HOSPICE OF THE HIGHLAND RIM FOUNDATION INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF THE HIGHLAND RIM FOUNDATION INC (EIN 62-1874162)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-06-29
- IRS object ID
- 201721809349300322
- 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 | 2017-06-29T11:18:00-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208032022 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOUSHOLDER ARTMAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 N JACKSON ST | AddressLine1Txt |
| City | TULLAHOMA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 373883523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621874162 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF THE HIGHLAND RIM | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9315637439 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 E LAUDERDALE STREET | AddressLine1Txt |
| City | TULLAHOMA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37388 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER A LAZENBY | PersonNm |
| Person Title | SECRETARY/TREASURER | PersonTitleTxt |
| Phone | 9315637439 | PhoneNum |
| Signature | 2017-06-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA D ELDRIDGE | PreparerPersonNm |
| PTIN | P00001213 | PTIN |
| Phone | 9314554248 | PhoneNum |
| Preparation | 2017-06-21 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | CA01D2D1A1EA9CC52872B805C83D656D8932464D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C44D8CA652B8D83DD166B2B292321819AC3CF1F9 | 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 | JENNIFER A LAZENBY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 E LAUDERDALE STREET | AddressLine1Txt |
| City | TULLAHOMA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37388 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,134 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | THE HOSPICE FOUNDATION PROVIDES FOR MEDICAL EXPENSES FOR INDIVIDUALS WHO ARE IN THE LAST STAGES OF TERMINAL ILLNESSES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $21,871 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,208 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $2,757 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,615 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,565 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,095 | PYOtherRevenueAmt |
| CY Other Revenue | $1,558 | CYOtherRevenueAmt |
| PY Total Revenue | $30,581 | PYTotalRevenueAmt |
| CY Total Revenue | $31,088 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $85,860 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $64,510 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,223 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,104 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,473 | PYOtherExpensesAmt |
| CY Other Expenses | $35,369 | CYOtherExpensesAmt |
| PY Total Expenses | $147,556 | PYTotalExpensesAmt |
| CY Total Expenses | $134,983 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$116,975 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$103,895 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,128,752 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,046,301 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,354 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,415 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,126,398 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,043,886 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE HOSPICE FOUNDATION PROVIDES FOR MEDICAL EXPENSES FOR INDIVIDUALS WHO ARE IN THE LAST STAGES OF TERMINAL ILLNESSES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $123,999 | ExpenseAmt |
| Grant | $64,510 | GrantAmt |
| Revenue | $2,757 | RevenueAmt |
| Desc | THE HOSPICE FOUNDATION ASSISTED TERMINALLY ILL PATIENTS WITH FINANCIAL NEEDS AND MEDICAL ATTENTION. | Desc |
| Total Program Service Expenses | $123,999 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER A LAZENBY | PersonNm |
| Phone | 9315637439 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 E LAUDERDALE STREET | AddressLine1Txt |
| City | TULLAHOMA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37388 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| JENNIFER A LAZENBY | ||||||
| SECRETARY/TR | 40.00 | Yes (X) | $32,864 | $0 | $0 | |
| DR DAVID ELROD | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TJAWANNA HAMMOND | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| TERRI MILAM | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| REV MARTY NUTTER | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| GAYLE WASSON | ||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $32,864 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $6,315 | FundraisingAmt |
| All Other Contributions | $12,893 | AllOtherContributionsAmt |
| Total Contributions | $19,208 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BUILDING RENT | Desc |
| Total Revenue Column | $2,757 | TotalRevenueColumnAmt |
| Exclusion | $2,757 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,757 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,565 | TotalRevenueColumnAmt |
| Exclusion | $7,565 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,342 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $6,315 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $3,046 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$704 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $2,262 | TotalRevenueColumnAmt |
| Exclusion | $2,262 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,262 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,088 | TotalRevenueColumnAmt |
| Exclusion | $12,584 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,510 | TotalAmt |
