COASTAL HOSPICE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COASTAL HOSPICE INC (EIN 52-1214775)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-09
IRS object ID
201600409349301670
Schema version
2014v6.0
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)
Return2016-02-09T15:06:29-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Line1PO BOX 72AddressLine1Txt
CitySALISBURYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP218030072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

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
Signature2016-02-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN M STERN CPAPreparerPersonNm
PTINP00000490PTIN
Phone4105465600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

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$10,318,249GrossReceiptsAmt
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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee159TotalEmployeeCnt
Total Volunteers308TotalVolunteersCnt
Total Gross UBI$130,568TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$967,335PYContributionsGrantsAmt
CY Contributions Grants$1,622,025CYContributionsGrantsAmt
PY Program Service Revenue$8,119,808PYProgramServiceRevenueAmt
CY Program Service Revenue$8,544,251CYProgramServiceRevenueAmt
PY Investment Income$57,423PYInvestmentIncomeAmt
CY Investment Income$65,830CYInvestmentIncomeAmt
PY Other Revenue$57,299PYOtherRevenueAmt
CY Other Revenue$64,738CYOtherRevenueAmt
PY Total Revenue$9,201,865PYTotalRevenueAmt
CY Total Revenue$10,296,844CYTotalRevenueAmt
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$6,164,901PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,465,686CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$207,351CYTotalFundraisingExpenseAmt
PY Other Expenses$2,419,864PYOtherExpensesAmt
CY Other Expenses$2,744,151CYOtherExpensesAmt
PY Total Expenses$8,584,765PYTotalExpensesAmt
CY Total Expenses$9,209,837CYTotalExpensesAmt
PY Revenues Less Expenses$617,100PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,087,007CYRevenuesLessExpensesAmt
Total Assets BOY$5,460,452TotalAssetsBOYAmt
Total Assets EOY$6,613,389TotalAssetsEOYAmt
Total Liabilities BOY$641,650TotalLiabilitiesBOYAmt
Total Liabilities EOY$761,201TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,818,802NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,852,188NetAssetsOrFundBalancesEOYAmt
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$4,959,269ExpenseAmt
Revenue$6,698,448RevenueAmt
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$2,475,161ExpenseAmt
Revenue$1,594,484RevenueAmt
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$295,549ExpenseAmt
Revenue$251,319RevenueAmt
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$7,729,979TotalProgramServiceExpensesAmt
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee159EmployeeCnt
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 OfYes (1)Form8282PropertyDisposedOfInd
Form8282 Filed1Form8282FiledCnt
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
ALANE CAPEN
PRESIDENT40.00Yes (X)Yes (X)$130,197$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
GHULAM WARIS
PHYSICIAN40.00$193,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$323,197TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$86,049FundraisingAmt
All Other Contributions$1,535,976AllOtherContributionsAmt
Noncash Contributions$361,643NoncashContributionsAmt
Total Contributions$1,622,025TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME HOSPICE CARE624100$6,698,448$6,698,448
INPATIENT CENTER624100$1,594,484$1,594,484
PALLIATIVE CARE624100$251,319$251,319
FieldValueIRS element (for citing)
Total Program Service Revenue$8,544,251TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,068TotalRevenueColumnAmt
Unrelated Business Revenue$49,068UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,762SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,762SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,762TotalRevenueColumnAmt
Unrelated Business Revenue$16,762UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$86,022FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$86,049ContriRptFundraisingEventAmt
Fundraising Direct Expenses$21,405FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,617TotalRevenueColumnAmt
Unrelated Business Revenue$64,617UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescTHRIFT STORE SALES (NET)Desc
Business453310BusinessCd
Total Revenue Column$121TotalRevenueColumnAmt
Unrelated Business Revenue$121UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$121OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,296,844TotalRevenueColumnAmt
Related Or Exempt Func Income$8,544,251RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$130,568UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$323,197TotalAmt
Program Services$193,000ProgramServicesAmt
Management And General$130,197ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$4,905,282TotalAmt
Program Services$4,267,127ProgramServicesAmt
Management And General$535,490ManagementAndGeneralAmt
Fundraising$102,665FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$843,576TotalAmt
Program Services$732,572ProgramServicesAmt
Management And General$95,037ManagementAndGeneralAmt
Fundraising$15,967FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$393,631TotalAmt
Program Services$335,787ProgramServicesAmt
Management And General$50,115ManagementAndGeneralAmt
Fundraising$7,729FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,284TotalAmt
Management And General$48,284ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$85,335TotalAmt
Management And General$85,335ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$415,844TotalAmt
Program Services$233,671ProgramServicesAmt
Management And General$178,728ManagementAndGeneralAmt
Fundraising$3,445FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$334,116TotalAmt
Program Services$327,558ProgramServicesAmt
Management And General$4,089ManagementAndGeneralAmt
Fundraising$2,469FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$86,673TotalAmt
Program Services$54,213ProgramServicesAmt
Management And General$32,460ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ANCILLARIES$866,358$866,358
GENERAL AND ADMIN$399,541$213,625$110,840$75,076
INPATIENT COSTS$325,463$325,463
CONTRACT SERVICES$155,072$153,140$1,932

