COASTAL HOSPICE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COASTAL HOSPICE INC (EIN 52-1214775)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-10-22
IRS object ID
201402959349301015
Schema version
2013v3.0
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)
Return2014-10-22T15:15:48-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521224986PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKS & COMPANY PABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 72AddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218030072ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521214775EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COASTAL HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOASBusinessNameControlTxt
Phone4107428732PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1733AddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218021733ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALANE CAPENPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4107428732PhoneNum
Signature2014-10-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN M STERN CPAPreparerPersonNm
PTINP00000490PTIN
Phone4105465600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALANE CAPENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1733AddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218021733ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$9,270,911GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COASTALHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionCOASTAL HOSPICE PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES IN THE FOUR LOWER COUNTIES OF THE EASTERN SHORE OF MARYLAND TO INDIVIDUALS FACING LIFE-LIMITING CONDITIONS.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee148TotalEmployeeCnt
Total Volunteers311TotalVolunteersCnt
Total Gross UBI$114,889TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,429,958PYContributionsGrantsAmt
CY Contributions Grants$967,335CYContributionsGrantsAmt
PY Program Service Revenue$8,252,619PYProgramServiceRevenueAmt
CY Program Service Revenue$8,119,808CYProgramServiceRevenueAmt
PY Investment Income$38,118PYInvestmentIncomeAmt
CY Investment Income$57,423CYInvestmentIncomeAmt
PY Other Revenue$55,645PYOtherRevenueAmt
CY Other Revenue$57,299CYOtherRevenueAmt
PY Total Revenue$9,776,340PYTotalRevenueAmt
CY Total Revenue$9,201,865CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,353,166PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,164,901CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$155,398CYTotalFundraisingExpenseAmt
PY Other Expenses$2,418,231PYOtherExpensesAmt
CY Other Expenses$2,419,864CYOtherExpensesAmt
PY Total Expenses$8,771,397PYTotalExpensesAmt
CY Total Expenses$8,584,765CYTotalExpensesAmt
PY Revenues Less Expenses$1,004,943PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$617,100CYRevenuesLessExpensesAmt
Total Assets BOY$4,714,667TotalAssetsBOYAmt
Total Assets EOY$5,460,452TotalAssetsEOYAmt
Total Liabilities BOY$576,933TotalLiabilitiesBOYAmt
Total Liabilities EOY$641,650TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,137,734NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,818,802NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOASTAL HOSPICE PROMOTES DIGNITY AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO FACE LIFE-LIMITING CONDITIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,933,186ExpenseAmt
Revenue$6,759,236RevenueAmt
DescHOME HOSPICE CARE: COASTAL HOSPICE DELIVERS PATIENT-CENTERED HOSPICE CARE IN DORCHESTER, WICOMICO, SOMERSET AND WORCESTER COUNTIES. THE HOSPICE TEAM INCLUDES (BUT IS NOT LIMITED TO) PRIMARY PHYSICIANS, REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. WE VISIT OUR PATIENTS WHERE THEY ARE MOST COMFORTABLE: IN PRIVATE HOMES, NURSING HOMES AND ASSISTED LIVING FACILITIES. WE BASE EACH PLAN OF CARE ON THE PATIENT'S GOALS AND WORK WITH THE PATIENT AND HIS OR HER LOVED ONES, ULTIMATELY TO ACHIEVE DEATH WITH DIGNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,981,729ExpenseAmt
Revenue$1,159,415RevenueAmt
DescFOR PATIENTS WHOSE SYMPTOM MANAGEMENT NEEDS REQUIRE CLOSE ATTENTION, WE HAVE AN INPATIENT CENTER: COASTAL HOSPICE AT THE LAKE. OUR WING OF DEER'S HEAD HOSPITAL CENTER, WHICH IS SURROUNDED BY THE PICTURESQUE JOHNSON'S POND IN SALISBURY, OFFERS PATIENT ROOMS THAT ACCOMMODATE FAMILY MEMBERS OVERNIGHT. COASTAL HOSPICE AT THE LAKE IS STAFFED BY A TEAM OF REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. IN THIS PEACEFUL SETTING, PATIENTS ARE ATTENDED TO AROUND THE CLOCK, BUT IN A SETTING THAT IS MORE HOME-LIKE THAN CLINICAL. A FAMILY ROOM AND GARDEN ROOM, AS WELL AS A COUNSELING OFFICE, PROVIDE FAMILY MEMBERS SPACE FOR THE SENSITIVE CONVERSATIONS AND SUPPORT THAT SHOULD COME AT THE END OF LIFE OF A LOVED ONE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$301,036ExpenseAmt
