ANDROSCOGGIN HOME HEALTH SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ANDROSCOGGIN HOME HEALTH SERVICES INC (EIN 01-0227184)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-06-21
- IRS object ID
- 201611739349300616
- 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 | 2016-06-21T09:44:04-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERRY DUNN MCNEIL & PARKER LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 ELM STREET 15TH FLOOR | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | 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 | 010227184 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDROSCOGGIN HOME HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANDR | BusinessNameControlTxt |
| Phone | 2077777740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 STRAWBERRY AVE | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN APPLIN | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2077777740 | PhoneNum |
| Signature | 2016-06-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIMITRIOS PANACOPOULOS CPA | PreparerPersonNm |
| PTIN | P01603705 | PTIN |
| Phone | 6036697337 | PhoneNum |
| Preparation | 2016-06-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDROSCOGGIN HOME CARE & HOSPICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHLEEN APPLIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 STRAWBERRY AVE | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,621,847 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AHCH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | ANDROSCOGGIN HOME CARE & HOSPICE IS COMMITTED TO CARING FOR THE HEALTH, INDEPENDENCE, AND QUALITY OF LIFE OF RESIDENTS IN CENTRAL AND WESTERN MAINE IN THE COMFORT OF THEIR HOME AND COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 482 | TotalEmployeeCnt |
| Total Volunteers | 246 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $565,360 | PYContributionsGrantsAmt |
| CY Contributions Grants | $538,284 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $31,091,335 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,367,233 | CYProgramServiceRevenueAmt |
| PY Investment Income | $980,866 | PYInvestmentIncomeAmt |
| CY Investment Income | $81,114 | CYInvestmentIncomeAmt |
| PY Other Revenue | $148,109 | PYOtherRevenueAmt |
| CY Other Revenue | $157,712 | CYOtherRevenueAmt |
| PY Total Revenue | $32,785,670 | PYTotalRevenueAmt |
| CY Total Revenue | $33,144,343 | 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 | $22,697,379 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,814,332 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $249,070 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,193,867 | PYOtherExpensesAmt |
| CY Other Expenses | $7,082,006 | CYOtherExpensesAmt |
| PY Total Expenses | $29,891,246 | PYTotalExpensesAmt |
| CY Total Expenses | $31,896,338 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,894,424 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,248,005 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,662,887 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,209,377 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,535,840 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,834,325 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,127,047 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,375,052 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ANDROSCOGGIN HOME CARE & HOSPICE IS COMMITTED TO CARING FOR THE HEALTH, INDEPENDENCE AND QUALITY OF LIFE OF RESIDENTS IN CENTRAL AND WESTERN MAINE IN THE COMFORT OF THEIR HOME AND COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,508,791 | ExpenseAmt |
| Revenue | $32,367,233 | RevenueAmt |
| Desc | HOME CARE SERVICES - PROVIDES HEALTH, HOSPICE AND SUPPORTIVE SERVICES TO INDIVIDUALS AT THEIR HOMES OR IN A HEALTH CARE CLINIC | Desc |
| Total Program Service Expenses | $28,508,791 | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | 95 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 482 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | 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 | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHLEEN APPLIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2077777740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 STRAWBERRY AVE | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RENE DUMONT | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHIP LIVERSIDGE | ||||||||
| BOARD CHAIRMAN | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRYAN DENCH | ||||||||
| SECRETARY | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON CULLENBERG | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARRON SIELEMAN | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER GAGNON | ||||||||
| BOARD MEMBER AT LARGE | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CYNDI ROBBINS | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MILES HUNT | ||||||||
| VICE CHAIRMAN | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALEX ROY | ||||||||
| TREASURER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINE BOSSE | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BLAKE WHITAKER | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY GOSSELIN | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY LACROIX | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER MAURO JR | ||||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHLEEN APPLIN | ||||||||
| CFO | 40.00 | $161,028 | $0 | $24,902 | Yes (X) | |||
| JULIE SHACKLEY | ||||||||
| CEO/PRESIDENT | 40.00 | $211,907 | $0 | $18,278 | Yes (X) | |||
| DR ROGER AUSTIN | ||||||||
| MEDICAL DIRECTOR | 40.00 | $220,071 | $0 | $24,763 | Yes (X) | |||
| BRENDA CZADO | ||||||||
| DIRECTOR OF HOME CARE | 40.00 | $124,975 | $0 | $6,787 | Yes (X) | |||
| CYNTHIA SWIFT | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $127,005 | $0 | $26,244 | Yes (X) | |||
| ANN WEAVER | ||||||||
| DIRECTOR OF HR | 40.00 | $129,024 | $0 | $15,730 | Yes (X) | |||
| ARTHUR WING | ||||||||
| DIRECTOR OF FINANCE | 40.00 | $120,982 | $0 | $15,122 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,094,992 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $131,826 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEW ENGLAND HOME THERAPIES INC | |||||
| 49 OMNI CIRCLE | AUBURN | ME | 04210 | MEDICAL EQUIPMENT | $598,533 |
| HEALTHWYSE LLC | |||||
| 60 CONCORD STREET | WILMINGTON | MA | 01887 | SOFTWARE MAINTENANCE | $303,619 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972670 | DALLAS | TX | 75397 | NURSING AND THERAPY STAFFING | $283,231 |
