HOSPICE MINISTRIES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE MINISTRIES INC (EIN 64-0789919)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-11-13
- IRS object ID
- 201823179349302312
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-13T10:09:42-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 640854133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEFOLDT & CO PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 2848 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 391582848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640789919 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE MINISTRIES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 6018981053 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TOWNE CENTER BLVD | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUZANNAH BRITT | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6018981053 | PhoneNum |
| Signature | 2018-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS B SAVELL CPA | PreparerPersonNm |
| PTIN | P00939509 | PTIN |
| Phone | 6019562374 | PhoneNum |
| Preparation | 2018-10-25 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 75.145.109.154 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-10-29 | IPDt |
| IP Tm | 08:36:01 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6BB1D108038FA9C67FA11EF0BB6EA530871DE49B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2DF3F6B88B17E06DA8BA16ED82FCFD6D7190E0B8 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SUZANNAH BRITT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TOWNE CENTER BLVD | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,441,013 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICEMINISTRIES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | MEDICAL SERVICES AND HEALTH CARE PROVIDER FOR TERMINALLY ILL PATIENTS. ALSO PROVIDES GRIEF COUNSELING SERVICES FOR CHILDREN AND THEIR FAMILIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 163 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $300,631 | PYContributionsGrantsAmt |
| CY Contributions Grants | $310,454 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,908,870 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,115,272 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,500 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $220,989 | PYOtherRevenueAmt |
| CY Other Revenue | $1,709 | CYOtherRevenueAmt |
| PY Total Revenue | $8,433,990 | PYTotalRevenueAmt |
| CY Total Revenue | $8,427,435 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,585,248 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,133,362 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,969 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,698,218 | PYOtherExpensesAmt |
| CY Other Expenses | $3,692,327 | CYOtherExpensesAmt |
| PY Total Expenses | $8,283,466 | PYTotalExpensesAmt |
| CY Total Expenses | $8,825,689 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $150,524 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$398,254 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,661,683 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,281,899 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,699,167 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,717,637 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,962,516 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,564,262 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MEDICAL SERVICES AND HEALTH CARE PROVIDER FOR TERMINALLY ILL PATIENTS. ALSO PROVIDES GRIEF COUNSELING SERVICES FOR CHILDREN AND THEIR FAMILIES | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,565,745 | ExpenseAmt |
| Revenue | $8,115,272 | RevenueAmt |
| Desc | MEDICAL SERVICES PROVIDED TO TERMINALLY ILL PATIENTS BY IN-HOME CARE AND A HOSPICE CARE FACILITY. ALSO PROVIDES GRIEF COUNSELING SERVICES FOR CHILDREN AND THEIR FAMILIES | Desc |
| Total Program Service Expenses | $6,565,745 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 163 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6018981053 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TOWNE CENTER BLVD | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| REV LUTHER OTT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT SHOEMAKER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EDDIE MALONEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DARRYL GILMORE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SALLYE WILCOX | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEVE BOMGARDNER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GEORGE EVANS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL G MOAK JR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS KIRKLAND | ||||||
| BOARD ATTORNEY | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR GERRY ANN HOUSTON | ||||||
| PRESIDENT | 1.00 | $35,000 | $0 | $0 | Yes (X) | |
| JIM COGGIN | ||||||
| VICE PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | |
| RUSS YORK | ||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $35,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $103,262 | FundraisingAmt |
| All Other Contributions | $207,192 | AllOtherContributionsAmt |
| Noncash Contributions | $6,178 | NoncashContributionsAmt |
| Total Contributions | $310,454 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $8,115,272 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,115,272 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,115,272 | TotalProgramServiceRevenueAmt |
| Fundraising Gross Income | $13,578 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $103,262 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $13,578 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,709 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,709 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,709 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,427,435 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,116,981 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,166 | TotalAmt |
| Management And General | $110,166 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,351,539 | TotalAmt |
| Program Services | $3,046,077 | ProgramServicesAmt |
| Management And General | $1,305,462 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,454 | TotalAmt |
| Program Services | $235,847 | ProgramServicesAmt |
| Management And General | $109,607 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,203 | TotalAmt |
| Program Services | $222,704 | ProgramServicesAmt |
| Management And General | $103,499 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,216 | TotalAmt |
| Management And General | $29,216 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,982 | TotalAmt |
| Management And General | $39,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,014 | TotalAmt |
| Management And General | $38,014 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,573 | TotalAmt |
| Management And General | $28,573 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,286 | TotalAmt |
| Program Services | $103,879 | ProgramServicesAmt |
| Management And General | $51,407 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,546 | TotalAmt |
| Management And General | $3,546 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,181 | TotalAmt |
| Program Services | $33,569 | ProgramServicesAmt |
| Management And General | $16,612 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,690 | TotalAmt |
| Program Services | $145,624 | ProgramServicesAmt |
| Management And General | $72,066 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,520 | TotalAmt |
| Program Services | $53,195 | ProgramServicesAmt |
| Management And General | $26,325 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NURSING HOME FEES | $823,593 | $823,593 | |
