COASTAL HOSPICE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COASTAL HOSPICE INC (EIN 52-1214775)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-15
IRS object ID
201710479349300316
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-02-15T00:00:00-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521224986PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKS & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11801 SWEETBAY DRIVEAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21804ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521214775EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COASTAL HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOASBusinessNameControlTxt
Phone4107428732PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1733AddressLine1Txt
CitySALISBURYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP218021733ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALANE CAPENPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4107428732PhoneNum
Signature2017-02-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN M STERN CPAPreparerPersonNm
PTINP00000490PTIN
Phone4105465600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALANE CAPENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1733AddressLine1Txt
CitySALISBURYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP218021733ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,504,675GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COASTALHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionCOASTAL HOSPICE PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES IN THE FOUR LOWER COUNTIES OF THE EASTERN SHORE OF MARYLAND TO INDIVIDUALS FACING LIFE-LIMITING CONDITIONS.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee173TotalEmployeeCnt
Total Volunteers223TotalVolunteersCnt
Total Gross UBI-$122TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,622,025PYContributionsGrantsAmt
CY Contributions Grants$1,409,337CYContributionsGrantsAmt
PY Program Service Revenue$8,544,251PYProgramServiceRevenueAmt
CY Program Service Revenue$9,965,689CYProgramServiceRevenueAmt
PY Investment Income$65,830PYInvestmentIncomeAmt
CY Investment Income$48,758CYInvestmentIncomeAmt
PY Other Revenue$64,738PYOtherRevenueAmt
CY Other Revenue$63,540CYOtherRevenueAmt
PY Total Revenue$10,296,844PYTotalRevenueAmt
CY Total Revenue$11,487,324CYTotalRevenueAmt
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$6,465,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,120,686CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$190,719CYTotalFundraisingExpenseAmt
PY Other Expenses$2,744,151PYOtherExpensesAmt
CY Other Expenses$3,090,136CYOtherExpensesAmt
PY Total Expenses$9,209,837PYTotalExpensesAmt
CY Total Expenses$10,210,822CYTotalExpensesAmt
PY Revenues Less Expenses$1,087,007PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,276,502CYRevenuesLessExpensesAmt
Total Assets BOY$6,613,389TotalAssetsBOYAmt
Total Assets EOY$7,956,359TotalAssetsEOYAmt
Total Liabilities BOY$761,201TotalLiabilitiesBOYAmt
Total Liabilities EOY$856,259TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,852,188NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,100,100NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOASTAL HOSPICE PROMOTES DIGNITY AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO FACE LIFE-LIMITING CONDITIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,567,937ExpenseAmt
Revenue$7,694,792RevenueAmt
DescHOME HOSPICE CARE: COASTAL HOSPICE DELIVERS PATIENT-CENTERED HOSPICE CARE IN DORCHESTER, WICOMICO, SOMERSET AND WORCESTER COUNTIES. THE HOSPICE TEAM INCLUDES (BUT IS NOT LIMITED TO) PRIMARY PHYSICIANS, REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. WE VISIT OUR PATIENTS WHERE THEY ARE MOST COMFORTABLE: IN PRIVATE HOMES, NURSING HOMES AND ASSISTED LIVING FACILITIES. WE BASE EACH PLAN OF CARE ON THE PATIENT'S GOALS AND WORK WITH THE PATIENT AND HIS OR HER LOVED ONES, ULTIMATELY TO ACHIEVE DEATH WITH DIGNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,760,048ExpenseAmt
Revenue$2,068,555RevenueAmt
DescFOR PATIENTS WHOSE SYMPTOM MANAGEMENT NEEDS REQUIRE CLOSE ATTENTION, WE HAVE AN INPATIENT CENTER: COASTAL HOSPICE AT THE LAKE. OUR WING OF DEER'S HEAD HOSPITAL CENTER, WHICH IS SURROUNDED BY THE PICTURESQUE JOHNSON'S POND IN SALISBURY, OFFERS PATIENT ROOMS THAT ACCOMMODATE FAMILY MEMBERS OVERNIGHT. COASTAL HOSPICE AT THE LAKE IS STAFFED BY A TEAM OF REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. IN THIS PEACEFUL SETTING, PATIENTS ARE ATTENDED TO AROUND THE CLOCK, BUT IN A SETTING THAT IS MORE HOME-LIKE THAN CLINICAL. A FAMILY ROOM AND GARDEN ROOM, AS WELL AS A COUNSELING OFFICE, PROVIDE FAMILY MEMBERS SPACE FOR THE SENSITIVE CONVERSATIONS AND SUPPORT THAT SHOULD COME AT THE END OF LIFE OF A LOVED ONE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$332,349ExpenseAmt