Revenue$201,157RevenueAmt
DescPALLIATIVE CARE IS DELIVERED TO MANAGE THE PHYSIOLOGICAL, PRACTICAL AND EMOTIONAL NEEDS OF PATIENTS WHO ARE FACING SERIOUS ILLNESS. UNLIKE HOSPICE PATIENTS, PALLIATIVE CARE PATIENTS ARE RECEIVING MEDICAL CARE IN ACTIVE PURSUIT OF CURE OR REMISSION. THE PALLIATIVE CARE TEAM PROVIDES PATIENT CARE THAT WOULD OTHERWISE HAVE GONE BY THE WAYSIDE IN THE CURRENT HEALTH CARE LANDSCAPE. PHYSICIANS HAVE SO LITTLE TIME TO SPEND WITH EACH PATIENT THAT IT IS ESPECIALLY VALUABLE TO HAVE THE PALLIATIVE CARE TEAM ON HAND TO CATCH THOSE PATIENTS AND FAMILY MEMBERS REELING FROM THE NEWS OF A SERIOUS DIAGNOSIS. IN ADDITION TO PROVIDING SYMPTOM MANAGEMENT CARE, THE PHYSICIAN, NURSE PRACTITIONER, SOCIAL WORKER AND PASTORAL COUNSELOR HELP PATIENTS AND FAMILIES SORT THROUGH THE PRACTICAL ISSUES AND EMOTIONAL AND SPIRITUAL TURMOIL THAT FOLLOW IN THE WAKE OF DIAGNOSIS. WE KNOW WELL THAT WE HAVE THE SKILLS AND KNOWLEDGE TO MEET THIS NEED IN OUR COMMUNITY. COASTAL HOSPICE & PALLIATIVE CARE OPERATES IN PARTNERSHIP WITH PENINSULA REGIONAL MEDICAL CENTER IN THIS ENDEAVOR.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$7,215,951TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee148EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUE OLISCHARBusinessNameLine1
FieldValueIRS element (for citing)
Phone4107428732PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12604 OLD OCEAN CITY RDAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code21804ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALANE CAPEN
PRESIDENT40.00Yes (X)Yes (X)$127,500$0$0
BARBARA LONG
DIRECTOR5.00Yes (X)$0$0$0
MALCOLM PEVERELY
SECRETARY5.00Yes (X)Yes (X)$0$0$0
ANDREA BAIER MD
DIRECTOR5.00Yes (X)$0$0$0
BYRON BRANIFF
VICE CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
MICHAEL DUNN
DIRECTOR5.00Yes (X)$0$0$0
DIANA BARBER
DIRECTOR5.00Yes (X)$0$0$0
BARBARA JACKSON
DIRECTOR5.00Yes (X)$0$0$0
EDWIN ROMMEL III
DIRECTOR5.00Yes (X)$0$0$0
ROGER HARRELL
DIRECTOR5.00Yes (X)$0$0$0
W RICHARD HOLLOWAY JR
IMM. PAST CHAIR5.00Yes (X)Yes (X)$0$0$0
LORIE PHILLIPS
TREASURER5.00Yes (X)Yes (X)$0$0$0
MACKY STANSELL
DIRECTOR5.00Yes (X)$0$0$0
DIRK WIDDOWSON ESQ
DIRECTOR5.00Yes (X)$0$0$0
GLENNA HECKATHORN
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
KATHRYN WASHBURN
DIRECTOR5.00Yes (X)$0$0$0
INGRID PARKER
DIRECTOR5.00Yes (X)$0$0$0
GHULAM WARIS
PHYSICIAN40.00$192,814$0$0Yes (X)
JENNIFER FUNAIOLI-SHEEHAN
PHYSICIAN40.00$140,170$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$460,484TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$76,519FundraisingAmt
All Other Contributions$890,816AllOtherContributionsAmt
Noncash Contributions$357,790NoncashContributionsAmt
Total Contributions$967,335TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME HOSPICE CARE624100$6,759,236$6,759,236
INPATIENT CENTER624100$1,159,415$1,159,415
PALLIATIVE CARE624100$201,157$201,157
FieldValueIRS element (for citing)
Total Program Service Revenue$8,119,808TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,599TotalRevenueColumnAmt
Unrelated Business Revenue$39,599UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,824SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,824SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,824TotalRevenueColumnAmt
Unrelated Business Revenue$17,824UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$126,512FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$76,519ContriRptFundraisingEventAmt
Fundraising Direct Expenses$69,046FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,466TotalRevenueColumnAmt
Unrelated Business Revenue$57,466UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescTHRIFT STORE SALES (NEDesc
Business453310BusinessCd
Total Revenue Column-$167TotalRevenueColumnAmt
Related Or Exempt Func Income-$167RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$167OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,201,865TotalRevenueColumnAmt
Related Or Exempt Func Income$8,119,641RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$114,889UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$320,314TotalAmt
Program Services$301,189ProgramServicesAmt
Management And General$19,125ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$4,640,261TotalAmt
