HOSPICE OF CHARLES COUNTY INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF CHARLES COUNTY INC (EIN 52-1289626)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-29
- IRS object ID
- 201302419349300715
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-08-29T16:05:46-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521197902 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MULLEN SONDBERG WIMBISH & STONE PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2553 HOUSLEY ROAD SUITE 200 | AddressLine1 |
| City | ANNAPOLIS | City |
| State | MD | State |
| ZIP Code | 214016751 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521289626 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF CHARLES COUNTY INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 3018615300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 DAVIS ROAD | AddressLine1 |
| City | WALDORF | City |
| State | MD | State |
| ZIP Code | 20603 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHI PAYNE | Name |
| Title | CURRENT BOARD CHAIR | Title |
| Phone | 3018615300 | Phone |
| Date Signed | 2013-08-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY K STONE CPA | Name |
| PTIN | P00440644 | PTIN |
| Phone | 4102244920 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KATHI PAYNE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 DAVIS ROAD | AddressLine1 |
| City | WALDORF | City |
| State | MD | State |
| ZIP Code | 20603 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2918441 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICEOFCHARLESCOUNTY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE EFFECTIVE PAIN AND SYMPTOM MANAGEMENT TO INDIVIDUALS DIAGNOSED WITH A TERMINAL ILLNESS, PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT TO SUSTAIN THE QUALITY OF LIFE FOR PATIENTS AND CAREGIVERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 51 | TotalNbrEmployees |
| Total Nbr Volunteers | 81 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 362206 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 700163 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2050372 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2158522 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 28777 | InvestmentIncomePriorYear |
| Investment Income Current Year | 26860 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8499 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14028 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2449854 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2899573 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 40038 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 15387 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1246927 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1316785 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1575 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 665506 | OtherExpensePriorYear |
| Other Expenses Current Year | 877336 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1952471 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2209508 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 497383 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 690065 | RevenuesLessExpensesCY |
| Total Assets BOY | 5520390 | TotalAssetsBOY |
| Total Assets EOY | 6358064 | TotalAssetsEOY |
| Total Liabilities BOY | 628083 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 726453 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4892307 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5631611 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE EFFECTIVE PAIN AND SYMPTOM MANAGEMENT TO INDIVIDUALS DIAGNOSED WITH A TERMINAL ILLNESS, PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT TO SUSTAIN THE QUALITY OF LIFE FOR PATIENTS AND CAREGIVERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1605594 | Expense |
| Grants | 15387 | Grants |
| Revenue | 2158522 | Revenue |
| Description | CLINICAL SERVICES - PROVIDES MEDICAL CARE TO TERMINALLY ILL PATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 153077 | Expense |
| Description | COMMUNITY EDUCATION - PROVIDES INFORMATION ON HOSPICE AND OTHER SERVICES THE ORGANIZATION OFFERS TO THE COMMUNITY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 71170 | Expense |
| Description | BEREAVEMENT SERVICES - PROVIDES GRIEF COUNSELING TO FAMILIES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 55431 | Expense |
| Description | VOLUNTEER SERVICES - PROVIDES TRAINED VOLUNTEERS TO ASSIST WITH PATIENTS AND FAMILIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 55431 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 1885272 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 51 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3018615300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 DAVIS ROAD | AddressLine1 |
| City | WALDORF | City |
| State | MD | State |
| ZIP Code | 20603 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| SUSAN LAWRENCE | ||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 |
| KATHLEEN PARSONS | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| KATHI PAYNE | ||||||
| 2ND CHAIR | 2.00 | X | X | 0 | 0 | 0 |
| MARY CATHERINE VONGARLEM | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| BETH PHILLIPS | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| KRISHAN MATHUR | ||||||
| MEDICAL DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| ANNA WHITE | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| MANJULA PAUL | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| FREDERICK DAVIS | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| MICHAEL WILSON | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| ANGELA THORNTON | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| RON SWEENEY | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| THERESA MORAN | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| LANE PARSONS | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| PHYLLIS BARTILUCCI EARNEST | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| DIXIE POE | ||||||
