MIRASOL HEALTH INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MIRASOL HEALTH INC (EIN 57-0774530)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-12
- IRS object ID
- 201611339349304401
- Schema version
- 2015v2.1
- 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 | 2016-05-12T14:33:59-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 570776381 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEBSTERROGERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1999 | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570774530 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE CARE OF THE LOWCOUNTRY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 8437062296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 PLANTATION PARK DRIVE | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNY BRASINGTON | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 8437062296 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RAYMOND E WARCO | PreparerPersonNm |
| PTIN | P00045528 | PTIN |
| Phone | 8437068440 | PhoneNum |
| Preparation | 2016-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNY BRASINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 119 PALMETTO WAY | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,327,241 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICECARELC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE SUPPORT AND HOME CARE FOR TERMINALLY ILL PATIENTS OF BEAUFORT CO.,SC | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 38 | TotalEmployeeCnt |
| Total Volunteers | 160 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $353,011 | PYContributionsGrantsAmt |
| CY Contributions Grants | $447,132 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,582,590 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,621,635 | CYProgramServiceRevenueAmt |
| PY Investment Income | $764 | PYInvestmentIncomeAmt |
| CY Investment Income | $680 | CYInvestmentIncomeAmt |
| PY Other Revenue | $329,913 | PYOtherRevenueAmt |
| CY Other Revenue | $226,849 | CYOtherRevenueAmt |
| PY Total Revenue | $2,266,278 | PYTotalRevenueAmt |
| CY Total Revenue | $2,296,296 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,590,872 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,515,696 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $230,907 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $771,529 | PYOtherExpensesAmt |
| CY Other Expenses | $573,855 | CYOtherExpensesAmt |
| PY Total Expenses | $2,362,401 | PYTotalExpensesAmt |
| CY Total Expenses | $2,089,551 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$96,123 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $206,745 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,978,990 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,147,448 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $401,616 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $363,329 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,577,374 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,784,119 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE VOLUNTEER SUPPORTING SERVICES AND HOME CARE FOR THE TERMINALLY ILL AND OTHER ILLNESSES WHERE HOSPICE CARE IS DEEMED APPROPRIATE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,391,358 | ExpenseAmt |
| Revenue | $1,621,635 | RevenueAmt |
| Desc | HOSPICE CARE/HOME HEALTH CARE - SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $89,403 | ExpenseAmt |
| Desc | BEREAVEMENT - SUPPORT FOR FAMILIES OF TERMINALLY ILL PATIENTS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $107,569 | ExpenseAmt |
| Desc | EDUCATION - PROVIDING TRAINING AND SEMINARS FOR COMMUNITY AND OTHER HEALTH CARE GROUPS, TO EDUCATE THEM ON CARING FOR TERMINALLY ILL PATIENTS | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER MISCELLANEOUS REVENUE | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,588,330 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 38 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICH JOHNSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8437062296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 PLANTATION PARK DRIVE | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ARNO DIMMLING | ||||||||
| PRESIDENT | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVE SHERRY | ||||||||
| VICE PRESIDENT | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD JOHNSON | ||||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HEATHER WITHERSPOON | ||||||||
| SECRETARY | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANETTE TAYLOR JONES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON BEASLEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR FRANK BOWEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACKIE DOUT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIM BURKE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE KRISTOFF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK WILLIAMS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAXENE ROGERS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN ALLHUSEN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MANUEL HOLLAND | ||||||||
| DIRECTOR-EMERITUS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNA PAINTER | ||||||||
| DIRECTOR-EMERITUS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE WYCOFF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT GREGORY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARC STUCKART | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE ROSS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MILY CHOY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RITA HUNGATE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JENNY BRASINGTON | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $116,316 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $116,316 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $447,132 | AllOtherContributionsAmt |
| Total Contributions | $447,132 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE PAYMENTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,621,635 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,621,635 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,621,635 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $680 | TotalRevenueColumnAmt |
| Exclusion | $680 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $264,301 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $30,945 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $233,356 | TotalRevenueColumnAmt |
| Exclusion | $233,356 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $2,272 | $2,272 |
| NET ENDOWMENT CHANGES | 900099 | -$8,779 | -$8,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$6,507 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,296,296 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,621,635 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $227,529 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,263,737 | TotalAmt |
| Program Services | $940,169 | ProgramServicesAmt |
| Management And General | $182,455 | ManagementAndGeneralAmt |
| Fundraising | $141,113 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,351 | TotalAmt |
| Program Services | $10,832 | ProgramServicesAmt |
| Management And General | $4,291 | ManagementAndGeneralAmt |
| Fundraising | $2,228 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,324 | TotalAmt |
| Program Services | $85,003 | ProgramServicesAmt |
| Management And General | $19,580 | ManagementAndGeneralAmt |
| Fundraising | $7,741 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,284 | TotalAmt |
| Program Services | $94,207 | ProgramServicesAmt |
| Management And General | $14,769 | ManagementAndGeneralAmt |
| Fundraising | $13,308 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,589 | TotalAmt |
| Program Services | $74,769 | ProgramServicesAmt |
| Management And General | $2,994 | ManagementAndGeneralAmt |
| Fundraising | $1,826 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,963 | TotalAmt |
| Program Services | $4,859 | ProgramServicesAmt |
| Fundraising | $17,104 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,804 | TotalAmt |
| Program Services | $22,109 | ProgramServicesAmt |
| Management And General | $13,621 | ManagementAndGeneralAmt |
| Fundraising | $22,074 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,498 | TotalAmt |
| Program Services | $9,582 | ProgramServicesAmt |
| Management And General | $8,020 | ManagementAndGeneralAmt |