Program Services$3,929,093ProgramServicesAmt
Management And General$615,663ManagementAndGeneralAmt
Fundraising$95,505FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$829,158TotalAmt
Program Services$724,119ProgramServicesAmt
Management And General$88,832ManagementAndGeneralAmt
Fundraising$16,207FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$375,168TotalAmt
Program Services$319,936ProgramServicesAmt
Management And General$48,009ManagementAndGeneralAmt
Fundraising$7,223FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,112TotalAmt
Management And General$47,112ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,530TotalAmt
Program Services$100ProgramServicesAmt
Management And General$63,430ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$416,212TotalAmt
Program Services$243,312ProgramServicesAmt
Management And General$169,539ManagementAndGeneralAmt
Fundraising$3,361FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$311,862TotalAmt
Program Services$305,243ProgramServicesAmt
Management And General$2,467ManagementAndGeneralAmt
Fundraising$4,152FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$139,813TotalAmt
Program Services$103,180ProgramServicesAmt
Management And General$36,633ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ANCILLARIES$809,573$809,573
GENERAL AND ADMIN$335,373$184,047$122,376$28,950
INPATIENT COSTS$220,852$220,852
CONTRACT SERVICES$48,118$47,888$230

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,419TotalAmt
Program Services$27,419ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,584,765TotalAmt
Program Services$7,215,951ProgramServicesAmt
Management And General$1,213,416ManagementAndGeneralAmt
Fundraising$155,398FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$925,662BOYAmt
EOY$956,892EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$52,244BOYAmt
EOY$439,918EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$429,843BOYAmt
EOY$413,835EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,340,206BOYAmt
EOY$1,612,093EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$133,237BOYAmt
EOY$158,528EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$117,127BOYAmt
EOY$66,729EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,410,072LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,514,967LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$907,408BOYAmt
EOY$895,105EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$789,250BOYAmt
EOY$897,662EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,690BOYAmt
EOY$19,690EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,714,667BOYAmt
EOY$5,460,452EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$568,683BOYAmt
EOY$641,530EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,250BOYAmt
EOY$120EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$576,933BOYAmt
EOY$641,650EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,470,269BOYAmt
EOY$3,929,302EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$667,465BOYAmt
EOY$889,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,137,734BOYAmt
EOY$4,818,802EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,714,667BOYAmt
EOY$5,460,452EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$617,100ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$63,968OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$557,506CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,122,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$902,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,442,342CurrentTaxYearMinus1YearAmt
Current Tax Year$967,335CurrentTaxYearAmt
Total$4,993,091TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,732,198CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,275,790CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,063,897CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,252,618CurrentTaxYearMinus1YearAmt
Current Tax Year$8,119,808CurrentTaxYearAmt
Total$39,444,311TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$252CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$332CurrentTaxYearMinus1YearAmt
Current Tax Year-$167CurrentTaxYearAmt
Total$417TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,289,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,398,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,967,098CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,695,292CurrentTaxYearMinus1YearAmt
Current Tax Year$9,086,976CurrentTaxYearAmt
