COMMUNITY HOSPICE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPICE INC (EIN 31-0970252)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-13
- IRS object ID
- 201311339349301806
- 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 | 2013-05-13T10:09:05-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611129886 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELLEY GALLOWAY & CO PSC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 990 | AddressLine1 |
| City | ASHLAND | City |
| State | KY | State |
| ZIP Code | 411050990 | 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 | 310970252 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 6063291890 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1480 CARTER AVENUE | AddressLine1 |
| City | ASHLAND | City |
| State | KY | State |
| ZIP Code | 41101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN HUNT | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6063291890 | Phone |
| Date Signed | 2013-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KELLEY GALLOWAY CO PSC | Name |
| PTIN | P00039427 | PTIN |
| Phone | 6063291811 | 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 | SUSAN HUNT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1480 CARTER AVE | AddressLine1 |
| City | ASHLAND | City |
| State | KY | State |
| ZIP Code | 41101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18080277 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHOSPICE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING MEDICAL CARE TO TERMINALLY ILL PATIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 160 | TotalNbrEmployees |
| Total Nbr Volunteers | 220 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 300136 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 152358 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13729418 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 13859529 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 194881 | InvestmentIncomePriorYear |
| Investment Income Current Year | 74920 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 72781 | OtherRevenuePriorYear |
| Other Revenue Current Year | 46165 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14297216 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14132972 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5864945 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6187438 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6472887 | OtherExpensePriorYear |
| Other Expenses Current Year | 6451021 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12337832 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12638459 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1959384 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1494513 | RevenuesLessExpensesCY |
| Total Assets BOY | 20348937 | TotalAssetsBOY |
| Total Assets EOY | 21879201 | TotalAssetsEOY |
| Total Liabilities BOY | 1653704 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1478461 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18695233 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20400740 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDING MEDICAL CARE TO TERMINALLY ILL PATIENTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11379532 | Expense |
| Revenue | 13959868 | Revenue |
| Description | PROVIDING MEDICAL CARE, SOCIAL SERVICES, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. | Description |
| Total Program Service Expense | 11379532 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | 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 | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | 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 | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 | 81 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 0 | ComplianceWithBackupWitholding |
| Number Of Employees | 160 | 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 |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | KY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLOTTE HORN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6063291890 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1480 CARTER AVENUE | AddressLine1 |
| City | ASHLAND | City |
| State | KY | State |
| ZIP Code | 41101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SUSAN HUNT | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | X | 148912 | 0 | 0 | |
| JC BROWN | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| PAT STEEN | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| TOM BURNETTE | |||||||
| BOARD OF DIRECTOR, PAST PRESIDE | 0.00 | X | 0 | 0 | 0 | ||
| DR TIMOTHY DIXON | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| DARLENE HENNECKE | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| STEVE KANOUSE | |||||||
| BOARD OF DIRECTOR, VICE-PR | 0.00 | X | 0 | 0 | 0 | ||
| BRUCE VANHORN | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| WILLIAM ELKINS | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| VERN LINCOLN | |||||||
| BOARD OF DIRECTOR, TREASURER | 0.00 | X | 0 | 0 | 0 | ||
| JOHN MCMEANS | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| RAMONA SALYER | |||||||
| BOARD OF DIRECTOR, SECRETA | 0.00 | X | 0 | 0 | 0 | ||
