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EMMANUEL HOSPICE: Form 990EZ, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
EMMANUEL HOSPICE (EIN 45-4485835)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349203651
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)
Return2014-11-14T15:57:00-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454485835EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMMANUEL HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlEMMABusinessNameControlTxt
Phone6167190919PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12161 LEONARD ST NWAddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49504ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSARA LOWEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6167190919PhoneNum
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL LALONDE CPAPreparerPersonNm
PTINP00181637PTIN
Phone2695674500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.EMMANUELHOSPICE.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$69,608GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$0ContributionsGiftsGrantsEtcAmt
Program Service Revenue$55,396ProgramServiceRevenueAmt
Other Revenue Total$14,212OtherRevenueTotalAmt
Total Revenue$69,608TotalRevenueAmt
Salaries Other Comp Empl Bnft$203,171SalariesOtherCompEmplBnftAmt
Occupancy Rent Utlts And Maint$17,404OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$101PrintingPublicationsPostageAmt
Other Expenses Total$136,388OtherExpensesTotalAmt
Total Expenses$357,064TotalExpensesAmt
Excess Or Deficit For Year-$287,456ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY-$89,318NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY-$376,774NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$129,257EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$99,698EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$228,955EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,318BOYAmt
EOY$605,729EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY-$89,318BOYAmt
EOY-$376,774EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO PROVIDE END OF LIFE HOSPICE CARE AND RELATED SERVICES TO INDIVIDUALS IN THE COMMUNITY WHO HAVE A TERMINAL CONDITION.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomHOSPICE AND BEREAVEMENT CAREDescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$340,019ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$340,019TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JAMES BRADY
CHAIR & BOARD MEMBER5.00$0$0$0
JANE TOOT
VICE CHAIR & BOARD MEMBER3.00$0$0$0
RICK WALKER
TREASURER & BOARD MEMBER3.00$0$0$0
SARA LOWE
EXECUTIVE DIRECTOR50.00$47,194$3,882$0
CHRISTINE ALBERTINI
DIRECTOR1.00$0$0$0
LAURENCE BURNS DO
DIRECTOR1.00$0$0$0
ROBERT HERR CPA
DIRECTOR1.00$0$0$0
SHARON M BUURSMA
DIRECTOR1.00$0$0$0
JUDITH BAKER
DIRECTOR1.00$0$0$0
PAT BURGSTROM
DIRECTOR1.00$0$0$0
SISTER GABRIELA HILKE
DIRECTOR & CHAPLAIN30.00$0$0$0
THOMAS WESHOLSKI
DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRAIG VANDENBOSBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14450 CASCADE ROADAddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49546ZIPCode
FieldValueIRS element (for citing)
Phone6169541799PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$750CurrentTaxYearMinus1YearAmt
Total$750TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$55,396CurrentTaxYearAmt
Total$55,396TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$750CurrentTaxYearMinus1YearAmt
Current Tax Year$55,396CurrentTaxYearAmt
Total$56,146TotalAmt

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$56,146PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$14,212CurrentTaxYearAmt
Total$14,212TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$750CurrentTaxYearMinus1YearAmt
Current Tax Year$69,608CurrentTaxYearAmt
Total$70,358TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME:MISCELLANEOUS REVENUE
SCHEDULE A, PART IIITHE ORGANIZATION WAS INCORPORATED AS OF 2/2/2012. A SHORT PERIOD RETURN WAS FILED FOR 2012.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUEDESCRIPTION: MISCELLANEOUS REVENUE. AMOUNT: 14,212.
FORM 990-EZ, PART I, LINE 14DESCRIPTION: DEPRECIATION. AMOUNT: 12,061. DESCRIPTION: OTHER EXPENSES. AMOUNT: 5,343. TOTAL TO FORM 990-EZ, LINE 14: 17,404.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: ADMINSTRATIVE EXPENSE. AMOUNT: 67,303. DESCRIPTION: ADVERTISING. AMOUNT: 10,706. DESCRIPTION: EQUIPMENT & SUPPLIES. AMOUNT: 15,320. DESCRIPTION: INSURANCE. AMOUNT: 17,455. DESCRIPTION: MISCELLANEOUS. AMOUNT: 12,884. DESCRIPTION: PAYROLL TAXES. AMOUNT: 12,720. TOTAL TO FORM 990-EZ, LINE 16: 136,388.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: ACCOUNTS RECEIVABLE - MEDICARE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 55,396. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 44,302.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: DUE TO DUE FROM. BEG. OF YEAR AMOUNT: 89,318. END OF YEAR AMOUNT: 555,626. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 29,776. DESCRIPTION: ACCRUED LIABILITIES. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 20,327.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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