KIDS IN NEED OF DENTISTRY: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- KIDS IN NEED OF DENTISTRY (EIN 84-6038681)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-08-07
- IRS object ID
- 201922199349300477
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-07T14:14:26-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203746583 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR ROTH AND COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GRANT ST STE 205 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802032944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 846038681 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIDS IN NEED OF DENTISTRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KIDS | BusinessNameControlTxt |
| Phone | 3037333710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2465 S DOWNING ST STE 210 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLIE BURBEE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3037333710 | PhoneNum |
| Signature | 2019-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEN ROTH | PreparerPersonNm |
| PTIN | P01389203 | PTIN |
| Phone | 3038308109 | PhoneNum |
| Preparation | 2019-08-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.14.30.85 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-07 | IPDt |
| IP Tm | 14:14:26 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F510452ABB4A09DEF72ED4AF0FBBE4EEFED67493 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F510452ABB4A09DEF72ED4AF0FBBE4EEFED67493 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELLIE BURBEE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2465 S DOWNING | AddressLine1Txt |
| Address Line2 | SUITE 210 | AddressLine2Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,240,612 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KINDSMILES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 24 | TotalEmployeeCnt |
| Total Volunteers | 62 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $333,666 | PYContributionsGrantsAmt |
| CY Contributions Grants | $368,965 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $666,954 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $687,397 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,742 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,775 | CYInvestmentIncomeAmt |
| PY Other Revenue | $97,121 | PYOtherRevenueAmt |
| CY Other Revenue | $107,466 | CYOtherRevenueAmt |
| PY Total Revenue | $1,100,483 | PYTotalRevenueAmt |
| CY Total Revenue | $1,166,603 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $827,979 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $854,855 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $92,763 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $266,885 | PYOtherExpensesAmt |
| CY Other Expenses | $273,916 | CYOtherExpensesAmt |
| PY Total Expenses | $1,094,864 | PYTotalExpensesAmt |
| CY Total Expenses | $1,128,771 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,619 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $37,832 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $652,421 | TotalAssetsBOYAmt |
| Total Assets EOY | $725,351 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,413 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,511 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $597,008 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $634,840 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $896,854 | ExpenseAmt |
| Revenue | $687,397 | RevenueAmt |
| Desc | KIND PROVIDES PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES. DONATED DENTAL SERVICES, SUPPLIES AND FACILITIES USED IN THE PROGRAM IN 2018 TOTALED 207,591. | Desc |
| Total Program Service Expenses | $896,854 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 24 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLIE BURBEE | PersonNm |
| Phone | 3037333710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2465 S DOWNING STREET SUITE 210 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARK COLLIER | ||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAUL JEREZ | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOSH AUSTIN | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KERRIE BUNCE | ||||||
| IMMEDIATE PA | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY ANN WAUGH | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR JIM BIENEMAN DDS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR ELIZABETH CRESPI DMD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ELLIOTT CARSON | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CLARISA HERNANDEZ | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAM SLETTEN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHEN STRECKER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ELLIE BURBEE | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $121,421 | $0 | $7,289 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $121,421 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $7,289 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $368,965 | AllOtherContributionsAmt |
| Noncash Contributions | $49,173 | NoncashContributionsAmt |
| Total Contributions | $368,965 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $687,397 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $687,397 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $687,397 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,775 | TotalRevenueColumnAmt |
| Exclusion | $2,775 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $179,850 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $74,009 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,841 | TotalRevenueColumnAmt |
| Exclusion | $105,841 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,625 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,625 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,625 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,166,603 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $689,022 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $108,616 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,421 | TotalAmt |
| Program Services | $101,775 | ProgramServicesAmt |
| Management And General | $9,714 | ManagementAndGeneralAmt |
| Fundraising | $9,932 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,679 | TotalAmt |
| Program Services | $545,423 | ProgramServicesAmt |
| Management And General | $51,992 | ManagementAndGeneralAmt |
| Fundraising | $53,264 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,335 | TotalAmt |
| Program Services | $20,174 | ProgramServicesAmt |
| Management And General | $3,192 | ManagementAndGeneralAmt |
| Fundraising | $1,969 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,420 | TotalAmt |
| Program Services | $45,728 | ProgramServicesAmt |
| Management And General | $7,232 | ManagementAndGeneralAmt |
| Fundraising | $4,460 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,070 | TotalAmt |
| Management And General | $10,070 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,492 | TotalAmt |
| Program Services | $6,372 | ProgramServicesAmt |
| Management And General | $1,947 | ManagementAndGeneralAmt |
| Fundraising | $19,173 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,084 | TotalAmt |
| Program Services | $3,248 | ProgramServicesAmt |