| FORMER CEO | 40.00 | X | 82502 | 0 | 2329 | |
| NANCY BOWLING | ||||||
| DIRECTOR OF FINANCE / INTERIM CEO | 40.00 | X | 69033 | 0 | 9860 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 151535 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 12189 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRUCE RAEFER CONSTRUCTION | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6160 WEATHER VIEW PLACE | AddressLine1 |
| City | LA PLATA | City |
| State | MD | State |
| ZIP Code | 20646 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | CONSTRUCTION CONTRACTOR | DescriptionOfServices |
| Compensation | 969153 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Federated Campaigns | 70851 | FederatedCampaigns |
| All Other Contributions | 629312 | AllOtherContributions |
| Noncash Contributions | 196457 | NoncashContributions |
| Total Contributions | 700163 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FEES AND REIMBURSEMENT | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 2158522 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2158522 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2158522 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26869 | TotalRevenueColumn |
| Exclusion | $26,869 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -9 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9 | TotalRevenueColumn |
| Exclusion | -$9 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 20320 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 18859 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1461 | TotalRevenueColumn |
| Exclusion | $1,461 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 12567 | TotalRevenueColumn |
| Exclusion | $12,567 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 12567 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2899573 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2158522 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $40,888 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15387 | Total |
| Program Services | 15387 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163724 | Total |
| Program Services | 21208 | ProgramServices |
| Management And General | 142516 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 993650 | Total |
| Program Services | 919381 | ProgramServices |
| Management And General | 74269 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68545 | Total |
| Program Services | 65475 | ProgramServices |
| Management And General | 3070 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90866 | Total |
| Program Services | 74115 | ProgramServices |
| Management And General | 16751 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500 | Total |
| Program Services | 1172 | ProgramServices |
| Management And General | 328 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31393 | Total |
| Program Services | 24515 | ProgramServices |
| Management And General | 6878 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14736 | Total |
| Program Services | 11507 | ProgramServices |
| Management And General | 3229 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140182 | Total |
| Program Services | 139243 | ProgramServices |
| Management And General | 939 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3690 | Total |
| Program Services | 3080 | ProgramServices |
| Management And General | 610 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128355 | Total |
| Program Services | 110091 | ProgramServices |
| Management And General | 18264 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39561 | Total |
| Program Services | 31623 | ProgramServices |
| Management And General | 7938 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64679 | Total |
| Program Services | 50510 | ProgramServices |
| Management And General | 14169 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9590 | Total |
| Program Services | 8212 | ProgramServices |
| Management And General | 1378 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71918 | Total |
| Program Services | 61541 | ProgramServices |
| Management And General | 10377 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27020 | Total |
| Program Services | 21293 | ProgramServices |
| Management And General | 5727 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHARMACY | 189771 | 189771 | |
| DURABLE MEDICAL EQUIPME | 74519 | 74519 | |
| REPAIRS & MAINTENANCE | 59529 | 47247 | 12282 |
| STAFF DEVELOPMENT | 10909 | 8519 | 2390 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9984 | Total |
| Program Services | 6863 | ProgramServices |
| Management And General | 1546 | ManagementAndGeneral |
| Fundraising | 1575 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2209508 | Total |
| Program Services | 1885272 | ProgramServices |
| Management And General | 322661 | ManagementAndGeneral |
| Fundraising | 1575 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50536 | BOY |
| EOY | 26128 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1421578 | BOY |
| EOY | 1038734 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 380607 | BOY |
| EOY | 396956 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231161 | BOY |
| EOY | 386559 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20615 | BOY |
| EOY | 25000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3647244 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 176069 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2462384 | BOY |
| EOY | 3471175 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 923869 | BOY |
| EOY | 985730 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17495 | BOY |
| EOY | 15637 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12145 | BOY |
| EOY | 12145 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5520390 | BOY |
| EOY | 6358064 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266587 | BOY |
| EOY | 392210 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361496 | BOY |
| EOY | 334243 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 628083 | BOY |
| EOY | 726453 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4508327 | BOY |