| MAS MEDICAL STAFFING | |||||
| 156 HARVEY ROAD | LONDONDERRY | NH | 03053 | CONTRACT VISITING STAFFING | $257,453 |
| AMN HEALTHCAREINC | |||||
| 2735 COLLECTION CTR DR | CHICAGO | IL | 60693 | CONTRACT VISITING STAFFING | $185,799 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $135,448 | GovernmentGrantsAmt |
| All Other Contributions | $402,836 | AllOtherContributionsAmt |
| Total Contributions | $538,284 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOME CARE SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $32,367,233 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,367,233 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,367,233 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $532,404 | TotalRevenueColumnAmt |
| Exclusion | $532,404 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $451,290 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$451,290 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$451,290 | TotalRevenueColumnAmt |
| Exclusion | -$451,290 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $183,926 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $26,214 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $157,712 | TotalRevenueColumnAmt |
| Exclusion | $157,712 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,144,343 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,367,233 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $238,826 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,949 | TotalAmt |
| Program Services | $244,834 | ProgramServicesAmt |
| Management And General | $416,115 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,160,704 | TotalAmt |
| Program Services | $17,475,438 | ProgramServicesAmt |
| Management And General | $1,514,808 | ManagementAndGeneralAmt |
| Fundraising | $170,458 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,855 | TotalAmt |
| Program Services | $523,913 | ProgramServicesAmt |
| Management And General | $55,912 | ManagementAndGeneralAmt |
| Fundraising | $5,030 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,827,527 | TotalAmt |
| Program Services | $2,532,899 | ProgramServicesAmt |
| Management And General | $270,311 | ManagementAndGeneralAmt |
| Fundraising | $24,317 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,580,297 | TotalAmt |
| Program Services | $1,415,630 | ProgramServicesAmt |
| Management And General | $151,076 | ManagementAndGeneralAmt |
| Fundraising | $13,591 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,344 | TotalAmt |
| Management And General | $5,344 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,000 | TotalAmt |
| Management And General | $70,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,088 | TotalAmt |
| Management And General | $15,088 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,121,082 | TotalAmt |
| Program Services | $821,931 | ProgramServicesAmt |
| Management And General | $299,151 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,296 | TotalAmt |
| Program Services | $60,284 | ProgramServicesAmt |
| Management And General | $6,433 | ManagementAndGeneralAmt |
| Fundraising | $579 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,969 | TotalAmt |
| Program Services | $85,969 | ProgramServicesAmt |
| Management And General | $9,175 | ManagementAndGeneralAmt |
| Fundraising | $825 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,340 | TotalAmt |
| Program Services | $371,166 | ProgramServicesAmt |
| Management And General | $39,611 | ManagementAndGeneralAmt |
| Fundraising | $3,563 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,216 | TotalAmt |
| Program Services | $420,324 | ProgramServicesAmt |
| Management And General | $44,857 | ManagementAndGeneralAmt |
| Fundraising | $4,035 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,470 | TotalAmt |
| Program Services | $718,853 | ProgramServicesAmt |
| Management And General | $76,716 | ManagementAndGeneralAmt |
| Fundraising | $6,901 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,995 | TotalAmt |
| Program Services | $80,618 | ProgramServicesAmt |
| Management And General | $8,603 | ManagementAndGeneralAmt |
| Fundraising | $774 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,961 | TotalAmt |
| Program Services | $516,842 | ProgramServicesAmt |
| Management And General | $55,157 | ManagementAndGeneralAmt |
| Fundraising | $4,962 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,127 | TotalAmt |
| Program Services | $122,838 | ProgramServicesAmt |
| Management And General | $13,110 | ManagementAndGeneralAmt |
| Fundraising | $1,179 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM SUPPLIES | $2,301,940 | $2,301,940 | ||
| OTHER EXPENSES | $403,754 | $361,683 | $38,599 | $3,472 |
| TELEPHONE | $232,191 | $207,997 | $22,197 | $1,997 |
| PRINTING AND PUBLICATIO | $105,831 | $94,803 | $10,118 | $910 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,402 | TotalAmt |
| Program Services | $150,829 | ProgramServicesAmt |
| Management And General | $16,096 | ManagementAndGeneralAmt |
| Fundraising | $6,477 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,896,338 | TotalAmt |
| Program Services | $28,508,791 | ProgramServicesAmt |
| Management And General | $3,138,477 | ManagementAndGeneralAmt |
| Fundraising | $249,070 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,396,048 | BOYAmt |
| EOY | $5,851,236 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,481 | BOYAmt |
| EOY | $42,141 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,003,041 | BOYAmt |
| EOY | $3,472,044 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,820 | BOYAmt |
| EOY | $407,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,391,551 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,724,122 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,453,582 | BOYAmt |
| EOY | $3,667,429 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,343,038 | BOYAmt |
| EOY | $18,816,519 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,939,877 | BOYAmt |
| EOY | $3,952,998 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,662,887 | BOYAmt |
| EOY | $36,209,377 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,772,142 | BOYAmt |
| EOY | $3,122,646 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,035 | BOYAmt |
| EOY | $19,434 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $698,663 | BOYAmt |
| EOY | $692,245 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,535,840 | BOYAmt |
