444 | $0 | $55,444 | |
| LIBRARY | 1998-12-31 | $10,000 | $10,000 | SL | 5.000000000000 | $0 | $0 | $0 | |
| LICENSES | 2017-06-30 | $32,441 | NC | $0 | $0 | $0 | 0.000000000000 | ||
| CONSTRUCTION IN PROGRESS | 2017-06-30 | $113,221 | NC | $0 | $0 | $0 | 0.000000000000 | ||
| CONSTRUCTION IN PROGRESS | 2018-06-30 | $494,702 | NC | $0 | $0 | $0 | 0.000000000000 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|---|
| BUILDINGS | $2,162,297 | $427,245 | $1,735,052 | $1,735,052 |
| LIBRARY | $10,000 | $10,000 | $0 | $0 |
| LICENSES | $32,441 | $0 | $32,441 | $32,441 |
| CONSTRUCTION IN PROGRESS | $113,221 | $0 | $113,221 | $113,221 |
| CONSTRUCTION IN PROGRESS | $494,702 | $0 | $494,702 | $494,702 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $16,387 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $76 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $16,311 | DisbursementsCharitablePrpsAmt |
Mortgages And Notes Payable Sch MortgagesAndNotesPayableSch
Note Payable NotePayableGrp
Lender Name LenderNameGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACNB | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Insider Relationship | NONE | InsiderRelationshipTxt |
| Loan Original | $250,000 | LoanOriginalAmt |
| Balance Due | $0 | BalanceDueAmt |
| Interest | 4.250000000000 | InterestRt |
| Security Provided Borrower | RELATED PARTIES | SecurityProvidedBorrowerTxt |
| Loan Purpose | WORKING CAPITAL | LoanPurposeTxt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DUE FROM RELATED PARTIES | $413,500 | $65,405 | $65,405 |
| DEFFERED FINANCING COSTS | $167,218 | $167,218 | $167,218 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| BANK CHARGES | $728 | $0 | $3 | $725 |
| CONSULTING FEES | $41,924 | $0 | $194 | $41,730 |
| DRUGS AND MEDICINE | $21,291 | $0 | $98 | $21,193 |
| MINOR EQUIPMENT | $32,606 | $0 | $151 | $32,455 |
| PURCHASED SERVICES | $4,213,884 | $0 | $4,015,497 | $198,387 |
| SUPPLIES | $459,298 | $0 | $2,122 | $457,176 |
| TRANSPORTATION | $11,552 | $0 | $53 | $11,499 |
| MISCELLANEOUS EXPENSE | $11,134 | $0 | $51 | $11,083 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Revenue And Expenses Per Books | $5,092,728 | RevenueAndExpensesPerBooksAmt |
| Adjusted Net Income | $5,092,728 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | CategoryTxt |
| Amt | $24,013 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $111 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $23,902 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PAYROLL TAXES | CategoryTxt |
| Amt | $172,792 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $798 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $171,994 | DisbursementsCharitablePrpsAmt |
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