HOSPICE CARE OF SOUTHWEST MICHIGAN: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE CARE OF SOUTHWEST MICHIGAN (EIN 38-2293985)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-15
- IRS object ID
- 201741359349307689
- 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 | 2017-05-15T14:32:06-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200503877 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEBER TANS PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 W CROSSTOWN PARKWAY STE 304 | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49008 | 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 | 382293985 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE CARE OF SOUTHWEST MICHIGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 2693450273 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 N KALAMAZOO MALL STE 100 | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49007 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS JAGER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 2693450273 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER HOLDER | PreparerPersonNm |
| PTIN | P01069327 | PTIN |
| Phone | 2693438180 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | A800C36CB8F4F2B29F28D25D30C752B604EF50D0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0F4CADB9E6198BE6A26C78AFB088E617AEC0CB8A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF GREATER KALAMAZOO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEAN MAILE CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 N KALAMAZOO MALL STE 100 | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,113,606 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICESWMI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | CARE FOR PEOPLE COPING WITH ILLNESS, AGING, DYING AND LOSS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 195 | TotalEmployeeCnt |
| Total Volunteers | 203 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $603,191 | PYContributionsGrantsAmt |
| CY Contributions Grants | $919,914 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,657,572 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,286,204 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,583,134 | PYInvestmentIncomeAmt |
| CY Investment Income | $538,507 | CYInvestmentIncomeAmt |
| PY Other Revenue | $67,325 | PYOtherRevenueAmt |
| CY Other Revenue | $74,561 | CYOtherRevenueAmt |
| PY Total Revenue | $16,911,222 | PYTotalRevenueAmt |
| CY Total Revenue | $18,819,186 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,644,192 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,656,027 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $481,170 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,519,606 | PYOtherExpensesAmt |
| CY Other Expenses | $6,124,262 | CYOtherExpensesAmt |
| PY Total Expenses | $15,163,798 | PYTotalExpensesAmt |
| CY Total Expenses | $16,780,289 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,747,424 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,038,897 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,146,993 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,181,605 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,975,611 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,304,955 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,171,382 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,876,650 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CARE FOR PEOPLE COPING WITH ILLNESS, AGING, DYING AND LOSS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,471,835 | ExpenseAmt |
| Revenue | $14,845,289 | RevenueAmt |
| Desc | MEDICAL SERVICES - THE FOLLOWING SERVICES ARE PROVIDED THROUGH HOSPICE: AS NEEDED AND AS APPROPRIATE: NURSING SERVICES, MEDICAL SOCIAL WORK, PHYSICIAN SERVICES, SPIRITUAL COUNSELING, TRAINED VOLUNTEERS, PHYSICAL THERAPY, NUTRITIONAL COUNSELING, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE THERAPY, HOME HEALTH AIDE SERVICES, HOMEMAKER SERVICES, SHORT-TERM INPATIENT CARE, SHORT-TERM CONTINUOUS CARE, SHORT-TERM RESPITE INPATIENT CARE, AND GRIEF SERVICES. ALSO PROVIDED ARE RELATED MEDICAL SUPPLIES, MEDICATION, AND DURABLE MEDICAL EQUIPMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $876,591 | ExpenseAmt |
| Revenue | $1,187,805 | RevenueAmt |
| Desc | SOCIAL WORK AND SPIRITUAL COUNSELING SERVICES - SOCIAL WORK AND SPIRITUAL COUNSELING SERVICES PROVIDED AS PART OF THE OVERALL HOSPICE PROGRAM TO HOSPICE CLIENTS AND THEIR FAMILIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $649,773 | ExpenseAmt |
| Revenue | $500,130 | RevenueAmt |
| Desc | ADULT DAY SERVICES - CARE FOR THOSE WHO ARE PHYSICALLY FRAIL, HAVE DEMENTIA, OR NEED EXTRA ASSISTANCE AFTER HOSPITALIZATION. ALSO CARE FOR OLDER ADULTS WHO ENJOY THE MEANINGFUL ACTIVITIES AND SOCIAL ENGAGEMENT OFFERED BY THE PROGRAM. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $498,164 | ExpenseAmt |
| Revenue | $752,980 | RevenueAmt |
| Desc | VOLUNTEER SERVICES - COORDINATION OF TRAINING AND SERVICES PROVIDED BY HOSPICE VOLUNTEERS. BEREAVEMENT SERVICES - GRIEF COUNSELING SERVICES PROVIDED TO BEREAVED FOR THIRTEEN MONTHS AFTER A LOVED ONE'S DEATH AND GRIEF SUPPORT SERVICES PROVIDED TO COMMUNITY MEMBERS WHO HAVE EXPERIENCED GRIEF OR LOSS. MANAGE THE ADVANCED ILLNESS MANAGEMENT (AIM) PROGRAM FOR BRONSON HOSPITAL. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $498,164 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $752,980 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $12,496,363 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 195 | 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 |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMIE COCKEREL | PersonNm |
| Phone | 2693450273 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 N KALAMAZOO MALL STE 100 | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49007 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DR KATHLEEN GADWOOD | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUSAN SPRINGGATE | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS JAGER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WENDY Y FIELDS | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD PATTERSON | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA MURPHY | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP A LONG | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KENNETH WARREN | |||||||
