HOSPICE MINISTRIES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE MINISTRIES INC (EIN 64-0789919)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-10-15
- IRS object ID
- 201342889349300849
- 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 | 2013-10-15T16:11:12-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640854133 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEFOLDT & CO PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 2848 | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 391582848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640789919 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE MINISTRIES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 6018981053 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TOWNE CENTER BLVD | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BELINDA P MANOR | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6018981053 | Phone |
| Date Signed | 2013-10-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRIS B SAVELL CPA | Name |
| PTIN | P00939509 | PTIN |
| Phone | 6019562374 | Phone |
| Date Prepared | 2013-10-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BELINDA P MANOR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TOWNE CENTER BLVD | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9683471 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICEMINISTRIES.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | MEDICAL SERVICES AND HEALTH CARE PROVIDER FOR TERMINALLY ILL PATIENTS. ALSO PROVIDES GRIEF COUNSELING SERVICES FOR CHILDREN AND THEIR FAMILIES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 179 | TotalNbrEmployees |
| Total Nbr Volunteers | 140 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 597762 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 558525 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9142394 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8701418 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3158 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3709 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3391962 | OtherRevenuePriorYear |
| Other Revenue Current Year | 401720 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13135276 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9665372 | 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 | 5752459 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5779458 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 22024 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4716566 | OtherExpensePriorYear |
| Other Expenses Current Year | 4318395 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10469025 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10097853 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2666251 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -432481 | RevenuesLessExpensesCY |
| Total Assets BOY | 10560523 | TotalAssetsBOY |
| Total Assets EOY | 8283834 | TotalAssetsEOY |
| Total Liabilities BOY | 3925740 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2081532 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6634783 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6202302 | NetAssetsOrFundBalancesEOY |
| Mission Description | MEDICAL SERVICES AND HEALTH CARE PROVIDER FOR TERMINALLY ILL PATIENTS. ALSO PROVIDES GRIEF COUNSELING SERVICES FOR CHILDREN AND THEIR FAMILIES | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7495567 | Expense |
| Revenue | 9106847 | Revenue |
| Description | MEDICAL SERVICES PROVIDED TO TERMINALLY ILL PATIENTS BY IN-HOME CARE AND A HOSPICE CARE FACILITY. ALSO PROVIDES GRIEF COUNSELING SERVICES FOR CHILDREN AND THEIR FAMILIES | Description |
| Total Program Service Expense | 7495567 | 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 | 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 | 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 | 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 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 179 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | 0 | 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 | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MS | 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 | 6018981053 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 TOWNE CENTER BLVD | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| REV LUTHER OTT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GERALD COTTON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JENNIFER SINCLAIR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| EDDIE MALONEY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DARRYL GILMORE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DR SALLYE WILCOX | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| STEVE BOMGARDNER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| THE REV DR DON FORTENBERRY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GEORGE EVANS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PAUL G MOAK JR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| THOMAS KIRKLAND | ||||||
| BOARD ATTORNEY | 1.00 | X | 0 | 0 | 0 | |
| THE RIGHT REVEREND DUNCAN GRAY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| THE MOST REV BISHOP JOSEPH LATINO | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| REV BISHOP JAMES E SWANSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DR GERRY ANN HOUSTON | ||||||
| PRESIDENT | 1.00 | 45000 | 0 | 0 | X | |
| JIM COGGIN | ||||||
| VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| RUSS YORK | ||||||
| TREASURER | 1.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 45000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 116091 | FundraisingEvents |
| All Other Contributions | 442434 | AllOtherContributions |
| Noncash Contributions | 6500 | NoncashContributions |
| Total Contributions | 558525 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 8701418 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8701418 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8701418 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3709 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3709 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 18099 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 116091 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 18099 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 401720 | TotalRevenueColumn |
| Related Or Exempt Function Income | 401720 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 401720 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9665372 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9106847 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | 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 | 281360 | Total |
| Program Services | 65751 | ProgramServices |
| Management And General | 215609 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4614135 | Total |
| Program Services | 3229894 | ProgramServices |
| Management And General | 1384241 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88469 | Total |
| Program Services | 59481 | ProgramServices |
