HOSPICE OF DARKE COUNTY INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF DARKE COUNTY INC (EIN 31-1004692)
Tax period
2017-07-01 to 2018-06-30
Filed
2018-12-18
IRS object ID
201813529349300101
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-12-18T06:40:47-06:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN310905417PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VONLEHMAN & COMPANY INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1810 WRIGHTS SUMMIT PARKWAY SUITEAddressLine1Txt
Address Line2300AddressLine2Txt
CityFORT WRIGHTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP410112993ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311004692EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF DARKE COUNTY INCBusinessNameLine1Txt
Business Name Line2DBA STATE OF THE HEART HOSPICEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone9375482999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 N BROADWAYAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL RIEMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9375482999PhoneNum
Signature2018-12-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBETH VICEPreparerPersonNm
PTINP00545816PTIN
Phone8593313300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.61.206.123IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-12-06IPDt
IP Tm12:03:04IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8B92B2B9C1F95C895775EC00001CD5555B9EB3CDAtSubmissionCreationDeviceId
At Submission Filing Device Id310B77EF616F804907D9C3496201619A859D1EA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALFRED GROTHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 N BROADWAYAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,215,082GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STATEOFTHEHEARTCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionHOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, AND TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee116TotalEmployeeCnt
Total Volunteers108TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$327,077PYContributionsGrantsAmt
CY Contributions Grants$280,010CYContributionsGrantsAmt
PY Program Service Revenue$8,464,466PYProgramServiceRevenueAmt
CY Program Service Revenue$8,683,410CYProgramServiceRevenueAmt
PY Investment Income$210,953PYInvestmentIncomeAmt
CY Investment Income$186,298CYInvestmentIncomeAmt
PY Other Revenue-$6,352PYOtherRevenueAmt
CY Other Revenue$8,950CYOtherRevenueAmt
PY Total Revenue$8,996,144PYTotalRevenueAmt
CY Total Revenue$9,158,668CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,467,661PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,510,057CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$118,237CYTotalFundraisingExpenseAmt
PY Other Expenses$3,818,548PYOtherExpensesAmt
CY Other Expenses$3,569,480CYOtherExpensesAmt
PY Total Expenses$9,286,209PYTotalExpensesAmt
CY Total Expenses$9,079,537CYTotalExpensesAmt
PY Revenues Less Expenses-$290,065PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$79,131CYRevenuesLessExpensesAmt
Total Assets BOY$9,834,259TotalAssetsBOYAmt
Total Assets EOY$10,388,589TotalAssetsEOYAmt
Total Liabilities BOY$922,893TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,183,947TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,911,366NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,204,642NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,044,957ExpenseAmt
Revenue$8,683,705RevenueAmt
DescHOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES.Desc
Total Program Service Expenses$8,044,957TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee116EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTI STRAWSERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9375482999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11350 N BROADWAYAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP45331ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ALFRED GROTH
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TRACY HAINES
TREASURER1.00Yes (X)Yes (X)$0$0$0
WENDY STUKEY
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JUDY HOWELL
TRUSTEE1.00Yes (X)$0$0$0
MILLIE REED
TRUSTEE1.00Yes (X)$0$0$0
DAVE WOLTERS
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SARAH ROYER
TRUSTEE1.00Yes (X)$0$0$0
JIM STAMCOFF
TRUSTEE1.00Yes (X)$0$0$0
NICK ANDERSON
2ND VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ERIC FEE
TRUSTEE1.00Yes (X)$0$0$0
ANGELA SIPE
EXECUTIVE DIRECTOR - 7/1/17-6/4/1840.00Yes (X)$93,920$0$8,834
KRISTI STRAWSER
EXECUTIVE DIRECTOR - 5/14/18 - 6/30/1840.00Yes (X)$53,451$0$5,089
FieldValueIRS element (for citing)
Total Reportable Comp From Org$147,371TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,923TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIS MANAGEMENT
PO BOX 7458ROCKY MOUNTNC27804DURABLE MEDICAL EQUIPMENT$408,753
PROCARE PBM
1267 PROFESSIONAL PARKWAYGAINSVILLEGA30507MEDICATIONS$322,719
BRETHREN RETIREMENT COMMUNITY
750 CHESTNUT STGREENVILLEOH45331PATIENT ROOM AND BOARD$273,860
RESTHAVEN
1096 N OHIO STGREENVILLEOH45331PATIENT ROOM AND BOARD$262,092
CELINA MANOR
1001 MYERS RDCELINAOH45822PATIENT ROOM AND BOARD$228,040
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$39,527FederatedCampaignsAmt
All Other Contributions$240,483AllOtherContributionsAmt
Total Contributions$280,010TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT CARE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$8,683,410TotalRevenueColumnAmt
Related Or Exempt Func Income$8,683,410RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,683,410TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$200,792TotalRevenueColumnAmt