| DIRECTOR | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| WANDA W BROWN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CELIA BANUELOS | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ERIN GALLAGHER | |||||||
| DIRECTOR | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| REV DR DAVID MOFFETT-MOORE | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JOSHUA FITZGIBBON | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES OFSTEIN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JEAN MAILE CEO | |||||||
| CEO | 40.00 | Yes (X) | $199,168 | $0 | $23,340 | ||
| JAMIE COCKEREL | |||||||
| CFO | 40.00 | Yes (X) | $93,322 | $0 | $23,865 | ||
| DR MICHAEL RAPHELSON | |||||||
| MEDICAL DIRE | 40.00 | $250,852 | $0 | $26,441 | Yes (X) | ||
| DR RONALD SEAGLE | |||||||
| ASSOC. MEDIC | 40.00 | $225,293 | $0 | $28,277 | Yes (X) | ||
| KELLY MCCORMICK | |||||||
| COO | 40.00 | $122,823 | $0 | $5,934 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $891,458 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $107,857 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $88,147 | FederatedCampaignsAmt |
| Fundraising | $2,441 | FundraisingAmt |
| All Other Contributions | $829,326 | AllOtherContributionsAmt |
| Noncash Contributions | $6,517 | NoncashContributionsAmt |
| Total Contributions | $919,914 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE FEES | 624200 | $16,869,086 | $16,869,086 |
| ADVANCED ILLNESS MANAGEMENT | 624200 | $417,118 | $417,118 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,286,204 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $603,584 | TotalRevenueColumnAmt |
| Exclusion | $603,584 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,842,307 | SecuritiesAmt |
| Other | $364,826 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,272,210 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$429,903 | SecuritiesAmt |
| Other | $364,826 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$65,077 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$65,077 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $53,130 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $2,441 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $17,197 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,933 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $36,117 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $5,013 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,104 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $7,524 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,524 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,524 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,819,186 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,259,755 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $603,584 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,695 | TotalAmt |
| Management And General | $339,695 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,308,786 | TotalAmt |
| Program Services | $6,708,448 | ProgramServicesAmt |
| Management And General | $1,305,306 | ManagementAndGeneralAmt |
| Fundraising | $295,032 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,615 | TotalAmt |
| Program Services | $134,288 | ProgramServicesAmt |
| Management And General | $25,327 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,191,394 | TotalAmt |
| Program Services | $933,331 | ProgramServicesAmt |
| Management And General | $185,776 | ManagementAndGeneralAmt |
| Fundraising | $72,287 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,537 | TotalAmt |
| Program Services | $525,230 | ProgramServicesAmt |
| Management And General | $131,307 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,187 | TotalAmt |
| Management And General | $59,187 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,900 | TotalAmt |
| Management And General | $23,900 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,071 | TotalAmt |
| Management And General | $124,071 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,345 | TotalAmt |
| Management And General | $12,345 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,946 | TotalAmt |
| Fundraising | $59,946 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,600 | TotalAmt |
| Program Services | $37,547 | ProgramServicesAmt |
| Management And General | $122,167 | ManagementAndGeneralAmt |
| Fundraising | $40,886 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,044 | TotalAmt |
| Management And General | $263,044 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,331 | TotalAmt |
| Program Services | $5,220 | ProgramServicesAmt |
| Management And General | $187,111 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,471 | TotalAmt |
| Program Services | $12,500 | ProgramServicesAmt |
| Management And General | $3,971 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,132 | TotalAmt |
| Management And General | $589,132 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,263 | TotalAmt |
| Management And General | $98,263 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ROOM AND BOARD | $1,817,806 | $1,817,806 |
| PRESCRIPTION DRUGS | $1,037,461 | $1,037,461 |
| PATIENT SERVICE EXPENSE | $651,878 | $651,878 |
| MEDICAL SUPPLIES | $315,618 | $315,618 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,209 | TotalAmt |
| Program Services | $317,036 | ProgramServicesAmt |
| Management And General | $332,154 | ManagementAndGeneralAmt |
| Fundraising | $13,019 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,780,289 | TotalAmt |
| Program Services | $12,496,363 | ProgramServicesAmt |
| Management And General | $3,802,756 | ManagementAndGeneralAmt |
| Fundraising | $481,170 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,361 | BOYAmt |
| EOY | $556,398 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,625,042 | BOYAmt |
| EOY | $2,725,218 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $70,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,829,811 | BOYAmt |
| EOY | $2,024,207 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,889 | BOYAmt |
