COLLABRIA CARE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COLLABRIA CARE (EIN 68-0393144)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-04
- IRS object ID
- 201433089349301078
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-04T10:54:28-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT BENNETT ASSOCIATES | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1375 EXPOSITION BLVD STE 230 | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 958155115 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680393144 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAPA VALLEY HOSPICE & ADULT DAY SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NAPA | BusinessNameControlTxt |
| Phone | 7072589080 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 414 SOUTH JEFFERSON STREET | AddressLine1 |
| City | NAPA | City |
| State | CA | State |
| ZIP Code | 94559 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA GIBSON | PersonNm |
| Person Title | CEO/SEC | PersonTitleTxt |
| Signature | 2014-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID C WILSON | PreparerPersonNm |
| PTIN | P00125006 | PTIN |
| Phone | 9169225109 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LINDA GIBSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 414 SOUTH JEFFERSON STREET | AddressLine1 |
| City | NAPA | City |
| State | CA | State |
| ZIP Code | 94559 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,488,970 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NVHADS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES SERVICES TO PERSONS FACING AN ILLNESS WITH LIMITED LIFE EXPECTANCY AND THOSE WITH CHRONIC CONDITIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 127 | TotalEmployeeCnt |
| Total Volunteers | 124 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,618,667 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,501,643 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,224,685 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,511,435 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,695 | PYInvestmentIncomeAmt |
| CY Investment Income | $287 | CYInvestmentIncomeAmt |
| PY Other Revenue | $154,758 | PYOtherRevenueAmt |
| CY Other Revenue | $281,219 | CYOtherRevenueAmt |
| PY Total Revenue | $8,999,805 | PYTotalRevenueAmt |
| CY Total Revenue | $9,294,584 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,441,601 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,726,620 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $136,500 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $110,261 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $967,898 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,032,882 | PYOtherExpensesAmt |
| CY Other Expenses | $2,964,870 | CYOtherExpensesAmt |
| PY Total Expenses | $8,610,983 | PYTotalExpensesAmt |
| CY Total Expenses | $8,801,751 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $388,822 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $492,833 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,746,129 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,578,323 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,510,394 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,032,845 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,235,735 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,545,478 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE EXEMPT ORGANIZATION'S STAFF AND VOLUNTEERS ARE COMMITTED TO PROVIDING EXCEPTIONAL, PROFESSIONAL HEALTH CARE AND EXPERT RESOURCES TOWARDS THE HOSPICE AND ADULT DAY CARE SERVICES TO ACCOMPLISH ITS MISSION TO OFFER CARE FOR THE WHOLE PERSON AND FAMILY THAT ARE COPING WITH CHRONIC CONDITIONS, ILLNESS, DEATH AND BEREAVEMENT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,259,282 | ExpenseAmt |
| Revenue | $6,370,024 | RevenueAmt |
| Desc | HOSPICE OF NAPA VALLEY WAS INCORPORATED IN JULY 1997 AS A NOT-FOR-PROFIT CORPORATION FOR THE PURPOSE OF PROVIDING A PROGRAM TO MEET THE NEEDS OF THE TERMINALLY ILL PATIENTS WHO SEEK COMFORT AND QUALITY OF LIFE AND DO NOT WISH FURTHER AGGRESSIVE TREATMENT OR PROLONGING INTERVENTION. THERE WERE A TOTAL OF 29,751 PATIENT DAYS ATTRIBUTED TO THE HOSPICE DURING 2013. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,606,068 | ExpenseAmt |
| Revenue | $1,033,455 | RevenueAmt |
| Desc | ADULT DAY SERVICES (ADS) OFFERS A MEDICAL MODEL OF ADULT DAY PROGRAMMING THAT PROVIDES SPECIALTY CARE TO PEOPLE LIVING WITH CHRONIC CONDITIONS AND LONG-TERM DISABILITIES, INCLUDING SERVICES FOR INDIVIDUALS WITH ALZEIMER'S DISEASE AND RELATED TYPES OF DEMENTIA. THERE WERE A TOTAL OF 12,613 PATIENT DAYS ATTRIBUTED TO THE ADS PROGRAM DURING 2013. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $107,956 | RevenueAmt |
| Desc | OTHER | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,865,350 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 127 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIRECTOR OF FINANCE | PersonNm |
| Phone | 7072589084 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 414 SOUTH JEFFERSON STREET | AddressLine1 |
| City | NAPA | City |
| State | CA | State |
| ZIP Code | 94559 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| STEVE SILVA | ||||||||
| Chair | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN O'DOWD | ||||||||
| Treasurer | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DON LOGAN | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA GIBSON | ||||||||
| CEO/SEC | 40.00 | 0.00 | Yes (X) | Yes (X) | $205,252 | $0 | $5,292 | |
