HOSPICE OF DARKE COUNTY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF DARKE COUNTY INC (EIN 31-1004692)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-14
- IRS object ID
- 201801349349300120
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T07:10:31-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 310905417 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VONLEHMAN & COMPANY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 WRIGHTS SUMMIT PARKWAY SUITE | AddressLine1Txt |
| Address Line2 | 300 | AddressLine2Txt |
| City | FORT WRIGHT | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 410112993 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311004692 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF DARKE COUNTY INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA STATE OF THE HEART HOSPICE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9375482999 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 N BROADWAY | AddressLine1Txt |
| City | GREENVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45331 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALFRED GROTH | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9375482999 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BETH VICE | PreparerPersonNm |
| PTIN | P00545816 | PTIN |
| Phone | 8593313300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.61.206.123 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-14 | IPDt |
| IP Tm | 08:10:24 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FEA6F9BA4F1BAA0A8C2F74A2874E506DDF1A6CA9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 541BECB099B9A8A1347F1ADC108F0DB0D4048BFB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALFRED GROTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 N BROADWAY | AddressLine1Txt |
| City | GREENVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45331 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,058,510 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STATEOFTHEHEARTCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | HOSPICE 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 Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 132 | TotalEmployeeCnt |
| Total Volunteers | 104 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $279,881 | PYContributionsGrantsAmt |
| CY Contributions Grants | $327,077 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,096,738 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,464,466 | CYProgramServiceRevenueAmt |
| PY Investment Income | $271,412 | PYInvestmentIncomeAmt |
| CY Investment Income | $210,953 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$11,488 | PYOtherRevenueAmt |
| CY Other Revenue | -$6,355 | CYOtherRevenueAmt |
| PY Total Revenue | $8,636,543 | PYTotalRevenueAmt |
| CY Total Revenue | $8,996,141 | 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 | $4,743,369 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,467,663 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $52,783 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,440,341 | PYOtherExpensesAmt |
| CY Other Expenses | $3,818,542 | CYOtherExpensesAmt |
| PY Total Expenses | $8,183,710 | PYTotalExpensesAmt |
| CY Total Expenses | $9,286,205 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $452,833 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$290,064 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,507,857 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,834,259 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $966,948 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $922,893 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,540,909 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,911,366 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HOSPICE 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,373,852 | ExpenseAmt |
| Revenue | $8,470,917 | RevenueAmt |
| Desc | HOSPICE 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 | $7,373,852 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 132 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | 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 | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | 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 |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA SIPE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9375482999 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 N BROADWAY | AddressLine1Txt |
| City | GREENVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45331 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ALFRED GROTH | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TRACY HAINES | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WENDY STUKEY | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JUDY HOWELL | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MILLIE REED | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVE WOLTERS | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SARAH ROYER | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JIM STAMCOFF | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NICK ANDERSON | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANGELA SIPE | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $110,787 | $0 | $0 | |
| KELLY BRUNSWICK | ||||||
| DIRECTOR OF FINANCE | 40.00 | Yes (X) | $52,642 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $163,429 | 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 |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALIS MANAGEMENT | |||||
| PO BOX 7458 | ROCKY MOUNT | NC | 27804 | DURABLE MEDICAL EQUIPMENT | $372,970 |
| RESTHAVEN | |||||
| 1096 N OHIO ST | GREENVILLE | OH | 45331 | PATIENT ROOM AND BOARD | $329,638 |
| PROCARE PBM | |||||
| 1267 PROFESSIONAL PARKWAY | GAINSVILLE | GA | 30507 | PHARMACEUTICAL COMPANY | $292,570 |
| CELINA MANOR | |||||
| 1001 MYERS ROAD | CELINA | OH | 45822 | PATIENT ROOM AND BOARD | $285,479 |
| BRETHREN RETIREMENT COMMUNITY | |||||
| 750 CHESTNUT ST | GREENVILLE | OH | 45331 | PATIENT ROOM AND BOARD | $202,905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $38,737 | FederatedCampaignsAmt |
| All Other Contributions | $288,340 | AllOtherContributionsAmt |
| Total Contributions | $327,077 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,464,466 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,464,466 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,464,466 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,953 | TotalRevenueColumnAmt |
| Exclusion | $210,953 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $49,563 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $62,369 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,806 | TotalRevenueColumnAmt |
| Exclusion | -$12,806 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,451 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,451 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,451 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,996,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,470,917 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $198,147 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,429 | TotalAmt |
| Program Services | $127,475 | ProgramServicesAmt |
| Management And General | $32,686 | ManagementAndGeneralAmt |
| Fundraising | $3,268 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,352,527 | TotalAmt |
| Program Services | $3,760,399 | ProgramServicesAmt |
| Management And General | $553,998 | ManagementAndGeneralAmt |
| Fundraising | $38,130 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,117 | TotalAmt |
| Program Services | $36,008 | ProgramServicesAmt |
| Management And General | $18,109 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,618 | TotalAmt |
| Program Services | $11,268 | ProgramServicesAmt |
| Management And General | $530,350 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,972 | TotalAmt |