| DRUGS | $347,623 | $347,623 | |
| CONTRACT LABOR | $318,548 | $235,788 | $82,760 |
| INDIGENT CHARITY | $245,613 | $245,613 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,942 | TotalAmt |
| Program Services | $1,072,233 | ProgramServicesAmt |
| Management And General | $240,740 | ManagementAndGeneralAmt |
| Fundraising | $1,969 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,825,689 | TotalAmt |
| Program Services | $6,565,745 | ProgramServicesAmt |
| Management And General | $2,257,975 | ManagementAndGeneralAmt |
| Fundraising | $1,969 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,727 | BOYAmt |
| EOY | -$46,941 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $936,598 | BOYAmt |
| EOY | $834,033 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,255 | BOYAmt |
| EOY | $25,730 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,345 | BOYAmt |
| EOY | $20,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,503,610 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,056,930 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,590,175 | BOYAmt |
| EOY | $4,446,680 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,583 | BOYAmt |
| EOY | $1,583 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,661,683 | BOYAmt |
| EOY | $5,281,899 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,713 | BOYAmt |
| EOY | $676,174 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $998,833 | BOYAmt |
| EOY | $917,435 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,621 | BOYAmt |
| EOY | $124,028 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,699,167 | BOYAmt |
| EOY | $1,717,637 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,958,458 | BOYAmt |
| EOY | $3,564,204 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,058 | BOYAmt |
| EOY | $58 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,962,516 | BOYAmt |
| EOY | $3,564,262 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,661,683 | BOYAmt |
| EOY | $5,281,899 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$398,254 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $479,774 | OtherCostOrOtherBasisAmt |
| Book Value | $479,774 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,412,166 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,566,071 | DepreciationAmt |
| Book Value | $3,846,095 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $611,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $490,859 | DepreciationAmt |
| Book Value | $120,811 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,446,680 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $7,358,228 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,069,207 | OtherRevenueAmt |
| Revenue Not Reported | -$1,069,207 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,427,435 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,427,435 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,756,482 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$1,069,207 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$1,069,207 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,825,689 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,825,689 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NURSING HOME FEES INDIGENT CHARITY CARE |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NURSING HOME FEES INDIGENT CHARITY CARE |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | MCCLEAN GALA | Event1Nm |
| Gross Receipts Event1 | $92,509 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $87,163 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,346 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $605 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $427 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $4,314 | OtherDirectExpensesEvent1Amt |
| Event2 | MISC. EVENTS | Event2Nm |
| Gross Receipts Event2 | $24,331 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $16,099 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,232 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $2,639 | NonCashPrizesEvent2Amt |
| Other Direct Expenses Event2 | $5,593 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $116,840 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $103,262 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $13,578 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,639 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $605 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $427 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,907 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $13,578 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEES ACT ON BEHALF OF THE GOVERING BOARD |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED BY INDEPENDENT BOARD OF DIRECTORS |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THE INFORMATION AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 24E | AUTOMOTIVE: PROGRAM SERVICE EXPENSES 208,256. MANAGEMENT AND GENERAL EXPENSES 2,073. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,329. DURABLE MEDICAL EQUIPMENT: PROGRAM SERVICE EXPENSES 193,041. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,041. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 140,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,800. HOSPITAL INPATIENT COSTS: PROGRAM SERVICE EXPENSES 119,561. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,561. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 95,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,344. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 79,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,404. TELEPHONE: PROGRAM SERVICE EXPENSES 44,509. MANAGEMENT AND GENERAL EXPENSES 22,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,536. FOOD PURCHASES: PROGRAM SERVICE EXPENSES 64,252. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,252. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 60,419. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,419. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 37,937. MANAGEMENT AND GENERAL EXPENSES 18,774. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,711. BAD DEBTS: PROGRAM SERVICE EXPENSES 50,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,000. DEVELOPMENT EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 30,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,438. HOUSEKEEPING SUPPLIES: PROGRAM SERVICE EXPENSES 18,365. MANAGEMENT AND GENERAL EXPENSES 9,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,453. MEDICAL WASTE: PROGRAM SERVICE EXPENSES 26,415. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,415. ANSWERING AND PAGING: PROGRAM SERVICE EXPENSES 18,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,383. LICENSES, FEES, AND TAXES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,173. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,173. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,911. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,911. COMMUNITY AWARENESS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,912. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,912. EQUIPMENT RENTAL & MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,755. PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 9,790. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,790. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,594. FUNDRAISING EXPENSES 1,969. TOTAL EXPENSES 6,563. SMALL EQUIPMENT PURCHASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,651. EDUCATIONAL MATERIALS: PROGRAM SERVICE EXPENSES 1,101. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,101. |
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