| DOROTHY RHODES | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| JOHN VINCENT | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| TYLER WALTERS | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| ROBERT BAYES | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| JIM BERTON | |||||||
| BOARD OF DIRECTOR, PRESIDENT | 0.00 | X | 0 | 0 | 0 | ||
| CHRISTI MCKINNEY | |||||||
| BOARD OF DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| DR LISA BARKER | |||||||
| DOCTOR | 40.00 | 180631 | 0 | 0 | X | ||
| SANDY ZERKLE | |||||||
| DIRECTOR OF CLINCAL SERVIC | 40.00 | 103068 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 432611 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DIVERSICARE LEASING CORP | |||||
| 12800 PRINCELAND DRIVE | ASHLAND | KY | 41102 | NURSING HOME SERVICES | 660237 |
| HOSPICE PHARMACIA | |||||
| BOX 510818 | PHILADELPHIA | PA | 19175 | PHARMACY SERVICES | 625454 |
| RJ CONSTRUCTION | |||||
| 61 CONSTRUCTION LANE | VANCEBURG | KY | 41179 | CONTRACTOR | 414696 |
| WOODLAND OAKS | |||||
| 1820 OAKVIEW RD | ASHLAND | KY | 41101 | NURSING HOME SERVICES | 365710 |
| OAKMONT MANOR | |||||
| PO BOX 822 | FLATWOODS | KY | 41139 | NURSING HOME SERVICES | 277028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| All Other Contributions | 152358 | AllOtherContributions |
| Total Contributions | 152358 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT CARE | 621610 | 10543907 | 10543907 |
| PATIENT CARE | 623000 | 3315622 | 3315622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 13859529 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 154122 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154122 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3121275 | Securities |
| Other | 722680 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3105051 | Securities |
| Other | 818106 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16224 | Securities |
| Other | -95426 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -79202 | TotalRevenueColumn |
| Related Or Exempt Function Income | -79202 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 44894 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 24148 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20746 | TotalRevenueColumn |
| Exclusion | $20,746 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 25419 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25419 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 25419 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14132972 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13959868 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $20,746 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148912 | Total |
| Management And General | 148912 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5347144 | Total |
| Program Services | 4867885 | ProgramServices |
| Management And General | 479259 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298471 | Total |
| Program Services | 241342 | ProgramServices |
| Management And General | 57129 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 392911 | Total |
| Program Services | 346499 | ProgramServices |
| Management And General | 46412 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47320 | Total |
| Program Services | 20348 | ProgramServices |
| Management And General | 26972 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59720 | Total |
| Program Services | 48428 | ProgramServices |
| Management And General | 11292 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34600 | Total |
| Program Services | 34600 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238709 | Total |
| Program Services | 234542 | ProgramServices |
| Management And General | 4167 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315626 | Total |
| Program Services | 164558 | ProgramServices |
| Management And General | 151068 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED PROFESSIONAL | 2729367 | 2729367 | 0 |
| MEDICATION | 700052 | 700052 | 0 |
| INSURANCE | 666687 | 550577 | 116110 |
| MEDICAL EQUIPMENT RENTA | 312735 | 312735 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1346205 | Total |
| Program Services | 1128599 | ProgramServices |
| Management And General | 217606 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12638459 | Total |
| Program Services | 11379532 | ProgramServices |
| Management And General | 1258927 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4347536 | BOY |
| EOY | 5884074 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1814455 | BOY |
| EOY | 1823483 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1335556 | BOY |
| EOY | 1656671 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79592 | BOY |
| EOY | 69297 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28197 | BOY |
| EOY | 34276 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9291666 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2188085 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7782693 | BOY |
| EOY | 7103581 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3863802 | BOY |
| EOY | 4178032 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1084846 | BOY |
| EOY | 1114782 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12260 | BOY |
| EOY | 15005 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20348937 | BOY |
| EOY | 21879201 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1653704 | BOY |
| EOY | 1478461 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1653704 | BOY |