Revenue$202,342RevenueAmt
DescPALLIATIVE CARE IS DELIVERED TO MANAGE THE PHYSIOLOGICAL, PRACTICAL AND EMOTIONAL NEEDS OF PATIENTS WHO ARE FACING SERIOUS ILLNESS. UNLIKE HOSPICE PATIENTS, PALLIATIVE CARE PATIENTS ARE RECEIVING MEDICAL CARE IN ACTIVE PURSUIT OF CURE OR REMISSION. THE PALLIATIVE CARE TEAM PROVIDES PATIENT CARE THAT WOULD OTHERWISE HAVE GONE BY THE WAYSIDE IN THE CURRENT HEALTH CARE LANDSCAPE. PHYSICIANS HAVE SO LITTLE TIME TO SPEND WITH EACH PATIENT THAT IT IS ESPECIALLY VALUABLE TO HAVE THE PALLIATIVE CARE TEAM ON HAND TO CATCH THOSE PATIENTS AND FAMILY MEMBERS REELING FROM THE NEWS OF A SERIOUS DIAGNOSIS. IN ADDITION TO PROVIDING SYMPTOM MANAGEMENT CARE, THE PHYSICIAN, NURSE PRACTITIONER, SOCIAL WORKER AND PASTORAL COUNSELOR HELP PATIENTS AND FAMILIES SORT THROUGH THE PRACTICAL ISSUES AND EMOTIONAL AND SPIRITUAL TURMOIL THAT FOLLOW IN THE WAKE OF DIAGNOSIS. WE KNOW WELL THAT WE HAVE THE SKILLS AND KNOWLEDGE TO MEET THIS NEED IN OUR COMMUNITY. COASTAL HOSPICE & PALLIATIVE CARE OPERATES IN PARTNERSHIP WITH PENINSULA REGIONAL MEDICAL CENTER IN THIS ENDEAVOR.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,660,334TotalProgramServiceExpensesAmt
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 Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 RequiredYes (1)ScheduleJRequiredInd
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 ContriYes (1)DeductibleNonCashContriInd
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 Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee173EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUE OLISCHARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4107428732PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12604 OLD OCEAN CITY RDAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21804ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALANE CAPEN
PRESIDENT40.00Yes (X)Yes (X)$127,500$0$0
BARBARA LONG
DIRECTOR5.00Yes (X)$0$0$0
DIANA BARBER
SECRETARY5.00Yes (X)Yes (X)$0$0$0
STEVE FARROW
DIRECTOR5.00Yes (X)$0$0$0
BYRON BRANIFF
VICE CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
MICHAEL DUNN
DIRECTOR5.00Yes (X)$0$0$0
COLLEEN BUNTING
DIRECTOR5.00Yes (X)$0$0$0
BARBARA JACKSON
DIRECTOR5.00Yes (X)$0$0$0
EDWIN ROMMEL III
DIRECTOR5.00Yes (X)$0$0$0
ROGER HARRELL
DIRECTOR5.00Yes (X)$0$0$0
MADALAINE HOWE
DIRECTOR5.00Yes (X)$0$0$0
LORIE PHILLIPS
TREASURER5.00Yes (X)Yes (X)$0$0$0
MACKY STANSELL
DIRECTOR5.00Yes (X)$0$0$0
DIRK WIDDOWSON ESQ
DIRECTOR5.00Yes (X)$0$0$0
GLENNA HECKATHORN
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
KATHRYN WASHBURN
DIRECTOR5.00Yes (X)$0$0$0
INGRID PARKER
DIRECTOR5.00Yes (X)$0$0$0
RICHARD M LAWS
DIRECTOR5.00Yes (X)$0$0$0
ROBERT M PURCELL
DIRECTOR5.00Yes (X)$0$0$0
MICHAEL SCHRADER
DIRECTOR5.00Yes (X)$0$0$0
GHULAM WARIS
PHYSICIAN40.00$192,814$0$0Yes (X)
JENNIFER FUNAIOLI-SHEEHAN
PHYSICIAN40.00$145,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$465,314TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$91,034FundraisingAmt
All Other Contributions$1,318,303AllOtherContributionsAmt
Noncash Contributions$402,843NoncashContributionsAmt
Total Contributions$1,409,337TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME HOSPICE CARE624100$7,694,792$7,694,792
IMPATIENT CENTER624100$2,068,555$2,068,555
PALLIATIVE CARE624100$202,342$202,342
FieldValueIRS element (for citing)
Total Program Service Revenue$9,965,689TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,194TotalRevenueColumnAmt
Exclusion$45,194ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,564SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,564SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,564TotalRevenueColumnAmt
Exclusion$3,564ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$81,013FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$91,034ContriRptFundraisingEventAmt
Fundraising Direct Expenses$17,351FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,662TotalRevenueColumnAmt
Exclusion$63,662ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescTHRIFT STORE SALES (NET)Desc
Business453310BusinessCd
Total Revenue Column-$122TotalRevenueColumnAmt
Unrelated Business Revenue-$122UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total-$122OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,487,324TotalRevenueColumnAmt
Related Or Exempt Func Income$9,965,689RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$122UnrelatedBusinessRevenueAmt
