COMMUNITY HOME HEALTH HOSPICE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOME HEALTH HOSPICE (EIN 91-1399370)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-02-18
IRS object ID
201530499349300223
Schema version
2013v4.0
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)
Return2015-02-18T11:50:17-08:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Hansen Hunter & Co PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18930 SW Gemini DriveAddressLine1
CityBeavertonCity
StateORState
ZIP Code97008ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911399370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Home Health & HospiceBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3604258510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2067AddressLine1
CityLongviewCity
StateWAState
ZIP Code98632ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREGORY PANG MHAPersonNm
Person TitleCEOPersonTitleTxt
Signature2015-02-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCynthia J HeubergerPreparerPersonNm
PTINP00166783PTIN
Phone5032442134PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREGORY PANG MHAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2067AddressLine1
CityLONGVIEWCity
StateWAState
ZIP Code98632ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$18,608,662GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHHH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionAs a community-based nonprofit agency since 1977, our mission is caring for people at home.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee318TotalEmployeeCnt
Total Volunteers215TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$764,211PYContributionsGrantsAmt
CY Contributions Grants$569,339CYContributionsGrantsAmt
PY Program Service Revenue$17,898,578PYProgramServiceRevenueAmt
CY Program Service Revenue$17,853,568CYProgramServiceRevenueAmt
PY Investment Income$39,678PYInvestmentIncomeAmt
CY Investment Income-$195,597CYInvestmentIncomeAmt
PY Other Revenue$121,757PYOtherRevenueAmt
CY Other Revenue$162,839CYOtherRevenueAmt
PY Total Revenue$18,824,224PYTotalRevenueAmt
CY Total Revenue$18,390,149CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,406,162PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,754,651CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$282,340CYTotalFundraisingExpenseAmt
PY Other Expenses$4,929,960PYOtherExpensesAmt
CY Other Expenses$4,707,905CYOtherExpensesAmt
PY Total Expenses$18,336,122PYTotalExpensesAmt
CY Total Expenses$18,462,556CYTotalExpensesAmt
PY Revenues Less Expenses$488,102PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$72,407CYRevenuesLessExpensesAmt
Total Assets BOY$15,585,139TotalAssetsBOYAmt
Total Assets EOY$18,047,307TotalAssetsEOYAmt
Total Liabilities BOY$4,723,926TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,065,861TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,861,213NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,981,446NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs a community-based nonprofit agency since 1977, our mission is caring for people at home.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,340,658ExpenseAmt
Revenue$9,083,960RevenueAmt
DescHOSPICE: SKILLED NURSING, SOCIAL SERVICES, THERAPY AND AIDE SERVICES FOR TERMINALLY ILL PATIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,737,439ExpenseAmt
Revenue$7,099,998RevenueAmt
DescHOME HEALTH: SKILLED NURSING, THERAPY AND AIDE SERVICES FOR HOMEBOUND PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$794,117ExpenseAmt
Revenue$982,708RevenueAmt
DescHOME CARE: IN-HOME AIDE AND HOMEMAKER SERVICES PROVIDED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$555,079TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$686,902TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$14,427,293TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee318EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonElizabeth StorkPersonNm
Phone3604145439PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2067AddressLine1
CityLONGVIEWCity
StateWAState
ZIP Code986328189ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DANIEL SPJUT
President1.000.00Yes (X)Yes (X)$0$0$0
BETTY VILHAUER
Director1.000.00Yes (X)$0$0$0
JOSEPH AMRINE
Director1.000.00Yes (X)$0$0$0
COREY BALKAN
Vice President1.000.00Yes (X)Yes (X)$0$0$0
ALLAN ERICKSON
Director1.000.00Yes (X)$0$0$0
LAIRD MCRAE MD
Director1.000.00Yes (X)$0$0$0
ERIC BRUDI
Director1.000.00Yes (X)$0$0$0
GERRY REITSCH
Director1.000.00Yes (X)$0$0$0
Tina Cygrymus
Director1.000.00Yes (X)$0$0$0
BARBARA SAMPLES RN
Director1.000.00Yes (X)$0$0$0
SCOTT STUDLEY
Director1.000.00Yes (X)$0$0$0
JAIME BOAGLIO
SEC/TREAS1.000.00Yes (X)Yes (X)$0$0$0
BRUCE WARRICK
Director1.000.00Yes (X)$0$0$0
JOHN NORD
Director1.000.00Yes (X)$0$0$0
Lee Nichols
Director1.000.00Yes (X)$0$0$0
GREGORY PANG MHA
CEO40.000.00Yes (X)$135,000$0$5,973
RANDY DALTON
Clinical Director40.000.00$111,307$0$12,020Yes (X)
SANDRA BROEREN
MEDICAL DIRECTOR40.000.00$269,067$0$19,266Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$515,374TotalReportableCompFromOrgAmt
Total Other Compensation$37,259TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMN HEALTHCAREBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 281939AddressLine1
CityATLANTACity
StateGAState
ZIP Code30384ZIPCode
FieldValueIRS element (for citing)
ServicesCONTRACT THERAPISTServicesDesc
Compensation$229,740CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$93,234FundraisingAmt
All Other Contributions$476,105AllOtherContributionsAmt
Total Contributions$569,339TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPICE621610$9,083,960$9,083,960
HOME HEALTH621610$7,099,998$7,099,998
