HEALTH PARTNERS INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEALTH PARTNERS INC (EIN 52-1767044)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-04-14
IRS object ID
201511199349301141
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

FieldValueIRS element (for citing)
Return2015-04-14T16:19:10-04:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521224305PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Bechanan & Company LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line122226 Creekview DriveAddressLine1Txt
CityGaithersburgCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20882ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521767044EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Partners IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O Box 1865AddressLine1Txt
CityWaldorfCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDan SansburyPersonNm
Person TitleTreasurerPersonTitleTxt
Phone3016453556PhoneNum
Signature2015-04-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNancy BechananPreparerPersonNm
PTINP00070812PTIN
Phone3018693747PhoneNum
Preparation2015-04-14PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$651,835GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionHealth Partners is a non-profit organization dedicated to delivering quality healthcare in a respectful and compassionate environment to the citizens of Charles County who are economically disadvantaged by utilizing the skills and resources of the community.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$363,110PYContributionsGrantsAmt
CY Contributions Grants$542,874CYContributionsGrantsAmt
CY Program Service Revenue$27,865CYProgramServiceRevenueAmt
PY Investment Income$313PYInvestmentIncomeAmt
CY Investment Income$279CYInvestmentIncomeAmt
PY Other Revenue$67,843PYOtherRevenueAmt
CY Other Revenue$72,933CYOtherRevenueAmt
PY Total Revenue$431,266PYTotalRevenueAmt
CY Total Revenue$643,951CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$329,532PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$511,354CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,880CYTotalFundraisingExpenseAmt
PY Other Expenses$126,406PYOtherExpensesAmt
CY Other Expenses$172,861CYOtherExpensesAmt
PY Total Expenses$455,938PYTotalExpensesAmt
CY Total Expenses$684,215CYTotalExpensesAmt
PY Revenues Less Expenses-$24,672PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$40,264CYRevenuesLessExpensesAmt
Total Assets BOY$534,213TotalAssetsBOYAmt
Total Assets EOY$484,345TotalAssetsEOYAmt
Total Liabilities BOY$49,884TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$484,329NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$444,065NetAssetsOrFundBalancesEOYAmt
MissionHealth Partners is a non-profit organization dedicated to delivering quality healthcare in a respectful and compassionate environment to the citizens of Charles County who are economically disadvantaged by utilizing the skills and resources of the community.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$644,869ExpenseAmt
Revenue$27,865RevenueAmt
DescHealth Partners is a charitable clinic providing medical and dental care to the disadvantaged citizens of Charles County. In 2014, we provided 904 medical care visits for 742 clients and 3,932 dental services for 938 patients. Our transportable dental unit visited 6 elementary schools and one middle school providing screenings, cleanings and sealants for 204 children. In addition to medical and dental services the clinic provides a Connection to Care prog which assists callers in obtaining services through other community agencies; in 2014, 964 callers were connected to outside services through this program. The clothing closet provided clothing to over 722 people. Our pharmacy prog enrolled 50 patients to receive over $100,000 in free medications. In addition, Health Partners, through a partnership with Calvert Healthcare Solutions, was a connector entity for the Affordable Care Act, hosting 9 navigators and assisters to help residents enroll in health insurance.Desc
Total Program Service Expenses$644,869TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee25EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDan SansburyPersonNm
Phone3016453556PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13070 Crain HighwayAddressLine1Txt
CityWaldorfCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Dan Sansbury
Treasurer8.000.00Yes (X)Yes (X)$0$0$0
Kermit Wright
President8.000.00Yes (X)Yes (X)$0$0$0
Steve Merki
Director2.000.00Yes (X)$0$0$0
Sandy McGraw
Director2.000.00Yes (X)$0$0$0
Marty Pride
Director2.000.00Yes (X)$0$0$0
Howard M Haft
Director40.000.00Yes (X)$0$0$0
Audrey Dyson
Secretary8.000.00Yes (X)Yes (X)$0$0$0
Chrisie Mulcahey
Executive Director40.000.00Yes (X)$65,613$0$0
Richard Ardrey
Director2.000.00Yes (X)$0$0$0
Meindert Smith
Director2.000.00Yes (X)$0$0$0
Jason Faherty
Director2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$65,613TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$542,874AllOtherContributionsAmt
Total Contributions$542,874TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMedical servicesDesc
Business621400BusinessCd
Total Revenue Column$27,865TotalRevenueColumnAmt
Related Or Exempt Func Income$27,865RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,865TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$279TotalRevenueColumnAmt
Exclusion$279ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$34,825RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$34,825RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,825TotalRevenueColumnAmt
Exclusion$34,825ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$45,992FundraisingGrossIncomeAmt
Fundraising Direct Expenses$7,884FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,108TotalRevenueColumnAmt
Exclusion$38,108ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$643,951TotalRevenueColumnAmt
Related Or Exempt Func Income$27,865RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$73,212ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$65,613TotalAmt
Program Services$45,929ProgramServicesAmt
Management And General$16,403ManagementAndGeneralAmt
Fundraising$3,281FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$365,910TotalAmt
Program Services$360,866ProgramServicesAmt
Management And General$3,363ManagementAndGeneralAmt
Fundraising$1,681FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,206TotalAmt
Program Services$32,246ProgramServicesAmt
Management And General$1,567ManagementAndGeneralAmt
Fundraising$393FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$45,625TotalAmt
Program Services$43,010ProgramServicesAmt
Management And General$2,090ManagementAndGeneralAmt
Fundraising$525FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,250TotalAmt
Program Services$4,250ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,991TotalAmt
Program Services$16,991ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,435TotalAmt
Program Services$25,591ProgramServicesAmt
Management And General$2,844ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,661TotalAmt
Program Services$31,189ProgramServicesAmt
Management And General$472ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,326TotalAmt
Program Services$20,016ProgramServicesAmt
Management And General$2,310ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Laboratory and radiology$14,049$14,049
Utilities$13,232$11,909$1,323
Repairs and maintenance$10,798$9,718$1,080
Medicine & medical supplies$10,792$10,792