Exclusion$112,420ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$320,314TotalAmt
Program Services$192,814ProgramServicesAmt
Management And General$127,500ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$5,414,640TotalAmt
Program Services$4,731,239ProgramServicesAmt
Management And General$575,878ManagementAndGeneralAmt
Fundraising$107,523FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$957,165TotalAmt
Program Services$838,092ProgramServicesAmt
Management And General$98,662ManagementAndGeneralAmt
Fundraising$20,411FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$428,567TotalAmt
Program Services$367,985ProgramServicesAmt
Management And General$52,549ManagementAndGeneralAmt
Fundraising$8,033FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,482TotalAmt
Management And General$49,482ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$72,377TotalAmt
Management And General$72,377ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$430,924TotalAmt
Program Services$231,572ProgramServicesAmt
Management And General$195,212ManagementAndGeneralAmt
Fundraising$4,140FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$336,459TotalAmt
Program Services$329,993ProgramServicesAmt
Management And General$3,375ManagementAndGeneralAmt
Fundraising$3,091FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$87,036TotalAmt
Program Services$48,115ProgramServicesAmt
Management And General$38,921ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ANCILLARIES$1,094,932$1,094,932
INPATIENT COSTS$441,578$441,578
GENERAL AND ADMIN$403,369$216,769$139,079$47,521
CONTRACT SERVICES$149,156$142,422$6,734

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,823TotalAmt
Program Services$24,823ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,210,822TotalAmt
Program Services$8,660,334ProgramServicesAmt
Management And General$1,359,769ManagementAndGeneralAmt
Fundraising$190,719FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,380,326BOYAmt
EOY$1,739,156EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$445,484BOYAmt
EOY$249,482EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$833,213BOYAmt
EOY$786,633EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,930,982BOYAmt
EOY$2,994,417EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$166,098BOYAmt
EOY$191,282EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$93,998BOYAmt
EOY$108,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,599,665LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,641,942LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$848,089BOYAmt
EOY$957,723EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$895,509BOYAmt
EOY$909,418EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,690BOYAmt
EOY$19,690EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,613,389BOYAmt
EOY$7,956,359EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$756,330BOYAmt
EOY$855,759EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,871BOYAmt
EOY$500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$761,201BOYAmt
EOY$856,259EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,176,057BOYAmt
EOY$5,000,804EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,676,131BOYAmt
EOY$2,099,296EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,852,188BOYAmt
EOY$7,100,100EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,613,389BOYAmt
EOY$7,956,359EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,276,502ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$28,590OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$902,949CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,442,342CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$967,335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,622,025CurrentTaxYearMinus1YearAmt
Current Tax Year$1,409,337CurrentTaxYearAmt
Total$6,343,988TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,063,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,252,618CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,119,808CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,544,251CurrentTaxYearMinus1YearAmt
Current Tax Year$9,965,689CurrentTaxYearAmt
Total$42,946,263TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$332CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$167CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121CurrentTaxYearMinus1YearAmt
Current Tax Year-$122CurrentTaxYearAmt
Total$416TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,967,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,695,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,086,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,166,397CurrentTaxYearMinus1YearAmt
