HOSPICE HOUSE OF SHIAWASSEE COUNTY: Form 990EZ, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE HOUSE OF SHIAWASSEE COUNTY (EIN 27-3233159)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-15
- IRS object ID
- 201622289349202627
- 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 | 2016-08-15T13:00:39-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383133790 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 N WASHINGTON ST STE 201 | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488672836 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273233159 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE HOUSE OF SHIAWASSEE COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9892774050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 COPAS RD | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOUG SHEPHERD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9892774050 | PhoneNum |
| Signature | 2016-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES DEMIS JR | PreparerPersonNm |
| PTIN | P00568045 | PTIN |
| Phone | 9897238227 | PhoneNum |
| Preparation | 2016-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.HOSPICEHOUSESHIA.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $68,082 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $68,082 | ContributionsGiftsGrantsEtcAmt |
| Total Revenue | $68,082 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $51,206 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $5,310 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $8,849 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $441 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $21,544 | OtherExpensesTotalAmt |
| Total Expenses | $87,350 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$19,268 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $70,890 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,622 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,908 | BOYAmt |
| EOY | $37,359 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,454 | BOYAmt |
| EOY | $102,643 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,362 | BOYAmt |
| EOY | $140,002 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,472 | BOYAmt |
| EOY | $88,380 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,890 | BOYAmt |
| EOY | $51,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | PROVIDE A NON-PROFIT; FREE STANDING HOSPICE HOUSE TO PROVIDE PHYSICAL, EMOTIONAL AND SPIRITUAL COMFORT FOR THE TERMINALLY ILL AND THEIR LOVED ONES, ALLOWING THE PATIENT DIGNITY AND PEACE; TO PROVIDE FREE ROOM AND BOARD, PERSONAL CARE FOR HOSPICE PATIENTS. LESS THAN 7 PATIENTS PER MONTH ON A YEARLY AVERAGE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SAME AS ORGANIZATION'S MISSION | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $87,350 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $87,350 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| NANCY ZDUNIC | ||
| DIRECTOR | 2.00 | $0 |
| TRAVIS WATKINS | ||
| DIRECTOR | 2.00 | $0 |
| KEVIN KREGGER | ||
| DIRECTOR | 0.50 | $0 |
| DOUG SHEPHERD | ||
| PRESIDENT | 1.00 | $0 |
| JANET SHERRARD | ||
| OPERATIONS D | 40.00 | $0 |
| STEPHANIE JUDD | ||
| DIRECTOR/OFF | 20.00 | $7,421 |
| DONNA THOMAS | ||
| DIRECTOR | 10.00 | $1,029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET SHERRARD | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 E COPAS RD | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9892774050 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
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 | $29,357 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,427 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68,082 | CurrentTaxYearAmt |
| Total | $245,013 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,357 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,427 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68,082 | CurrentTaxYearAmt |
| Total | $245,013 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $245,013 | PublicSupportTotal170Amt |
| Total Support | $245,013 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSE 1,022 INTEREST 1,768 INSURANCE 3,927 GROCERIES 81 MEDICAL SUPPLIES 200 SUPPLIES-OTHER 2,867 LICENSES AND PERMITS 20 UTILITIES 5,153 EDUCATION/TRAINING 1,695 NON-INVESTMENT DEPRECIATION 4,811 TOTAL 21,544 |
| FORM 990-EZ, PART II, LINE 24 | HOUSE 90,000 90,000 LESS ACCUMULATED DEPRECIATION 865 3,173 LEASEHOLD IMPROVEMENTS 7,944 7,944 LESS ACCUMULATED DEPRECIATION 578 1,155 FURNITURES & FIXTURES 12,878 12,878 LESS ACCUMULATED DEPRECIATION 1,925 3,851 TOTAL 107,454 102,643 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 225 964 LAND CONTRACT - J. SHERRARD 89,247 87,416 |
| FORM 990-EZ, PART III | PROVIDE A NON-PROFIT; FREE STANDING HOSPICE HOUSE TO PROVIDE PHYSICAL, EMOTIONAL AND SPIRITUAL COMFORT FOR THE TERMINALLY ILL AND THEIR LOVED ONES, ALLOWING THE PATIENT DIGNITY AND PEACE; TO PROVIDE FREE ROOM AND BOARD, PERSONAL CARE FOR HOSPICE PATIENTS. LESS THAN 7 PATIENTS PER MONTH ON A YEARLY AVERAGE. |