HOME CARE621610$982,708$982,708
PALLIATIVE CARE621610$686,902$686,902
FieldValueIRS element (for citing)
Total Program Service Revenue$17,853,568TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,989TotalRevenueColumnAmt
Exclusion$1,989ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$197,586OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$197,586OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$197,586TotalRevenueColumnAmt
Exclusion-$197,586ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$18,970FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$93,234ContriRptFundraisingEventAmt
Fundraising Direct Expenses$20,927FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,957TotalRevenueColumnAmt
Exclusion-$1,957ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
THRIFT SHOP453310$164,068$164,068
Day care revenue621610$728$728
FieldValueIRS element (for citing)
Other Revenue Total$164,796OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,390,149TotalRevenueColumnAmt
Related Or Exempt Func Income$17,854,296RelatedOrExemptFuncIncomeAmt
Exclusion-$33,486ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$140,973TotalAmt
Management And General$139,755ManagementAndGeneralAmt
Fundraising$1,218FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,259,072TotalAmt
Program Services$9,186,953ProgramServicesAmt
Management And General$1,881,648ManagementAndGeneralAmt
Fundraising$190,471FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$247,138TotalAmt
Program Services$202,440ProgramServicesAmt
Management And General$39,038ManagementAndGeneralAmt
Fundraising$5,660FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,010,532TotalAmt
Program Services$815,365ProgramServicesAmt
Management And General$178,409ManagementAndGeneralAmt
Fundraising$16,758FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,096,936TotalAmt
Program Services$886,047ProgramServicesAmt
Management And General$194,498ManagementAndGeneralAmt
Fundraising$16,391FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,640TotalAmt
Management And General$3,640ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,050TotalAmt
Management And General$35,050ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,332,451TotalAmt
Program Services$899,151ProgramServicesAmt
Management And General$423,529ManagementAndGeneralAmt
Fundraising$9,771FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$48,795TotalAmt
Management And General$45,113ManagementAndGeneralAmt
Fundraising$3,682FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,600TotalAmt
Management And General$13,600ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$292,580TotalAmt
Program Services$204,431ProgramServicesAmt
Management And General$85,621ManagementAndGeneralAmt
Fundraising$2,528FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$59,534TotalAmt
Program Services$4,935ProgramServicesAmt
Management And General$52,812ManagementAndGeneralAmt
Fundraising$1,787FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$142,116TotalAmt
Program Services$99,299ProgramServicesAmt
Management And General$41,589ManagementAndGeneralAmt
Fundraising$1,228FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$381,988TotalAmt
Program Services$266,902ProgramServicesAmt
Management And General$111,786ManagementAndGeneralAmt
Fundraising$3,300FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$105,144TotalAmt
Program Services$73,466ProgramServicesAmt
Management And General$30,770ManagementAndGeneralAmt
Fundraising$908FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$938,822$889,581$47,080$2,161
AUTO$568,243$567,554$689
MISCELLANEOUS$277,698$100,745$174,659$2,294
TELEPHONE$208,285$208,285

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$299,959TotalAmt
Program Services$230,424ProgramServicesAmt
Management And General$46,041ManagementAndGeneralAmt
Fundraising$23,494FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,462,556TotalAmt
Program Services$14,427,293ProgramServicesAmt
Management And General$3,752,923ManagementAndGeneralAmt
Fundraising$282,340FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,789,154BOYAmt
EOY$1,220,613EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,016BOYAmt
EOY$1,666,167EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$38,272EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,567,138BOYAmt
EOY$2,493,958EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$50,304BOYAmt
EOY$43,882EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$99,537BOYAmt
EOY$103,826EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,438,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,432,592LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,300,530BOYAmt
EOY$5,005,539EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,186,980BOYAmt
EOY$2,904,811EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$43,579BOYAmt
EOY$219,521EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,527,901BOYAmt
EOY$4,350,718EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,585,139BOYAmt
EOY$18,047,307EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,380,153BOYAmt
EOY$1,490,408EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$309,390BOYAmt
EOY$330,483EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,033,229BOYAmt
EOY$5,241,367EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,154BOYAmt
EOY$3,603EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,723,926BOYAmt
EOY$7,065,861EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,824,610BOYAmt
EOY$9,237,321EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$639,327BOYAmt
EOY$332,160EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,397,276BOYAmt