| EOY | $414,236 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,442,093 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,200,500 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,680,135 | BOYAmt |
| EOY | $8,241,593 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,171,755 | BOYAmt |
| EOY | $30,136,498 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,455 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,146,993 | BOYAmt |
| EOY | $44,181,605 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,541 | BOYAmt |
| EOY | $1,376,322 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,040,070 | BOYAmt |
| EOY | $928,633 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,975,611 | BOYAmt |
| EOY | $2,304,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,803,985 | BOYAmt |
| EOY | $38,345,684 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,151,172 | BOYAmt |
| EOY | $3,314,741 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,225 | BOYAmt |
| EOY | $216,225 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,171,382 | BOYAmt |
| EOY | $41,876,650 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,146,993 | BOYAmt |
| EOY | $44,181,605 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,038,897 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,666,371 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| 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 | $772,157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $579,320 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $482,860 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $603,191 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $919,914 | CurrentTaxYearAmt |
| Total | $3,357,442 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $772,157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $579,320 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $482,860 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $603,191 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $919,914 | CurrentTaxYearAmt |
| Total | $3,357,442 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $53,110 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,304,332 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $352,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $359,719 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $583,719 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $582,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $604,917 | CurrentTaxYearAmt |
| Total | $2,482,726 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,159 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,298 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,228 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,037 | CurrentTaxYearAmt |
| Total | $279,799 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,229 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,151 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,097 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,524 | CurrentTaxYearAmt |
| Total | $59,304 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,179,271 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $74,796,939 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.53470 | PublicSupportCY170Pct |
| Public Support PY170 | 0.54100 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 59,304 | ExplanationTxt |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,326,141 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $227,548 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $11,388 | AdministrativeExpensesAmt |
| End Year Balance | $3,542,301 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,349,300 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$11,749 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $11,410 | AdministrativeExpensesAmt |
| End Year Balance | $3,326,141 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,110,800 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $249,674 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $11,174 | AdministrativeExpensesAmt |
| End Year Balance | $3,349,300 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,644,325 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $476,085 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $9,610 | AdministrativeExpensesAmt |
| End Year Balance | $3,110,800 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,402,154 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $250,924 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $8,753 | AdministrativeExpensesAmt |
| End Year Balance | $2,644,325 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $499,633 | OtherCostOrOtherBasisAmt |
| Book Value | $499,633 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,927,760 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,408,573 | DepreciationAmt |
| Book Value | $7,519,187 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,241 | DepreciationAmt |
| Book Value | $3,984 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,913,475 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,694,686 | DepreciationAmt |
| Book Value | $218,789 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,241,593 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $20,383,696 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,666,371 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $22,210 | OtherRevenueAmt |
| Revenue Not Reported | $1,688,581 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,695,115 | RevenueSubtotalAmt |
| Other Revenues Not Included | $124,071 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $124,071 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,819,186 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,678,428 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $22,210 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $22,210 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,656,218 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $124,071 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $124,071 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,780,289 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE ENDOWMENT ACCOUNT WAS ESTABLISHED WITH FUNDS DONATED FOR THE PRIMARY PURPOSE OF PROVIDING AN ENDOWMENT FOR FUNDING THE OPERATIONS OF THE ORGANIZATION. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | SCHEDULE D, PART XI - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 22,210 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | INVESTMENT FEES 124,071 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | SHEDULE D, PART XII, - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 22,210 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | INVESTMENT FEES 124,071 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF FORE HOSPI | Event1Nm |