| EOY | 1478461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18695233 | BOY |
| EOY | 20400740 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18695233 | BOY |
| EOY | 20400740 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20348937 | BOY |
| EOY | 21879201 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1494513 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 210994 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | 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 | 206798 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 180116 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 153971 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 300136 | CurrentTaxYearMinus1Year |
| Current Tax Year | 152358 | CurrentTaxYear |
| Total | 993379 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 206798 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 180116 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 153971 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 300136 | CurrentTaxYearMinus1Year |
| Current Tax Year | 152358 | CurrentTaxYear |
| Total | 993379 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 57912 | AmountsSubstContributorsTotal |
| Public Support Total170 | 935467 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 217722 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 143675 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 152035 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 138557 | CurrentTaxYearMinus1Year |
| Current Tax Year | 154122 | CurrentTaxYear |
| Total | 806111 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 52317 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 73446 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 136847 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103013 | CurrentTaxYearMinus1Year |
| Current Tax Year | 70313 | CurrentTaxYear |
| Total | 435936 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2235426 | TotalSupport |
| Gross Receipts From Admissions Etc | 66391793 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.41850 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.41220 | 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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 917458 | InvestmentCostOrOtherBasis |
| Book Value | 917458 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 6524204 | InvestmentCostOrOtherBasis |
| Depreciation | 871353 | Depreciation |
| Book Value | 5652851 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1502559 | InvestmentCostOrOtherBasis |
| Depreciation | 1082015 | Depreciation |
| Book Value | 420544 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 347445 | InvestmentCostOrOtherBasis |
| Depreciation | 234717 | Depreciation |
| Book Value | 112728 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7103581 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENTS - US GOVT AGENCY SECURITIES | 1038923 | F |
| INVESTMENTS - MUTUAL FUNDS | 92143 | F |
| INVESTMENTS - CORPORATE BONDS | 692839 | F |
| INVESTMENTS - PUBLICLY TRADED SECURITIES | 2069927 | F |
| INVESTMENTS - MUNICIPAL BONDS | 79430 | F |
| INVESTMENTS - FIXED ACCOUNT | 204770 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4178032 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS - CDS AND MONEY MARKET ACCOUNTS | Description |
| Book Value | 1114782 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 1114782 | TotalOfBookValueProgramRelated |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 14463540 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 210994 | NetUnrealizedGainsInvestments |
| Other Revenues | 95426 | OtherRevenues |
| Revenue Not Rptd F990 | 306420 | RevenueNotRptdF990 |
| Revenue Subtotal | 14157120 | RevenueSubtotal |
| Other Revenues Not Included | -24148 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -24148 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 14132972 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12758033 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 119574 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 119574 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12638459 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12638459 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | NONE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET LOSS ON SALE OF ASSETS | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRASING EXPENSES | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET LOSS ON SALE OF ASSETS FUNDRAISING EXPENSES | |
| PART XI - LINE 8 - UNREALIZED GAIN (LOSS) ON INVESTMENTS FROM AUDIT REPORT. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MEMORIAL BRICKS | NameOfEvent1 |
| Gross Receipts Event1 | 14599 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 14599 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 7486 | OtherDirectExpensesEvent1 |
| Name Of Event2 | WINERY DINNER | NameOfEvent2 |
| Gross Receipts Event2 | 14133 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 14133 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 1850 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 4553 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 250 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 1816 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 16162 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 16162 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 164 | NonCashPrizesOtherEvents |