| EOY | 5234128 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 383980 | BOY |
| EOY | 397483 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4892307 | BOY |
| EOY | 5631611 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5520390 | BOY |
| EOY | 6358064 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 690065 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 56939 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -7700 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 422441 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 847794 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 725518 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 390703 | CurrentTaxYearMinus1Year |
| Current Tax Year | 723794 | CurrentTaxYear |
| Total | 3110250 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 422441 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 847794 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 725518 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 390703 | CurrentTaxYearMinus1Year |
| Current Tax Year | 723794 | CurrentTaxYear |
| Total | 3110250 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3110250 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 43088 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41826 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35439 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30950 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26869 | CurrentTaxYear |
| Total | 178172 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1243 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4985 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6989 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12577 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12567 | CurrentTaxYear |
| Total | 38361 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3326783 | TotalSupport |
| Gross Receipts From Admissions Etc | 10705667 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.93490 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.92510 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3481930 | OtherCostOrOtherBasis |
| Depreciation | 44640 | Depreciation |
| Book Value | 3437290 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 165314 | OtherCostOrOtherBasis |
| Depreciation | 131429 | Depreciation |
| Book Value | 33885 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3471175 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 2978682 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 56939 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 22170 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 79109 | RevenueNotRptdF990 |
| Revenue Subtotal | 2899573 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2899573 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2239378 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 29870 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 29870 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2209508 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2209508 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE ORGANIZATION FOLLOWS THE GUIDANCE OF ASC 740-10, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS, INCLUDING THOSE OF NON-PROFIT ORGANIZATIONS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION ANALYZES TAX POSITIONS TAKEN, INCLUDING THOSE RELATED TO THE REQUIREMENTS SET FORTH IN IRC SEC. 501(C) TO QUALIFY AS A TAX EXEMPT ORGANIZATION, ACTIVITIES PERFORMED BY VOLUNTEERS AND BOARD MEMBERS, THE REPORTING OF UNRELATED BUSINESS INCOME, AND ITS STATUS AS A TAX-EXEMPT ORGANIZATION UNDER MARYLAND STATE STATUTE. THE ORGANIZATION DOES NOT KNOW OF ANY TAX BENEFITS ARISING FROM UNCERTAIN TAX POSITIONS AND THERE WAS NO EFFECT ON THE ORGANIZATIONS FINANCIAL POSITION OR CHANGES IN NET ASSETS AS A RESULT OF ANALYZING ITS TAX POSITIONS. YEARS ENDING ON OR AFTER DECEMBER 31, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. |
| FUNDRAISING EXPENSES NETTED WITH RELATED INCOME. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | LACROSSE TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 20320 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 20320 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 18859 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 20320 | GrossReceiptsTotal |
| Gross Revenue Total Events | 20320 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 18859 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 18859 | DirectExpenseSummaryEvents |
| Net Income Summary | 1461 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | CHARITY CARE | TypeOfGrant |
| Number Of Recipients | 3 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 15387 | AmountOfNonCashAssistance |
| Method Of Valuation | COST OF CARE PROVIDED TO INDIVIDUALS NOT COVERED BY INSURANCE OR MEDICARE. | MethodOfValuation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | CONSTRUCTION MATERIALS AND SUPPLIES | Description |
| Number Of Contributions | 17 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 196457 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS BEFORE IT IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS, MANAGERS AND VOLUNTEERS ALL RECEIVE AN ANNUAL ISSUANCE OF THE CONFLICT OF INTEREST POLICY, THEY ARE ALL REQUIRED TO REVIEW AND SIGN THE POLICY ANNUALLY AND DISCLOSE IF THERE ARE ANY RELATED PARTY TRANSACTIONS. MANAGEMENT REVIEWS THE STATEMENTS ANNUALLY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA IN DETERMINING COMPENSATION. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO PULIC INSPECTION UPON WRITTEN REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE PRESENT VALUE DISCOUNT ON UNCONDITIONAL PROMISES TO GIVE -7,700. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII, LINE 2C | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED EACH YEAR BY AN INDEPENDENT PUBLIC ACCOUNTANT UNDER THE DIRECTION OF THE BOARD OF DIRECTORS. THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. | FINANCIAL STATEMENTS AND REPORTS |
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