EOY$1,411,965EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,861,213BOYAmt
EOY$10,981,446EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,585,139BOYAmt
EOY$18,047,307EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$72,407ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$192,640NetUnrlzdGainsLossesInvstAmt
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 CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$2,027RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$2,027TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationOne of the organization's employees attended the National Hospice and Palliative Care Organization (NHPCO) conference in Washington DC and connected with legislators.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,304,241BeginningYearBalanceAmt
Contributions$342,268ContributionsAmt
Investment Earnings Or Losses$177,270InvestmentEarningsOrLossesAmt
Other Expenditures$641,263OtherExpendituresAmt
End Year Balance$4,182,516EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,073,139BeginningYearBalanceAmt
Contributions$167,793ContributionsAmt
Investment Earnings Or Losses$81,756InvestmentEarningsOrLossesAmt
Other Expenditures$18,447OtherExpendituresAmt
End Year Balance$4,304,241EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,957,097BeginningYearBalanceAmt
Contributions$157,737ContributionsAmt
Investment Earnings Or Losses$273,551InvestmentEarningsOrLossesAmt
Other Expenditures$315,246OtherExpendituresAmt
End Year Balance$4,073,139EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,058,046BeginningYearBalanceAmt
Contributions$59,037ContributionsAmt
Investment Earnings Or Losses-$49,563InvestmentEarningsOrLossesAmt
Other Expenditures$110,423OtherExpendituresAmt
End Year Balance$3,957,097EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,635,079BeginningYearBalanceAmt
Contributions$429,310ContributionsAmt
Investment Earnings Or Losses$244,365InvestmentEarningsOrLossesAmt
Other Expenditures$250,708OtherExpendituresAmt
End Year Balance$4,058,046EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.55480BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.08640PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.35880TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,275,116OtherCostOrOtherBasisAmt
Book Value$1,275,116BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,842,179OtherCostOrOtherBasisAmt
Depreciation$3,035,002DepreciationAmt
Book Value$2,807,177BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,189,532OtherCostOrOtherBasisAmt
Depreciation$1,290,759DepreciationAmt
Book Value$898,773BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$131,304OtherCostOrOtherBasisAmt
Depreciation$106,831DepreciationAmt
Book Value$24,473BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,005,539TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CIP$4,100,589
Interest Reserve$250,129
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,350,718TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSecurity DepositsDesc
Amt$3,603Amt
FieldValueIRS element (for citing)
Total Liability$3,603TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$18,565,430TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$192,640NetUnrealizedGainsInvstAmt
Revenue Not Reported$192,640RevenueNotReportedAmt
Revenue Subtotal$18,372,790RevenueSubtotalAmt
Other Revenues Not Included$17,359OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$17,359RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$18,390,149TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,445,197TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$18,445,197ExpensesSubtotalAmt
Other Expenses Not Included$17,359OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,359ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,462,556TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SGROUPING DIFFERENCE - DIVIDENDS $17359
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGROUPING DIFFERENCE - DIVIDENDS $17359

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd
Licensed StatesWALicensedStatesCd
Licensed StatesORLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1HOME AT LAST GALANameOfEvent1Amt
Gross Receipts Event1$112,204GrossReceiptsEvent1Amt
Charitable Contri Event1$93,234CharitableContriEvent1Amt
Gross Revenue Event1$18,970GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,144RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,747FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$6,036OtherDirectExpensesEvent1Amt
Gross Receipts Total$112,204GrossReceiptsTotalAmt
Charitable Contributions Tot$93,234CharitableContributionsTotAmt
Gross Revenue Total Events$18,970GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$2,144RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,747FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$6,036OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$20,927DirectExpenseSummaryEventsAmt
Net Income Summary-$1,957NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonSANDRA BROERENPersonNm
TitleMEDICAL DIRECTORTitleTxt
Base Compensation Filing Org$269,067BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$7,192DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$12,074NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$288,333TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS IMMEDIATELY.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION IS BASED ON ANALYSIS PROVIDED BY ECONOMIC RESEARCH INSTITUTE OF SALARIES AND JOB DESCRIPTIONS WITHIN THE GEOGRAPHICAL AREA AND INDUSTRY.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS.

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