| BOB ANGEL | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DANA CODRON | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EILEEN CRANE | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBRA DOMMEN | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CORBY KESSLER | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOALINE OLSON | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VALERIE PEEBLES | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TRICIA WILLIAMS | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JON LOGAN | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH MACDONALD | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DICK MAHER | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANNE SUTRO | ||||||||
| DIR OF DEVELOPMENT | 40.00 | 0.00 | $132,701 | $0 | $3,929 | Yes (X) | ||
| CAROL WILLIAMS | ||||||||
| DIR OF OUTREACH | 40.00 | 0.00 | $103,024 | $0 | $2,754 | Yes (X) | ||
| CELINE REGALIA | ||||||||
| DIR OF ADS | 40.00 | 0.00 | $114,872 | $0 | $3,049 | Yes (X) | ||
| SUSAN CRANDALL | ||||||||
| DIR OF HOSPICE | 40.00 | 0.00 | $109,228 | $0 | $3,138 | Yes (X) | ||
| DEANE MILLER | ||||||||
| DIR OF QUAL IMPRV | 40.00 | 0.00 | $102,813 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $767,890 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $18,162 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANCY BRIMHALL | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2307 KELTON AVENUE | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | FUNDRAISING | ServicesDesc |
| Compensation | $110,261 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $324,903 | FundraisingAmt |
| All Other Contributions | $1,176,740 | AllOtherContributionsAmt |
| Noncash Contributions | $15,671 | NoncashContributionsAmt |
| Total Contributions | $1,501,643 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $7,511,435 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,511,435 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,511,435 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287 | TotalRevenueColumnAmt |
| Exclusion | $287 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $173,381 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $324,903 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $146,917 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,464 | TotalRevenueColumnAmt |
| Exclusion | $26,464 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $290,182 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $47,469 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $242,713 | TotalRevenueColumnAmt |
| Exclusion | $242,713 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $12,042 | TotalRevenueColumnAmt |
| Exclusion | $12,042 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,042 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,294,584 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,511,435 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $281,506 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,544 | TotalAmt |
| Program Services | $167,737 | ProgramServicesAmt |
| Management And General | $21,357 | ManagementAndGeneralAmt |
| Fundraising | $18,450 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,645,062 | TotalAmt |
| Program Services | $3,753,170 | ProgramServicesAmt |
| Management And General | $478,461 | ManagementAndGeneralAmt |
| Fundraising | $413,431 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,846 | TotalAmt |
| Program Services | $58,051 | ProgramServicesAmt |
| Management And General | $7,400 | ManagementAndGeneralAmt |
| Fundraising | $6,395 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,273 | TotalAmt |
| Program Services | $363,013 | ProgramServicesAmt |
| Management And General | $46,275 | ManagementAndGeneralAmt |
| Fundraising | $39,985 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,895 | TotalAmt |
| Program Services | $293,048 | ProgramServicesAmt |
| Management And General | $30,209 | ManagementAndGeneralAmt |
| Fundraising | $29,638 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,133 | TotalAmt |
| Management And General | $15,133 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,966 | TotalAmt |
| Management And General | $47,966 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,261 | TotalAmt |
| Fundraising | $110,261 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,094 | TotalAmt |
| Program Services | $104,701 | ProgramServicesAmt |
| Management And General | $109,456 | ManagementAndGeneralAmt |
| Fundraising | $56,937 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,284 | TotalAmt |
| Program Services | $23,828 | ProgramServicesAmt |
| Fundraising | $2,456 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,662 | TotalAmt |
| Program Services | $100,952 | ProgramServicesAmt |
| Management And General | $93,847 | ManagementAndGeneralAmt |
| Fundraising | $104,863 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,077 | TotalAmt |
| Program Services | $17,907 | ProgramServicesAmt |
| Management And General | $9,793 | ManagementAndGeneralAmt |
| Fundraising | $377 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,978 | TotalAmt |
| Program Services | $1,637 | ProgramServicesAmt |
| Management And General | $105,977 | ManagementAndGeneralAmt |
| Fundraising | $79,364 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,406 | TotalAmt |
| Program Services | $13,223 | ProgramServicesAmt |
| Management And General | $11,877 | ManagementAndGeneralAmt |
| Fundraising | $4,306 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,513 | TotalAmt |
| Program Services | $2,033 | ProgramServicesAmt |
| Management And General | $5,311 | ManagementAndGeneralAmt |
| Fundraising | $1,169 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,181 | TotalAmt |
| Program Services | $275,840 | ProgramServicesAmt |
| Fundraising | $30,341 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,504 | TotalAmt |