| Fundraising | $4,896 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,171 | TotalAmt |
| Program Services | $12,425 | ProgramServicesAmt |
| Management And General | $10,399 | ManagementAndGeneralAmt |
| Fundraising | $6,347 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,409 | TotalAmt |
| Program Services | $64,624 | ProgramServicesAmt |
| Fundraising | $3,785 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,331 | TotalAmt |
| Program Services | $5,252 | ProgramServicesAmt |
| Management And General | $4,396 | ManagementAndGeneralAmt |
| Fundraising | $2,683 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,741 | TotalAmt |
| Program Services | $6,278 | ProgramServicesAmt |
| Management And General | $5,255 | ManagementAndGeneralAmt |
| Fundraising | $3,208 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,259 | TotalAmt |
| Program Services | $9,369 | ProgramServicesAmt |
| Management And General | $1,714 | ManagementAndGeneralAmt |
| Fundraising | $1,176 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PHARMACEUTICAL | $90,301 | $90,301 |
| MEDICAL EQUIPMENT AND S | $74,573 | $74,573 |
| HOSPITAL AND LAB WORK | $45,189 | $45,189 |
| EDUCATION | $17,442 | $17,442 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,585 | TotalAmt |
| Program Services | $21,347 | ProgramServicesAmt |
| Management And General | $2,820 | ManagementAndGeneralAmt |
| Fundraising | $3,418 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,089,551 | TotalAmt |
| Program Services | $1,588,330 | ProgramServicesAmt |
| Management And General | $270,314 | ManagementAndGeneralAmt |
| Fundraising | $230,907 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,209 | BOYAmt |
| EOY | $361,648 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,343 | BOYAmt |
| EOY | $61,171 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,575 | BOYAmt |
| EOY | $327,587 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $3,762 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $681,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $244,552 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,009 | BOYAmt |
| EOY | $437,268 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $880,626 | BOYAmt |
| EOY | $954,019 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,228 | BOYAmt |
| EOY | $1,993 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,978,990 | BOYAmt |
| EOY | $2,147,448 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,114 | BOYAmt |
| EOY | $73,213 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,502 | BOYAmt |
| EOY | $290,116 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,616 | BOYAmt |
| EOY | $363,329 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500,423 | BOYAmt |
| EOY | $1,664,316 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,951 | BOYAmt |
| EOY | $119,803 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,577,374 | BOYAmt |
| EOY | $1,784,119 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,978,990 | BOYAmt |
| EOY | $2,147,448 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $206,745 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $209,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $336,327 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $292,507 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $353,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $447,132 | CurrentTaxYearAmt |
| Total | $1,637,996 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $209,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $336,327 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $292,507 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $353,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $447,132 | CurrentTaxYearAmt |
| Total | $1,637,996 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,637,996 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$28,966 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$25,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $337,844 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $330,316 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $225,257 | CurrentTaxYearAmt |
| Total | $839,176 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,768 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $164 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $607 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,272 | CurrentTaxYearAmt |
| Total | $6,897 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,484,069 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,419,652 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.65940 | PublicSupportCY170Pct |
| Public Support PY170 | 0.69060 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $395,546 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$7,576 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $3,964 | AdministrativeExpensesAmt |
| End Year Balance | $384,006 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $430,928 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,683 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,900 | OtherExpendituresAmt |
| Administrative Expenses | $4,165 | AdministrativeExpensesAmt |
| End Year Balance | $395,546 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $376,015 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $58,929 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,016 | AdministrativeExpensesAmt |
| End Year Balance | $430,928 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $334,105 | ContributionsAmt |
| Investment Earnings Or Losses | $47,634 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,724 | AdministrativeExpensesAmt |
| End Year Balance | $376,015 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $449,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,848 | DepreciationAmt |
| Book Value | $432,431 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,633 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,821 | DepreciationAmt |
| Book Value | $2,812 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,883 | DepreciationAmt |
| Book Value | $2,025 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $437,268 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,296,296 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,296,296 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,296,296 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,089,551 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,089,551 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,089,551 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO PROVIDE SUPPORTING SERVICES TO THOSE INDIVIDUALS WHO ARE UNABLE TO PROVIDE THEIR OWN SUPPORT OR WHO DO NOT QUALIFY FOR THIRD PARTY REIMBURSEMENT. |
| PART X, LINE 2: | THERE WERE NONE. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | YACHT HOP | Event1Nm |
| Gross Receipts Event1 | $142,974 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $142,974 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $24,933 | OtherDirectExpensesEvent1Amt |
| Event2 | FALL APPEAL | Event2Nm |
| Gross Receipts Event2 | $121,327 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $121,327 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $6,012 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $264,301 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $264,301 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $30,945 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $30,945 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $233,356 | NetIncomeSummaryAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIM BURKE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | TIM BURKE IS A MEMBER OF THE BOARD AND PART OWNER OF A PHARMACY | RelationshipDescriptionTxt |
| Transaction | THE PHARMACY PROVIDES MEDICINES AND MEDICAL SUPPLIES TO THE ORGANIZATION THROUGHOUT THE YEAR. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE TREASURER DISTRIBUTES THE TAX RETURN AND AUDITED FINANCIAL REPORT TO ALL BOARD MEMBERS FOR THEIR REVIEW, WHICH IS FOLLOWED BY A BOARD MEETING FOR QUESTONS AND ANSWERS, AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE ORGANIZATION NOTIFIES ALL OFFICERS AND DIRECTORS THAT A CONFLICT OF INTEREST POLICY IS IN EXISTENCE, AND REMINDS EACH PARTY THAT ANY CONFLICT IS REQUIRED TO BE DISCLOSED TO ALL OF THOSE IN CHARGE OF GOVERNANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL INFORMATION IS PROVIDED UPON REQUEST FROM ANY OUTSIDE PARTY. |