Exclusion$200,792ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$14,494OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$14,494OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,494TotalRevenueColumnAmt
Exclusion-$14,494ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$50,575FundraisingGrossIncomeAmt
Fundraising Direct Expenses$41,920FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,655TotalRevenueColumnAmt
Exclusion$8,655ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$295TotalRevenueColumnAmt
Related Or Exempt Func Income$295RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$295OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,158,668TotalRevenueColumnAmt
Related Or Exempt Func Income$8,683,705RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$194,953ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$147,371TotalAmt
Program Services$114,950ProgramServicesAmt
Management And General$29,474ManagementAndGeneralAmt
Fundraising$2,947FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,393,697TotalAmt
Program Services$3,681,516ProgramServicesAmt
Management And General$630,031ManagementAndGeneralAmt
Fundraising$82,150FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$85,662TotalAmt
Program Services$71,616ProgramServicesAmt
Management And General$12,441ManagementAndGeneralAmt
Fundraising$1,605FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$562,887TotalAmt
Program Services$470,590ProgramServicesAmt
Management And General$81,749ManagementAndGeneralAmt
Fundraising$10,548FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$320,440TotalAmt
Program Services$267,897ProgramServicesAmt
Management And General$46,538ManagementAndGeneralAmt
Fundraising$6,005FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,260TotalAmt
Program Services$8,577ProgramServicesAmt
Management And General$1,488ManagementAndGeneralAmt
Fundraising$195FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,300TotalAmt
Program Services$17,807ProgramServicesAmt
Management And General$3,089ManagementAndGeneralAmt
Fundraising$404FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$64,819TotalAmt
Program Services$54,192ProgramServicesAmt
Management And General$9,420ManagementAndGeneralAmt
Fundraising$1,207FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,107TotalAmt
Program Services$53,595ProgramServicesAmt
Management And General$9,310ManagementAndGeneralAmt
Fundraising$1,202FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$79,195TotalAmt
Program Services$66,209ProgramServicesAmt
Management And General$11,502ManagementAndGeneralAmt
Fundraising$1,484FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$179,278TotalAmt
Program Services$173,357ProgramServicesAmt
Management And General$5,245ManagementAndGeneralAmt
Fundraising$676FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$97,319TotalAmt
Program Services$81,363ProgramServicesAmt
Management And General$14,134ManagementAndGeneralAmt
Fundraising$1,822FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$32,079TotalAmt
Program Services$26,819ProgramServicesAmt
Management And General$4,659ManagementAndGeneralAmt
Fundraising$601FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ROOM AND BOARD EXPENSE$1,594,073$1,594,073
MEDICAL SUPPLIES & DRUG$850,595$850,588$7
REPAIRS & MAINTENANCE E$143,102$119,603$20,812$2,687
UTILITIES, TELEPHONE, A$133,103$114,265$16,685$2,153

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$300,250TotalAmt
Program Services$277,940ProgramServicesAmt
Management And General$19,759ManagementAndGeneralAmt
Fundraising$2,551FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,079,537TotalAmt
Program Services$8,044,957ProgramServicesAmt
Management And General$916,343ManagementAndGeneralAmt
Fundraising$118,237FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$364BOYAmt
EOY$393EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$655,411BOYAmt
EOY$1,094,201EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,266,956BOYAmt
EOY$969,803EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,937BOYAmt
EOY$43,292EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,949,277LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,348,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,695,745BOYAmt
EOY$1,600,358EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,197,846BOYAmt
EOY$6,680,542EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,834,259BOYAmt
EOY$10,388,589EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$922,893BOYAmt
EOY$978,367EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$205,580EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$922,893BOYAmt
EOY$1,183,947EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,661,777BOYAmt
EOY$8,971,857EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$249,589BOYAmt
EOY$232,785EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,911,366BOYAmt
EOY$9,204,642EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,834,259BOYAmt
EOY$10,388,589EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$79,131ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$214,145NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$312,419CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$290,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$279,881CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$327,077CurrentTaxYearMinus1YearAmt
Current Tax Year$280,010CurrentTaxYearAmt
Total$1,489,703TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$312,419CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$290,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$279,881CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$327,077CurrentTaxYearMinus1YearAmt
Current Tax Year$280,010CurrentTaxYearAmt
