HOSPICE HOUSE OF SHIAWASSEE COUNTY: Form 990EZ, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE HOUSE OF SHIAWASSEE COUNTY (EIN 27-3233159)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-03-14
- IRS object ID
- 201510739349200216
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-03-14T13:52:59-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | 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 | JANET SHERRARD | PersonNm |
| Person Title | SECRETARY/TREASURER | PersonTitleTxt |
| Phone | 9892774050 | PhoneNum |
| Signature | 2015-03-05 | 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 | 2015-03-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | 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 | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $54,456 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $54,456 | ContributionsGiftsGrantsEtcAmt |
| Total Revenue | $54,456 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $33,355 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $4,215 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $9,928 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $436 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $20,814 | OtherExpensesTotalAmt |
| Total Expenses | $68,748 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$14,292 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $85,182 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $70,890 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,813 | BOYAmt |
| EOY | $52,908 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,369 | BOYAmt |
| EOY | $107,454 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,182 | BOYAmt |
| EOY | $160,362 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $89,472 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,182 | BOYAmt |
| EOY | $70,890 | 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 (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|
| SAME AS ORGANIZATION'S MISSION | $65,380 |
| SAME AS ORGANIZATION'S MISSION | $3,368 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $68,748 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| DOUG SHEPHERD | ||
| PRESIDENT | 000.00 | $0 |
| DAVE WOODBY | ||
| VICE-PRESIDE | 000.00 | $0 |
| JANET SHERRARD | ||
| SECRETARY/TR | 1.00 | $0 |
| KEVIN KRUGGER | ||
| MEMBER | 000.00 | $0 |
| NANCY ZDUNIC | ||
| MEMBER | 000.00 | $0 |
| DONNA THOMAS | ||
| MEMBER | 15.00 | $7,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| 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 |
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 | $54,456 | CurrentTaxYearAmt |
| Total | $54,456 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $54,456 | CurrentTaxYearAmt |
| Total | $54,456 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $54,456 | PublicSupportTotal170Amt |
| Total Support | $54,456 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSE 1,315 INTEREST 748 INSURANCE 3,442 DUES AND SUBSCRIPTIONS 139 GROCERIES 411 MEDICAL SUPPLIES 123 SUPPLIES-OTHER 5,248 PROPERTY TAXES 1,197 LICENSES AND PERMITS 20 MEALS & TRAVEL 21 UTILITIES 4,782 NON-INVESTMENT DEPRECIATION 3,368 TOTAL 20,814 |
| FORM 990-EZ, PART II, LINE 24 | HOUSE 0 90,000 LESS ACCUMULATED DEPRECIATION 0 865 LEASEHOLD IMPROVEMENTS 10,598 7,944 LESS ACCUMULATED DEPRECIATION 0 578 FURNITURES & FIXTURES 21,771 12,878 LESS ACCUMULATED DEPRECIATION 0 1,925 TOTAL 32,369 107,454 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 0 225 LAND CONTRACT - J. SHERRARD 0 89,247 |
| 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. |
| FORM 990-EZ, PART III, LINE 31 | SAME AS ORGANIZATION'S MISSION |
| FORM 990-EZ, PART V, LINE 35B | HAD NO UNRELATED BUSINESS INCOME FOR 2014 |