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,465TotalAmt
Program Services$27,465ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,209,837TotalAmt
Program Services$7,729,979ProgramServicesAmt
Management And General$1,272,507ManagementAndGeneralAmt
Fundraising$207,351FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$956,892BOYAmt
EOY$1,380,326EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$439,918BOYAmt
EOY$445,484EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$413,835BOYAmt
EOY$833,213EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,612,093BOYAmt
EOY$1,930,982EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$158,528BOYAmt
EOY$166,098EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$66,729BOYAmt
EOY$93,998EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,449,728LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,601,639LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$895,105BOYAmt
EOY$848,089EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$897,662BOYAmt
EOY$895,509EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,460,452BOYAmt
EOY$6,613,389EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$641,530BOYAmt
EOY$756,330EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120BOYAmt
EOY$4,871EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$641,650BOYAmt
EOY$761,201EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,929,302BOYAmt
EOY$4,176,057EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$889,500BOYAmt
EOY$1,676,131EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,818,802BOYAmt
EOY$5,852,188EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,460,452BOYAmt
EOY$6,613,389EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,087,007ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$53,621OtherChangesInNetAssetsAmt
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$1,122,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$902,949CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,442,342CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$967,335CurrentTaxYearMinus1YearAmt
Current Tax Year$1,622,025CurrentTaxYearAmt
Total$6,057,610TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,275,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,063,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,252,618CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,119,808CurrentTaxYearMinus1YearAmt
Current Tax Year$8,544,251CurrentTaxYearAmt
Total$41,256,364TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$252CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$332CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$167CurrentTaxYearMinus1YearAmt
Current Tax Year$121CurrentTaxYearAmt
Total$538TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,398,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,967,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,695,292CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,086,976CurrentTaxYearMinus1YearAmt
Current Tax Year$10,166,397CurrentTaxYearAmt
Total$47,314,512TotalAmt

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$47,314,512PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,345CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,927CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,599CurrentTaxYearMinus1YearAmt
Current Tax Year$49,068CurrentTaxYearAmt
Total$165,933TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,345CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,927CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,599CurrentTaxYearMinus1YearAmt
Current Tax Year$49,068CurrentTaxYearAmt
Total$165,933TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,420,094CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,993,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,725,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,126,575CurrentTaxYearMinus1YearAmt
Current Tax Year$10,215,465CurrentTaxYearAmt
Total$47,480,445TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99650PublicSupportCY509Pct
Public Support PY5090.99590PublicSupportPY509Pct
Investment Income CY0.00350InvestmentIncomeCYPct
Investment Income PY0.00410InvestmentIncomePYPct
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$620,543OtherCostOrOtherBasisAmt
Depreciation$555,591DepreciationAmt
Book Value$64,952BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$686,897OtherCostOrOtherBasisAmt
Depreciation$555,840DepreciationAmt
Book Value$131,057BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,640OtherCostOrOtherBasisAmt
Depreciation$48,171DepreciationAmt
Book Value$184,469BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$848,089TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescUNEARNED INCOMEDesc
Amt$4,871Amt
FieldValueIRS element (for citing)
Total Liability$4,871TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,296,844TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,296,844RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,296,844TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,209,837TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,209,837ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,209,837TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TASTE OF FINER THINGSEvent1Nm
Gross Receipts Event1$25,311GrossReceiptsEvent1Amt
Gross Revenue Event1$25,311GrossRevenueEvent1Amt
Other Direct Expenses Event1$5,091OtherDirectExpensesEvent1Amt
Event2BLUES ON THE BAYEvent2Nm
Gross Receipts Event2$26,650GrossReceiptsEvent2Amt
Gross Revenue Event2$26,650GrossRevenueEvent2Amt
Other Direct Expenses Event2$1,843OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$34,061GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$34,061GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$14,470OthDirectExpnssOtherEventsAmt
Gross Receipts Total$86,022GrossReceiptsTotalAmt
Gross Revenue Total Events$86,022GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$21,404OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$21,404DirectExpenseSummaryEventsAmt
Net Income Summary$64,618NetIncomeSummaryAmt

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$193,000BaseCompensationFilingOrgAmt
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$193,000TotalCompensationFilingOrgAmt
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$361,526NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCATERINGDesc
Contribution0ContributionCnt
Noncash Contributions Rpt F990$117NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
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 -53,621.
FORM 990, PART XII, LINE 2C:NO CHANGES HAVE BEEN MADE TO THIS PROCESS.

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