| Management And General | $1,693 | ManagementAndGeneralAmt |
| Fundraising | $143 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,808 | TotalAmt |
| Program Services | $17,047 | ProgramServicesAmt |
| Management And General | $10,423 | ManagementAndGeneralAmt |
| Fundraising | $2,338 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,762 | TotalAmt |
| Program Services | $2,240 | ProgramServicesAmt |
| Management And General | $3,242 | ManagementAndGeneralAmt |
| Fundraising | $280 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,047 | TotalAmt |
| Program Services | $45,524 | ProgramServicesAmt |
| Management And General | $8,983 | ManagementAndGeneralAmt |
| Fundraising | $540 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,780 | TotalAmt |
| Program Services | $5,081 | ProgramServicesAmt |
| Management And General | $2,653 | ManagementAndGeneralAmt |
| Fundraising | $46 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,732 | TotalAmt |
| Program Services | $324 | ProgramServicesAmt |
| Management And General | $2,071 | ManagementAndGeneralAmt |
| Fundraising | $337 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510 | TotalAmt |
| Program Services | $190 | ProgramServicesAmt |
| Management And General | $1,320 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,378 | TotalAmt |
| Program Services | $11,487 | ProgramServicesAmt |
| Management And General | $7,891 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,008 | TotalAmt |
| Program Services | $8,885 | ProgramServicesAmt |
| Management And General | $4,941 | ManagementAndGeneralAmt |
| Fundraising | $182 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM & OFFICE SUPPLIES | $56,639 | $52,919 | $3,720 | |
| BAD DEBTS | $14,453 | $14,453 | ||
| STAFF DEVELOPMENT | $10,707 | $6,169 | $4,439 | $99 |
| PATIENT LAB BILLS | $8,294 | $8,294 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,152 | TotalAmt |
| Program Services | $1,521 | ProgramServicesAmt |
| Management And General | $3,631 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,128,771 | TotalAmt |
| Program Services | $896,854 | ProgramServicesAmt |
| Management And General | $139,154 | ManagementAndGeneralAmt |
| Fundraising | $92,763 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,104 | BOYAmt |
| EOY | $126,447 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,906 | BOYAmt |
| EOY | $307,976 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,833 | BOYAmt |
| EOY | $168,939 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,973 | BOYAmt |
| EOY | $29,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,002 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $91,356 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,605 | BOYAmt |
| EOY | $87,646 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,421 | BOYAmt |
| EOY | $725,351 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,106 | BOYAmt |
| EOY | $65,658 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,307 | BOYAmt |
| EOY | $24,853 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,413 | BOYAmt |
| EOY | $90,511 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,008 | BOYAmt |
| EOY | $629,840 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,008 | BOYAmt |
| EOY | $634,840 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,421 | BOYAmt |
| EOY | $725,351 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $37,832 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $490,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $454,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $363,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,974 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $368,965 | CurrentTaxYearAmt |
| Total | $2,014,419 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $490,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $454,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $363,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,974 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $368,965 | CurrentTaxYearAmt |
| Total | $2,014,419 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $220,104 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,794,315 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $252 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,790 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,775 | CurrentTaxYearAmt |
| Total | $9,392 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,507 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $48,090 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $97,121 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,466 | CurrentTaxYearAmt |
| Total | $392,009 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,415,820 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,017,992 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.74270 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76110 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | SPECIAL EVENTS NET 346,458 ALL OTHER 11,176 INSURANCE PROCEEDS 34,375 | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,586 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,534 | DepreciationAmt |
| Book Value | $62,052 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,682 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,796 | DepreciationAmt |
| Book Value | $1,886 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,026 | DepreciationAmt |
| Book Value | $7,392 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $71,330 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $24,853 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,853 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,325,021 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $158,418 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $158,418 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,166,603 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,166,603 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,287,189 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $158,418 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $158,418 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,128,771 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,128,771 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | EXPRESSIONS KIN | Event1Nm |
| Gross Receipts Event1 | $116,223 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $116,223 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $43,240 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $56,740 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $56,740 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $27,987 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $172,963 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $172,963 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $71,227 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $71,227 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $101,736 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt |
|---|---|---|---|
| Yes (X) | MATERIALS | 1 | $8,302 |
| Yes (X) | EQUIPMENT | 1 | $40,871 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | DIRECTORS ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY, AND ARE ASKED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
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