| Program Services | $88,305 | ProgramServicesAmt |
| Management And General | $185,557 | ManagementAndGeneralAmt |
| Fundraising | $9,642 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,723 | TotalAmt |
| Management And General | $97,723 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DIRECT PATIENT CARE | $794,363 | $794,363 | ||
| SKILLED NURSING FACILITY ROOM | $342,191 | $342,191 | ||
| MISCELLANEOUS | $153,307 | $2,846 | $111,076 | $39,385 |
| DUES, LICENSES, SUBSCRIPTIONS | $72,235 | $22,922 | $36,216 | $13,097 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,253 | TotalAmt |
| Program Services | $439,583 | ProgramServicesAmt |
| Management And General | -$445,131 | ManagementAndGeneralAmt |
| Fundraising | $7,801 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,801,751 | TotalAmt |
| Program Services | $6,865,350 | ProgramServicesAmt |
| Management And General | $968,503 | ManagementAndGeneralAmt |
| Fundraising | $967,898 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,800 | BOYAmt |
| EOY | $1,800 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,009,594 | BOYAmt |
| EOY | $950,614 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,311 | BOYAmt |
| EOY | $310,479 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $796,587 | BOYAmt |
| EOY | $824,800 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,291 | BOYAmt |
| EOY | $95,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,404,082 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,132,761 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,508,204 | BOYAmt |
| EOY | $6,271,321 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $28,875 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,793 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,119,549 | BOYAmt |
| EOY | $1,094,855 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,746,129 | BOYAmt |
| EOY | $9,578,323 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $865,394 | BOYAmt |
| EOY | $837,845 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,445,000 | BOYAmt |
| EOY | $4,195,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,510,394 | BOYAmt |
| EOY | $5,032,845 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,368,901 | BOYAmt |
| EOY | $3,664,556 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,846,834 | BOYAmt |
| EOY | $880,922 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,235,735 | BOYAmt |
| EOY | $4,545,478 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,746,129 | BOYAmt |
| EOY | $9,578,323 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $492,833 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,075 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$186,165 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,226,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,895,012 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,159,167 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,618,667 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,501,643 | CurrentTaxYearAmt |
| Total | $8,400,820 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,974,727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,386,730 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,955,711 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,224,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,511,435 | CurrentTaxYearAmt |
| Total | $34,053,288 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $183,761 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $290,182 | CurrentTaxYearAmt |
| Total | $473,943 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,201,058 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,281,742 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,114,878 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,027,113 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,303,260 | CurrentTaxYearAmt |
| Total | $42,928,051 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $42,928,051 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,506 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $287 | CurrentTaxYearAmt |
| Total | $41,358 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,506 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $287 | CurrentTaxYearAmt |
| Total | $41,358 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,476 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,376 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,042 | CurrentTaxYearAmt |
| Total | $17,894 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,224,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,294,652 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,118,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,033,632 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,315,589 | CurrentTaxYearAmt |
| Total | $42,987,303 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99750 | PublicSupportPY509Pct |
| Investment Income CY | 0.00100 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00240 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,793 | BeginningYearBalanceAmt |
| Other Expenditures | $20,793 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,182 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $611 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $20,793 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,320 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$138 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $20,182 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,974 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $346 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $20,320 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,229 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$255 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $19,974 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,896,832 | OtherCostOrOtherBasisAmt |