| EOY | $3,834,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,117,047 | BOYAmt |
| EOY | $32,365,052 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,127,047 | BOYAmt |
| EOY | $32,375,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,662,887 | BOYAmt |
| EOY | $36,209,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,248,005 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $467,741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $591,778 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $489,907 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $565,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $538,284 | CurrentTaxYearAmt |
| Total | $2,653,070 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,612,762 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,802,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,279,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,091,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,367,233 | CurrentTaxYearAmt |
| Total | $146,152,777 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,080,503 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,394,110 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,769,022 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,656,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,905,517 | CurrentTaxYearAmt |
| Total | $148,805,847 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $148,805,847 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $394,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $960,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $466,469 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $471,292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $532,404 | CurrentTaxYearAmt |
| Total | $2,825,561 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $394,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $960,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $466,469 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $471,292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $532,404 | CurrentTaxYearAmt |
| Total | $2,825,561 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,475,086 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,354,923 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,235,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,127,987 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,437,921 | CurrentTaxYearAmt |
| Total | $151,631,408 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98140 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98190 | PublicSupportPY509Pct |
| Investment Income CY | 0.01860 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01810 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $10,000 | BeginningYearBalanceAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,000 | BeginningYearBalanceAmt |
| End Year Balance | $10,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $495,364 | OtherCostOrOtherBasisAmt |
| Book Value | $495,364 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,533,585 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,249,875 | DepreciationAmt |
| Book Value | $2,283,710 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,362,602 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,474,247 | DepreciationAmt |
| Book Value | $888,355 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,667,429 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS LIMITED AS TO USE | Desc |
| Book Value | $3,952,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,952,998 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD PARTY PAYOR | Desc |
| Amt | $692,245 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $692,245 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,144,343 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,144,343 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,144,343 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,896,338 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,896,338 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $31,896,338 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | RESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY. |
| PART X, LINE 2: | THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | AUTUMN NIGHT OUT | Event1Nm |
| Gross Receipts Event1 | $66,436 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $66,436 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $293 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $6,031 | OtherDirectExpensesEvent1Amt |
| Event2 | HOSPICE WALK/RUN | Event2Nm |
| Gross Receipts Event2 | $78,284 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $78,284 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $10,568 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $39,206 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $39,206 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $9,322 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $183,926 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $183,926 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $293 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $25,921 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,214 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $157,712 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KATHLEEN APPLIN | ||||||||||||||
| CFO | $161,028 | $0 | $0 | $0 | $0 | $0 | $6,372 | $0 | $18,530 | $0 | $185,930 | $0 | $0 | $0 |
| JULIE SHACKLEY | ||||||||||||||
| CEO/PRESIDENT | $211,907 | $0 | $0 | $0 | $0 | $0 | $8,327 | $0 | $9,951 | $0 | $230,185 | $0 | $0 | $0 |
| DR ROGER AUSTIN | ||||||||||||||
| MEDICAL DIRECTOR | $220,071 | $0 | $0 | $0 | $0 | $0 | $8,692 | $0 | $16,071 | $0 | $244,834 | $0 | $0 | $0 |
| CYNTHIA SWIFT | ||||||||||||||
| CHIEF OPERATING OFFICER | $127,005 | $0 | $0 | $0 | $0 | $0 | $4,813 | $0 | $21,431 | $0 | $153,249 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | CFO AND DIRECTOR OF FINANCE REVIEW THE 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER IS ASKED TO SIGN AN AFFIDAVIT ACKNOWLEDGING THEY HAVE READ THE POLICY, UNDERSTAND THE POLICY, AND ARE IN COMPLIANCE WITH THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING EXTERNAL BENCHMARKS. OFFICERS ARE REVIEWED ANNUALLY BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | INFORMATION IS MADE AVAILABLE TO THE PUBLIC WITH THE PUBLICATION OF THE ANNUAL REPORT, FILING OF THE IRS FORM 990 AND UPON REQUEST. |
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