| Program Services | $262,535 | ProgramServicesAmt |
| Management And General | $93,437 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,162 | TotalAmt |
| Program Services | $35,590 | ProgramServicesAmt |
| Management And General | $57,572 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,510 | TotalAmt |
| Management And General | $6,510 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,473 | TotalAmt |
| Program Services | $39,721 | ProgramServicesAmt |
| Management And General | $35,780 | ManagementAndGeneralAmt |
| Fundraising | $3,972 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,271 | TotalAmt |
| Program Services | $6,338 | ProgramServicesAmt |
| Management And General | $120,035 | ManagementAndGeneralAmt |
| Fundraising | $4,898 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,410 | TotalAmt |
| Program Services | $177,171 | ProgramServicesAmt |
| Management And General | $21,634 | ManagementAndGeneralAmt |
| Fundraising | $605 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,095 | TotalAmt |
| Management And General | $66,095 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,835 | TotalAmt |
| Program Services | $8,951 | ProgramServicesAmt |
| Management And General | $20,884 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| ROOM AND BOARD EXPENSE | $1,641,652 | $1,641,652 | |
| MEDICAL SUPPLIES & DRUG | $725,725 | $725,725 | |
| BAD DEBT EXPENSE | $182,618 | $182,618 | |
| UTILITIES, TELEPHONE, A | $169,064 | $14,939 | $154,125 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,727 | TotalAmt |
| Program Services | $343,462 | ProgramServicesAmt |
| Management And General | $148,355 | ManagementAndGeneralAmt |
| Fundraising | $1,910 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,286,205 | TotalAmt |
| Program Services | $7,373,852 | ProgramServicesAmt |
| Management And General | $1,859,570 | ManagementAndGeneralAmt |
| Fundraising | $52,783 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $295 | BOYAmt |
| EOY | $364 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,165,530 | BOYAmt |
| EOY | $655,411 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $970,396 | BOYAmt |
| EOY | $1,266,956 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,540 | BOYAmt |
| EOY | $17,937 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,498,218 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,802,473 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,766,416 | BOYAmt |
| EOY | $1,695,745 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,406,680 | BOYAmt |
| EOY | $6,197,846 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,507,857 | BOYAmt |
| EOY | $9,834,259 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $966,948 | BOYAmt |
| EOY | $922,893 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $966,948 | BOYAmt |
| EOY | $922,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,307,552 | BOYAmt |
| EOY | $8,661,777 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,357 | BOYAmt |
| EOY | $249,589 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,540,909 | BOYAmt |
| EOY | $8,911,366 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,507,857 | BOYAmt |
| EOY | $9,834,259 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$290,064 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $593,615 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $66,906 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $203,838 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $312,419 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,316 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279,881 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $327,077 | CurrentTaxYearAmt |
| Total | $1,413,531 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203,838 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $312,419 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,316 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279,881 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $327,077 | CurrentTaxYearAmt |
| Total | $1,413,531 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,413,531 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $166,058 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $279,176 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $301,504 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $271,412 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $210,953 | CurrentTaxYearAmt |
| Total | $1,229,103 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,671 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $577 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,391 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,451 | CurrentTaxYearAmt |
| Total | $27,515 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,670,149 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $33,866,280 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.52940 | PublicSupportCY170Pct |
| Public Support PY170 | 0.52390 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $242,642 | OtherCostOrOtherBasisAmt |
| Book Value | $242,642 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,163,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $860,501 | DepreciationAmt |
| Book Value | $1,302,985 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,092,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $941,972 | DepreciationAmt |
| Book Value | $150,118 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,695,745 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MUTUAL FUNDS | Desc |
| Book Value | $6,197,846 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,197,846 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,719,031 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $593,615 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $66,906 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $62,369 | OtherRevenueAmt |
| Revenue Not Reported | $722,890 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,996,141 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,996,141 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,348,574 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $62,369 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $62,369 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,286,205 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,286,205 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2017 OR 2016. 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, 2017 OR 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 62,369. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 62,369. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $18,633 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $18,633 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $11,562 | OtherDirectExpensesEvent1Amt |
| Event2 | GALA | Event2Nm |
| Gross Receipts Event2 | $13,127 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $13,127 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $8,469 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $14,615 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $14,615 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $8,089 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $46,375 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $46,375 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $28,120 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $28,120 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $18,255 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A 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 12C | ANNUALLY 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 15A | THE 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 19 | THE 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 2C | THERE HAVE BEEN NO CHANGES IN THE METHOD OF CHOOSING AN INDIVIDUAL AUDITOR OR METHOD OF OVERSIGHT. |
Comments