| Program Services | $64,510 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,864 | TotalAmt |
| Program Services | $24,648 | ProgramServicesAmt |
| Management And General | $8,216 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240 | TotalAmt |
| Program Services | $1,680 | ProgramServicesAmt |
| Management And General | $560 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,485 | TotalAmt |
| Management And General | $1,485 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,797 | TotalAmt |
| Program Services | $7,797 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870 | TotalAmt |
| Program Services | $870 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,992 | TotalAmt |
| Program Services | $1,370 | ProgramServicesAmt |
| Management And General | $622 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,782 | TotalAmt |
| Program Services | $8,782 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,870 | TotalAmt |
| Program Services | $7,870 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,487 | TotalAmt |
| Program Services | $2,487 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TELEPHONE | $2,488 | $2,488 | |
| SUPPLIES | $997 | $997 | |
| FOREIGN TAX PAID | $500 | $500 | |
| MEALS | $81 | $81 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20 | TotalAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,983 | TotalAmt |
| Program Services | $123,999 | ProgramServicesAmt |
| Management And General | $10,984 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,757 | BOYAmt |
| EOY | $29,195 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869 | BOYAmt |
| EOY | $1,202 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $330,212 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,775 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,682 | BOYAmt |
| EOY | $304,437 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,444 | BOYAmt |
| EOY | $711,467 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,128,752 | BOYAmt |
| EOY | $1,046,301 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,354 | BOYAmt |
| EOY | $2,415 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,354 | BOYAmt |
| EOY | $2,415 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,126,398 | BOYAmt |
| EOY | $1,043,886 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,126,398 | BOYAmt |
| EOY | $1,043,886 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,128,752 | BOYAmt |
| EOY | $1,046,301 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$103,895 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $36,758 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$15,375 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,208 | CurrentTaxYearAmt |
| Total | $124,617 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,208 | CurrentTaxYearAmt |
| Total | $124,617 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $124,617 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $75,938 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $126,356 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $143,759 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,710 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,322 | CurrentTaxYearAmt |
| Total | $365,085 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $2,262 | CurrentTaxYearAmt |
| Total | $2,262 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $491,964 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,342 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.25330 | PublicSupportCY170Pct |
| Public Support PY170 | 0.24380 | PublicSupportPY170Pct |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | THE PUBLIC SUPPORT PERCENTAGE FOR 2016 FOR THE HOSPICE OF THE HIGHLAND RIM IS 25.33%. THEREFORE, ITS PUBLIC SUPPORT PERCENTAGE IS MORE THAN 10% OF ITS TOTAL SUPPORT. THE ENTITY HAS A SOLICITATION PLAN FOR ATTRACTING PUBLIC SUPPORT AND A BOARD OF DIRECTORS THAT REPRESENTS A CROSS-SECTION OF THE COMMUNITY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE ASSISTANCE TO INDIVIDUALS OF THE COMMUNITY WHO ARE IN THEIR LAST STAGES OF TERMINAL ILLNESS. THE BOARD IS HOPEFUL THAT PUBLIC SUPPORT WILL INCREASE AS THEY CONTINUE FUNDRAISING EFFORTS AND THE LOCAL ECONOMY CONTINUES TO IMPROVE. | FactsAndCircumstancesTestTxt |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 17A | FormAndLineReferenceDesc |
| Explanation | THE PUBLIC SUPPORT PERCENTAGE FOR 2016 FOR THE HOSPICE OF THE HIGHLAND RIM IS 25.33%. THEREFORE, ITS PUBLIC SUPPORT PERCENTAGE IS MORE THAN 10% OF ITS TOTAL SUPPORT. THE ENTITY HAS A SOLICITATION PLAN FOR ATTRACTING PUBLIC SUPPORT AND A BOARD OF DIRECTORS THAT REPRESENTS A CROSS-SECTION OF THE COMMUNITY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE ASSISTANCE TO INDIVIDUALS OF THE COMMUNITY WHO ARE IN THEIR LAST STAGES OF TERMINAL ILLNESS. THE BOARD IS HOPEFUL THAT PUBLIC SUPPORT WILL INCREASE AS THEY CONTINUE FUNDRAISING EFFORTS AND THE LOCAL ECONOMY CONTINUES TO IMPROVE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,000 | OtherCostOrOtherBasisAmt |
| Book Value | $20,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $307,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,063 | DepreciationAmt |
| Book Value | $284,437 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,712 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,712 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $304,437 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | MEDICAL ASSISTANCE | GrantTypeTxt |
| Cash Grant | $64,510 | CashGrantAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ANNUAL SALARY APPROVED BY ENTIRE BOARD OF DIRECTORS |
| FORM 990, PAGE 6, PART VI, LINE 19 | COPIES PROVIDED UPON REQUEST |
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