| Food And Beverage Other Events | 3995 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 4034 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 44894 | GrossReceiptsTotal |
| Gross Revenue Total Events | 44894 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 164 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1850 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 8548 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 250 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 13336 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 24148 | DirectExpenseSummaryEvents |
| Net Income Summary | 20746 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DR LISA BARKER | NamePerson |
| Title | DOCTOR | Title |
| Base Compensation Filing Org | 180631 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 180631 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ASHLAND OFFICE SUPPLIES | |||
| DIRECTOR OWNS THE VENDOR | 30566 | VENDOR PROVIDES OFFICE SUPPLIES TO THE ORGANIZATION.ORGAINIZATION PURCHASE OFFICE SUPPLIES FROM THE VENDOR. | 0 |
| KING'S DAUGHTERS MEDICAL CENTER | |||
| DIRECTOR IS THE HEALTH CARE PLANNER OF FACILITIES | 104640 | THE VENDOR PROVIDES MEDICAL SERVICES TO THE ORGANIZATION. | 0 |
| OUR LADY OF BELLEFONTE HOSPITAL | |||
| TWO DIRECTORS ARE MANAGERS / NURSING MANAGER AT THE ORGANIZATION | 56871 | THE VENDOR PROVIDES MEDICAL SERVICES TO THE ORGANIZATION. | 0 |
| OFFICE FURNITURE USA | |||
| DIRECTOR OWNS THE VENDOR | 152887 | THE VENDOR PROVIDES OFFICE FURNITURE TO THE ORGANIZATION. | 0 |
| TOWN SQUARE BANK | |||
| DIRECTOR IS THE PRESIDENT OF THE BANK. | 266017 | THE ORGANIZATION OWNS A CERTIFICATE OF DEPOSIT FROM THE BANK. | 0 |
| MCMEANS PHARMACY | |||
| DIRECTOR OWNS THE VENDOR | 1025 | THE VENDOR PROVIDES PHARMACEUTICALS. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, THE DIRECTOR OF FINANCE, AND THE FINANCE COMMITTEE. THE GOVERNING BOARD IS THEN NOTIFIED THAT THE RETURN IS COMPLETED AND THEY ARE NOTIFIED OF THE DUE DATE AND THAT THE RETURN IS AVAILABLE TO THEM FOR REVIEW IF THEY DEEM NECESSARY IN THE BUSINESS OFFICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST FORMS ARE COMPLETED WHEN FIRST JOINING THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES ARE PROVIDED AT OUR ADMINISTRATIVE OFFICES UPON REQUEST. | |
| FORM 990, PART IX, LINE 24E | MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 218,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,786. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 169,172. MANAGEMENT AND GENERAL EXPENSES 42,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,665. OTHER MEDICAL PAYMENTS: PROGRAM SERVICE EXPENSES 195,541. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,541. UTILITIES: PROGRAM SERVICE EXPENSES 108,266. MANAGEMENT AND GENERAL EXPENSES 17,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,570. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 75,564. MANAGEMENT AND GENERAL EXPENSES 43,887. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,451. TELEPHONE: PROGRAM SERVICE EXPENSES 59,849. MANAGEMENT AND GENERAL EXPENSES 21,778. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,627. PROPERTY TAXES AND INSURANCE: PROGRAM SERVICE EXPENSES 55,495. MANAGEMENT AND GENERAL EXPENSES 13,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,062. OFFICE SUPPLIES: PROGRAM SERVICE EXPENSES 30,638. MANAGEMENT AND GENERAL EXPENSES 17,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,064. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 32,609. MANAGEMENT AND GENERAL EXPENSES 13,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,609. CONFERENCES & CONT. ED: PROGRAM SERVICE EXPENSES 29,863. MANAGEMENT AND GENERAL EXPENSES 10,105. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,968. TRAINING: PROGRAM SERVICE EXPENSES 36,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,840. NEWSLETTER: PROGRAM SERVICE EXPENSES 25,061. MANAGEMENT AND GENERAL EXPENSES 9,990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,051. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 24,228. MANAGEMENT AND GENERAL EXPENSES 8,348. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,576. COMPUTER SUPPLIES: PROGRAM SERVICE EXPENSES 12,972. MANAGEMENT AND GENERAL EXPENSES 8,881. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,853. FOOD PURCHASED: PROGRAM SERVICE EXPENSES 21,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,396. HOUSEKEEPING SUPPLIES: PROGRAM SERVICE EXPENSES 18,814. MANAGEMENT AND GENERAL EXPENSES 2,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,307. POSTAGE: PROGRAM SERVICE EXPENSES 5,383. MANAGEMENT AND GENERAL EXPENSES 4,783. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,166. PHARMACY SUPPLIES: PROGRAM SERVICE EXPENSES 5,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,230. PRINTING: PROGRAM SERVICE EXPENSES 2,892. MANAGEMENT AND GENERAL EXPENSES 1,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,799. LOSS ON DISPOSAL OF ASSETS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,644. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,644. | ALL OTHER FUNCTIONAL EXPENSES |
| FORM 990. PART XII, LINE 2C | NO CHANGE IN THE CURRENT YEAR. |
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