Total$1,489,703TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,489,703PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$301,504CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$271,412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$210,953CurrentTaxYearMinus1YearAmt
Current Tax Year$200,792CurrentTaxYearAmt
Total$1,263,837TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$577CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,425CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,391CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,454CurrentTaxYearMinus1YearAmt
Current Tax Year$295CurrentTaxYearAmt
Total$18,142TotalAmt
FieldValueIRS element (for citing)
Total Support$2,771,682TotalSupportAmt
Gross Receipts Rltd Activities$42,600,265GrossReceiptsRltdActivitiesAmt
Public Support CY1700.53750PublicSupportCY170Pct
Public Support PY1700.52940PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$180,000BeginningYearBalanceAmt
Other Expenditures$10,000OtherExpendituresAmt
End Year Balance$170,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$190,000BeginningYearBalanceAmt
Other Expenditures$10,000OtherExpendituresAmt
End Year Balance$180,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$200,000BeginningYearBalanceAmt
Other Expenditures$10,000OtherExpendituresAmt
End Year Balance$190,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$210,000BeginningYearBalanceAmt
Other Expenditures$10,000OtherExpendituresAmt
End Year Balance$200,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$220,000BeginningYearBalanceAmt
Other Expenditures$10,000OtherExpendituresAmt
End Year Balance$210,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$227,615OtherCostOrOtherBasisAmt
Book Value$227,615BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,463,179OtherCostOrOtherBasisAmt
Depreciation$617,174DepreciationAmt
Book Value$846,005BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$635,025OtherCostOrOtherBasisAmt
Depreciation$297,913DepreciationAmt
Book Value$337,112BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$623,458OtherCostOrOtherBasisAmt
Depreciation$433,832DepreciationAmt
Book Value$189,626BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,600,358TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMUTUAL FUNDSDesc
Book Value$6,680,542BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$6,680,542TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,520,142TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$214,145NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$90,915DonatedServicesAndUseFcltsAmt
Other Revenue$56,414OtherRevenueAmt
Revenue Not Reported$361,474RevenueNotReportedAmt
Revenue Subtotal$9,158,668RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,158,668TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,226,866TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$90,915DonatedServicesUseFcltsAmt
Other Expenses Included$56,414OtherExpensesIncludedAmt
Expenses Not Reported$147,329ExpensesNotReportedAmt
Expenses Subtotal$9,079,537ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,079,537TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENTS OF ACTIVITIES FOR EITHER OF THE YEARS ENDED JUNE 30, 2018 OR 2017. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR EITHER OF THE YEARS ENDED JUNE 30, 2018 OR 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 41,920. LOSS ON ASSET SALE 14,494.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 41,920. LOSS ON ASSET SALE 14,494.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$26,256GrossReceiptsEvent1Amt
Gross Revenue Event1$26,256GrossRevenueEvent1Amt
Other Direct Expenses Event1$9,605OtherDirectExpensesEvent1Amt
Event2POKER RUNEvent2Nm
Gross Receipts Event2$9,728GrossReceiptsEvent2Amt
Gross Revenue Event2$9,728GrossRevenueEvent2Amt
Other Direct Expenses Event2$4,817OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$7,908GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$7,908GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$3,493OthDirectExpnssOtherEventsAmt
Gross Receipts Total$43,892GrossReceiptsTotalAmt
Gross Revenue Total Events$43,892GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$17,915OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,915DirectExpenseSummaryEventsAmt
Net Income Summary$25,977NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THEN RECOMMENDED FOR PRESENTATION TO THE BOARD OF DIRECTORS. THE BOARD THEN REVIEWS AND APPROVES THE FORM 990 AT ITS REGULAR MEETING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE BOARD OF TRUSTEES REVIEW A VENDOR AND FINANCIAL INSTITUTION LIST. THE BOARD OF TRUSTEES REVIEW THIS LIST IDENTIFYING ANY POTENTIAL VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER IS GIVEN THE CONFLICT OF INTEREST POLICY TO READ AND CERTIFICATION SHEET TO SIGN ANNUALLY. ALL AFFILIATIONS ARE REQUIRED TO BE DISCLOSED AND DESCRIBED ON THE AGENCY'S CONFLICT OF INTEREST DISCLOSURE DOCUMENT. THE BOARD OF TRUSTEES ANNUALLY REVIEW AND DOCUMENT ANY DISCLOSED AFFILIATIONS TO DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INCLUDES THE REVIEW AND APPROVAL BY THE GOVERNING BODY. INFORMATION CONSIDERED DURING THIS PROCESS INCLUDES COMPARATIVE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN COMPARATIVE POSITIONS AT SIMILAR ORGANIZATIONS. DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THIS REVIEW PROCESS ARE MAINTAINED THROUGHOUT THE PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT OUR FRONT DESK IN WHICH THE INFORMATION WILL BE MAILED TO THE ADDRESS PROVIDED.
PART XII, LINE 2CTHERE HAVE BEEN NO CHANGES IN THE METHOD OF CHOOSING AN INDIVIDUAL AUDITOR OR METHOD OF OVERSIGHT.

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