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,327TotalAmt
Program Services$18,313ProgramServicesAmt
Management And General$2,014ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$684,215TotalAmt
Program Services$644,869ProgramServicesAmt
Management And General$33,466ManagementAndGeneralAmt
Fundraising$5,880FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$98,094BOYAmt
EOY$93,513EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$43,872BOYAmt
EOY$44,089EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,366BOYAmt
EOY$5,195EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$689,041LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$347,493LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$375,881BOYAmt
EOY$341,548EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$534,213BOYAmt
EOY$484,345EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,884BOYAmt
EOY$40,280EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,884BOYAmt
EOY$40,280EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$471,578BOYAmt
EOY$410,429EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,751BOYAmt
EOY$33,636EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$484,329BOYAmt
EOY$444,065EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$534,213BOYAmt
EOY$484,345EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$40,264ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$326,549CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$299,301CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$300,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$398,798CurrentTaxYearMinus1YearAmt
Current Tax Year$575,767CurrentTaxYearAmt
Total$1,901,062TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$400,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$400,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$400,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$400,000CurrentTaxYearMinus1YearAmt
Current Tax Year$400,000CurrentTaxYearAmt
Total$2,000,000TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$726,549CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$699,301CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$700,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$798,798CurrentTaxYearMinus1YearAmt
Current Tax Year$975,767CurrentTaxYearAmt
Total$3,901,062TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$415,825SubstantialContributorsTotAmt
Public Support Total170$3,485,237PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$425CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$313CurrentTaxYearMinus1YearAmt
Current Tax Year$279CurrentTaxYearAmt
Total$2,067TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,166CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,155CurrentTaxYearMinus1YearAmt
Current Tax Year$40,040CurrentTaxYearAmt
Total$144,997TotalAmt
FieldValueIRS element (for citing)
Total Support$4,048,126TotalSupportAmt
Public Support CY1700.86100PublicSupportCY170Pct
Public Support PY1700.96270PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$562,346OtherCostOrOtherBasisAmt
Depreciation$278,471DepreciationAmt
Book Value$283,875BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$126,695OtherCostOrOtherBasisAmt
Depreciation$69,022DepreciationAmt
Book Value$57,673BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$341,548TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,092,207TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$440,372DonatedServicesAndUseFcltsAmt
Other Revenue$7,884OtherRevenueAmt
Revenue Not Reported$448,256RevenueNotReportedAmt
Revenue Subtotal$643,951RevenueSubtotalAmt
Total Revenue Per Form990$643,951TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,132,471TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$440,372DonatedServicesUseFcltsAmt
Other Expenses Included$7,884OtherExpensesIncludedAmt
Expenses Not Reported$448,256ExpensesNotReportedAmt
Expenses Subtotal$684,215ExpensesSubtotalAmt
Total Expenses Per Form990$684,215TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other revenues not included on Form 990 (Part XI, line 2d)Fundraising expenses total 7,884.
Other expenses not included on Form 990 (Part XII, line 2d)Fundraising expenses total 7,884.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$26,280GrossReceiptsEvent1Amt
Gross Revenue Event1$26,280GrossRevenueEvent1Amt
Other Direct Expenses Event1$4,262OtherDirectExpensesEvent1Amt
Event2HOPE CampaigEvent2Nm
Gross Receipts Event2$17,901GrossReceiptsEvent2Amt
Gross Revenue Event2$17,901GrossRevenueEvent2Amt
Other Direct Expenses Event2$2,260OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$1,811GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$1,811GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$1,362OthDirectExpnssOtherEventsAmt
Gross Receipts Total$45,992GrossReceiptsTotalAmt
Gross Revenue Total Events$45,992GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$7,884OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$7,884DirectExpenseSummaryEventsAmt
Net Income Summary$38,108NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11Treasurer and board reviewed the 990 in draft form.
Conflict of interest policy compliance Part VI line 12cConflicts of interest are to be disclosed.
Governing documents etc available to public Part VI line 19Documents are available upon request.

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