Total$44,437,819TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$44,437,819PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,004CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,927CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,994CurrentTaxYearMinus1YearAmt
Current Tax Year$39,599CurrentTaxYearAmt
Total$181,869TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,004CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,927CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,994CurrentTaxYearMinus1YearAmt
Current Tax Year$39,599CurrentTaxYearAmt
Total$181,869TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,354,708CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,420,094CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,993,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,725,286CurrentTaxYearMinus1YearAmt
Current Tax Year$9,126,575CurrentTaxYearAmt
Total$44,619,688TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99590PublicSupportCY509Pct
Public Support PY5090.99530PublicSupportPY509Pct
Investment Income CY0.00410InvestmentIncomeCYPct
Investment Income PY0.00470InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$467,611OtherCostOrOtherBasisAmt
Book Value$467,611BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$442,037OtherCostOrOtherBasisAmt
Depreciation$442,037DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$611,190OtherCostOrOtherBasisAmt
Depreciation$518,570DepreciationAmt
Book Value$92,620BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$672,311OtherCostOrOtherBasisAmt
Depreciation$506,189DepreciationAmt
Book Value$166,122BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$216,923OtherCostOrOtherBasisAmt
Depreciation$48,171DepreciationAmt
Book Value$168,752BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$895,105TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescUNEARNED INCOMEDesc
Amt$120Amt
FieldValueIRS element (for citing)
Total Liability$120TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,201,865TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$9,201,865RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,201,865TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,584,765TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,584,765ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,584,765TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1TENNIS TOURNAMENTNameOfEvent1Amt
Gross Receipts Event1$31,623GrossReceiptsEvent1Amt
Gross Revenue Event1$31,623GrossRevenueEvent1Amt
Other Direct Expenses Event1$20,290OtherDirectExpensesEvent1Amt
Name Of Event2BLUES ON THE BAYNameOfEvent2Amt
Gross Receipts Event2$29,941GrossReceiptsEvent2Amt
Gross Revenue Event2$29,941GrossRevenueEvent2Amt
Other Direct Expenses Event2$16,419OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$64,949GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$64,949GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$32,337OthDirectExpnssOtherEventsAmt
Gross Receipts Total$126,513GrossReceiptsTotalAmt
Gross Revenue Total Events$126,513GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$69,046OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$69,046DirectExpenseSummaryEventsAmt
Net Income Summary$57,467NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonGHULAM WARISPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$192,814BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$192,814TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$341,717NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCATERINGDesc
Contribution0ContributionCnt
Noncash Contributions Rpt F990$16,073NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY OF THE AUDIT AND FORM 990 ARE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW. THE ACCOUNTANT WILL MAKE ANY FINAL CHANGES AS NEEDED. AFTER CHANGES HAVE BEEN MADE THE FINAL COPY OF THE FORM 990 AND AUDIT IS PROVIDED BY THE ACCOUNTANT.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES ARE REVIEWED AND SIGNED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL EVALUATION IS COMPLETED BY IMMEDIATE SUPERVISOR AND A REVIEW OF WHETHER GOALS WERE MET OR NOT, AREAS OF EXCELLENCE AND AREAS NEEDING IMPROVEMENT IS CONDUCTED. SUPERVISOR DETERMINES, BASED ON THE EVALUATION AND REVIEW, IF MERIT INCREASE IS DESERVED. THE PERCENTAGE INCREASE FOR THE YEAR IS SET WHEN THE BUDGET IS CREATED.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION IS AVAILABLE UPON REQUEST TO THE BOARD OF DIRECTORS.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN/LOSS 63,968.
FORM 990, PART XII, LINE 2C:NO CHANGES HAVE BEEN MADE TO THIS PROCESS.

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