Current Tax Year$11,374,904CurrentTaxYearAmt
Total$49,290,667TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$49,290,667PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,927CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,068CurrentTaxYearMinus1YearAmt
Current Tax Year$45,194CurrentTaxYearAmt
Total$189,782TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,927CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,068CurrentTaxYearMinus1YearAmt
Current Tax Year$45,194CurrentTaxYearAmt
Total$189,782TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,993,025CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,725,286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,126,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,215,465CurrentTaxYearMinus1YearAmt
Current Tax Year$11,420,098CurrentTaxYearAmt
Total$49,480,449TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99620PublicSupportCY509Pct
Public Support PY5090.99650PublicSupportPY509Pct
Investment Income CY0.00380InvestmentIncomeCYPct
Investment Income PY0.00350InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$467,611OtherCostOrOtherBasisAmt
Book Value$467,611BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$442,037OtherCostOrOtherBasisAmt
Depreciation$442,037DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$636,593OtherCostOrOtherBasisAmt
Depreciation$593,377DepreciationAmt
Book Value$43,216BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$652,056OtherCostOrOtherBasisAmt
Depreciation$558,357DepreciationAmt
Book Value$93,699BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$401,368OtherCostOrOtherBasisAmt
Depreciation$48,171DepreciationAmt
Book Value$353,197BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$957,723TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescUNEARNED INCOMEDesc
Amt$500Amt
FieldValueIRS element (for citing)
Total Liability$500TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,487,324TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$11,487,324RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,487,324TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,210,822TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,210,822ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,210,822TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TASTE OF FINER THINGSEvent1Nm
Gross Receipts Event1$32,082GrossReceiptsEvent1Amt
Gross Revenue Event1$32,082GrossRevenueEvent1Amt
Other Direct Expenses Event1$4,652OtherDirectExpensesEvent1Amt
Event2BLUES ON THE BAYEvent2Nm
Gross Receipts Event2$20,125GrossReceiptsEvent2Amt
Gross Revenue Event2$20,125GrossRevenueEvent2Amt
Other Direct Expenses Event2$1,590OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$28,806GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$28,806GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$11,109OthDirectExpnssOtherEventsAmt
Gross Receipts Total$81,013GrossReceiptsTotalAmt
Gross Revenue Total Events$81,013GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$17,351OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,351DirectExpenseSummaryEventsAmt
Net Income Summary$63,662NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonGHULAM WARISPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$192,814BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$192,814TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$402,843NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
DescCATERINGDesc
Contribution0ContributionCnt
Noncash Contributions Rpt F990$0NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY OF THE AUDIT AND FORM 990 ARE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. THE ACCOUNTANT WILL MAKE ANY FINAL CHANGES AS NEEDED. AFTER CHANGES HAVE BEEN MADE THE FINAL COPY OF THE FORM 990 AND AUDIT IS PROVIDED BY THE ACCOUNTANT.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES ARE REVIEWED AND SIGNED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL EVALUATION IS COMPLETED BY IMMEDIATE SUPERVISOR AND A REVIEW OF WHETHER GOALS WERE MET OR NOT, AREAS OF EXCELLENCE AND AREAS NEEDING IMPROVEMENT IS CONDUCTED. SUPERVISOR DETERMINES, BASED ON THE EVALUATION AND REVIEW, IF MERIT INCREASE IS DESERVED. THE PERCENTAGE INCREASE FOR THE YEAR IS SET WHEN THE BUDGET IS CREATED.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION IS AVAILABLE UPON REQUEST TO THE BOARD OF DIRECTORS.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN/LOSS -28,590.
FORM 990, PART XII, LINE 2C:NO CHANGES HAVE BEEN MADE TO THIS PROCESS.

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