| Gross Receipts Event1 | $26,437 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $2,441 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,996 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,327 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,211 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $805 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,696 | OtherDirectExpensesEvent1Amt |
| Event2 | .1K RACE | Event2Nm |
| Gross Receipts Event2 | $23,184 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $23,184 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $25 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $26 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $6,262 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $5,950 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $5,950 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $845 | RentFcltyCostsOtherEventsAmt |
| Gross Receipts Total | $55,571 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $2,441 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $53,130 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,327 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,081 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $831 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,958 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $17,197 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $35,933 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Labor Bingo | false | VolunteerLaborBingoInd |
| Volunteer Labor Pull Tabs | false | VolunteerLaborPullTabsInd |
| Gross Revenue Other Gaming | $36,117 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $3,562 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $1,451 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $36,117 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $3,562 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $1,451 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $5,013 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $31,104 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (true) | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Individual With Books | LAURA LATIOLAIS | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2255 W CENTRE AVE | AddressLine1Txt |
| City | PORTAGE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | LAURA LATIOLAIS | GamingManagerPersonNm |
| Gaming Manager Compensation | $42,300 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | RECORD KEEPING, REPORTING & OVERSIGHT | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| JEAN MAILE CEO | |||||||
| CEO | $186,656 | $5,000 | $7,512 | $5,168 | $18,172 | $222,508 | $5,000 |
| DR MICHAEL RAPHELSON | |||||||
| MEDICAL DIRECTOR | $250,852 | $3,694 | $22,747 | $277,293 | |||
| DR RONALD SEAGLE | |||||||
| ASSOC. MEDICAL DIR. | $225,293 | $6,135 | $22,142 | $253,570 | |||
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHIGAN STATE HOSPITAL FINANCE | BusinessNameLine1Txt |
| Business Name Line2 | AUTHORITY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2005-03-17 | BondIssuedDt |
| Issue Price | $2,227,000 | IssuePriceAmt |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $928,635 | TotalProceedsAmt |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | THE ORGANIZATION HAS GUARANTEED THE DEBT UP TO 500,000 FOR THE PACE PROGRAM LOCATED IN KALAMAZOO, MI. |
| FORM 990, PAGE 2, PART III, LINE 4D | VOLUNTEER SERVICES - COORDINATION OF TRAINING AND SERVICES PROVIDED BY HOSPICE VOLUNTEERS. BEREAVEMENT SERVICES - GRIEF COUNSELING SERVICES PROVIDED TO BEREAVED FOR THIRTEEN MONTHS AFTER A LOVED ONE'S DEATH AND GRIEF SUPPORT SERVICES PROVIDED TO COMMUNITY MEMBERS WHO HAVE EXPERIENCED GRIEF OR LOSS. MANAGE THE ADVANCED ILLNESS MANAGEMENT (AIM) PROGRAM FOR BRONSON HOSPITAL. |
| FORM 990, PAGE 6, PART VI, LINE 4 | THE ORGANIZATION AMENDED THEIR BYLAWS AND ARTICLES IN THE CURRENT YEAR. THEY ARE NOW ORGANIZED ON A DIRECTORSHIP BASIS INSTEAD OF A MEMBERSHIP BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | TWO TO THREE BOARD MEMBERS OR FINANCE COMMITTEE MEMBERS REVIEW THE 990 PRIOR TO FILING. THE TREASURER SIGNS THE RETURN. ADDITIONALLY, ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT THE TIME OF JOINING THE BOARD, EACH MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. EACH MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST PROMPTLY. THE BOARD, EXCLUDING THE CONFLICTED MEMBER, WILL REVIEW AND ACT AS DICTATED BY THE CIRCUMSTANCES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CHIEF HUMAN RESOURCES OFFICER USES ESTABLISHED OUTSIDE SURVEYS AS A MARKET ANALYSIS OF COMPENSATION FOR ALL POSITIONS, INCLUDING THE CEO AND OTHER TOP MANAGEMENT POSITIONS. THE CHIEF HUMAN RESOURCES OFFICER PROVIDES THE EXECUTIVE COMMITTEE WITH SALARY DATA FOR THE CEO. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES THE CEO'S SALARY. THE INFORMATION IS MADE AVAILABLE TO THE BOARD IF REQUESTED. THE EXECUTIVE COMMITTEE ALSO COMPLETES A FORMAL EVALUATION OF THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE CHIEF HUMAN RESOURCES OFFICER USES ESTABLISHED OUTSIDE SURVEYS AS A MARKET ANALYSIS OF COMPENSATION. THE SALARY DATA IS REVIEWED BY THE CEO. THE INFORMATION IS MADE AVAILABLE TO THE BOARD IF REQUESTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE AVAILABLE ON SITE FOR REVIEW UPON REQUEST. IF NECESSARY, COPIES CAN BE MADE FOR A SMALL FEE THAT WILL COVER THE ADMINISTRATIVE COST OF COPYING THE DOCUMENTS. |
| FORM 990, PART XI, LINE 9 | SCHEDULE D, PART XI - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 22,210 INVESTMENT FEES -124,071 SHEDULE D, PART XII, - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES -22,210 INVESTMENT FEES 124,071 |
Comments