| Book Value | $1,896,832 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,080,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,175,214 | DepreciationAmt |
| Book Value | $3,904,881 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $523,208 | OtherCostOrOtherBasisAmt |
| Depreciation | $265,593 | DepreciationAmt |
| Book Value | $257,615 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $680,597 | OtherCostOrOtherBasisAmt |
| Depreciation | $489,990 | DepreciationAmt |
| Book Value | $190,607 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $223,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $201,964 | DepreciationAmt |
| Book Value | $21,386 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,271,321 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEBT ISSUANCE COSTS | $419,540 |
| RESTRICTED ASSETS | $675,315 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,094,855 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $9,492,045 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,075 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $3,075 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,488,970 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$194,386 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$194,386 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,294,584 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,996,137 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $194,386 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $194,386 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,801,751 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $8,801,751 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part XII, Line 2d: Other expenses and losses per audited F/S | FormAndLineReferenceDesc |
| Explanation | EVENT EXPENSES $146917 COST OF GOODS SOLD $47469 | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY BRIMHALL | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2307 KELTON AVE | AddressLine1 |
| City | LA | City |
| State | CA | State |
| ZIP Code | 90064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GEN FUNDRAISING | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $34,545 | GrossReceiptsAmt |
| Retained By Contractor | $110,261 | RetainedByContractorAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $34,545 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $110,261 | TotalRetainedByContractorsAmt |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $459,321 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $303,903 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $155,418 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $6,982 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $26,683 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $25,000 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $5,600 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $60,292 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | GOLF | NameOfEvent2Amt |
| Gross Receipts Event2 | $38,963 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $21,000 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $17,963 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $350 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $16,189 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $5,821 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $498,284 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $324,903 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $173,381 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $7,332 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $42,872 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $25,000 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $5,600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $66,113 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $146,917 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $26,464 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA GIBSON | PersonNm |
| Title | CEO/SEC | TitleTxt |
| Base Compensation Filing Org | $178,612 | BaseCompensationFilingOrgAmt |
| Bonus Filing Organization | $26,640 | BonusFilingOrganizationAmount |
| Deferred Compensation Flng Org | $5,292 | DeferredCompensationFlngOrgAmt |
| Total Compensation Filing Org | $210,544 | TotalCompensationFilingOrgAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CA STATEWIDE COMM DEV | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521598225 | BondIssuerEIN |
| CUSIP | 130911UR9 | CUSIPNum |
| Bond Issued | 2004-01-08 | BondIssuedDt |
| Issue Price | $5,520,000 | IssuePriceAmt |
| Purpose | PROVIDE FINANCING FOR FACILITY | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $5,520,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $627,894 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,796,100 | CapitalExpendituresAmt |
| Other Spent Proceeds | $96,006 | OtherSpentProceedsAmt |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS A COPY OF THE 990 BEFORE IT IS FILED. THE AMOUNTS ARE COMPARED TO AUDITED FINANCIAL STATEMENTS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED ON A REGULAR BASIS WITH ALL MEMBERS OF THE ORGANIZATION (INCLUDING, BUT NOT LIMITED TO, AN EMPLOYEE HANDBOOK, STAFF MEETINGS AND ANNUAL QUESTIONNAIRES TO BOARD MEMBERS). |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | THE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | ADDT'L EXPENSES DUE TO CHANGE IN ESTIMATES = -$186165 |
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