| Management And General | 28988 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437313 | Total |
| Program Services | 294021 | ProgramServices |
| Management And General | 143292 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358181 | Total |
| Program Services | 240818 | ProgramServices |
| Management And General | 117363 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164430 | Total |
| Management And General | 164430 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38539 | Total |
| Management And General | 38539 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9286 | Total |
| Management And General | 4643 | ManagementAndGeneral |
| Fundraising | 4643 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32262 | Total |
| Management And General | 32262 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141424 | Total |
| Program Services | 94606 | ProgramServices |
| Management And General | 46818 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5729 | Total |
| Management And General | 5729 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 759 | Total |
| Management And General | 759 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43160 | Total |
| Program Services | 28872 | ProgramServices |
| Management And General | 14288 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227619 | Total |
| Program Services | 152266 | ProgramServices |
| Management And General | 75353 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86573 | Total |
| Program Services | 57913 | ProgramServices |
| Management And General | 28660 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS | 486435 | 486435 | |
| CONTINGENCY EXPENSE | 451240 | 451240 | 0 |
| NURSING HOME FEES | 421636 | 421636 | |
| CONTRACT LABOR | 309618 | 309618 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1899685 | Total |
| Program Services | 1603016 | ProgramServices |
| Management And General | 279288 | ManagementAndGeneral |
| Fundraising | 17381 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10097853 | Total |
| Program Services | 7495567 | ProgramServices |
| Management And General | 2580262 | ManagementAndGeneral |
| Fundraising | 22024 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3358787 | BOY |
| EOY | 1327604 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248515 | BOY |
| EOY | 316238 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1314865 | BOY |
| EOY | 1198373 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31432 | BOY |
| EOY | 32979 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15479 | BOY |
| EOY | 18495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9243342 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3854780 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5589862 | BOY |
| EOY | 5388562 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1583 | BOY |
| EOY | 1583 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10560523 | BOY |
| EOY | 8283834 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1667627 | BOY |
| EOY | 1782932 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2258113 | BOY |
| EOY | 298600 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3925740 | BOY |
| EOY | 2081532 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6619807 | BOY |
| EOY | 6185378 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14976 | BOY |
| EOY | 16924 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6634783 | BOY |
| EOY | 6202302 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10560523 | BOY |
| EOY | 8283834 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -432481 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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) |
|---|---|---|
| Other Cost Or Other Basis | 479774 | OtherCostOrOtherBasis |
| Book Value | 479774 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7430539 | OtherCostOrOtherBasis |
| Depreciation | 2569077 | Depreciation |
| Book Value | 4861462 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1338 | OtherCostOrOtherBasis |
| Depreciation | 1338 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1331691 | OtherCostOrOtherBasis |
| Depreciation | 1284365 | Depreciation |
| Book Value | 47326 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5388562 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 9139315 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -526057 | OtherRevenues |
| Revenue Not Rptd F990 | -526057 | RevenueNotRptdF990 |
| Revenue Subtotal | 9665372 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 9665372 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9571796 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -526057 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -526057 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10097853 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10097853 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NURSING HOME FEES INDIGENT CHARITY CARE |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NURSING HOME FEES INDIGENT CHARITY CARE |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 45480 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 32984 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 12496 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 12496 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MCCLEAN GALA | NameOfEvent2 |
| Gross Receipts Event2 | 88710 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 83107 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 5603 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 5603 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 134190 | GrossReceiptsTotal |
| Charitable Contributions Total | 116091 | CharitableContributionsTotal |
| Gross Revenue Total Events | 18099 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 18099 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 18099 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEES ACT ON BEHALF OF THE GOVERING BOARD | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED BY INDEPENDENT BOARD OF DIRECTORS | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THE INFORMATION AVAILABLE UPON REQUEST. | |
| FORM 990, PART IX, LINE 24E | AUTOMOTIVE: PROGRAM SERVICE EXPENSES 299,151. MANAGEMENT AND GENERAL EXPENSES 2,981. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,132. HOSPITAL INPATIENT COSTS: PROGRAM SERVICE EXPENSES 259,749. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,749. DURABLE MEDICAL EQUIPMENT: PROGRAM SERVICE EXPENSES 224,971. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 224,971. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 186,288. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,288. BAD DEBTS: PROGRAM SERVICE EXPENSES 126,972. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,972. INDIGENT CHARITY CARE: PROGRAM SERVICE EXPENSES 104,421. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,421. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 87,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,900. AMBULANCE SERVICE: PROGRAM SERVICE EXPENSES 87,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,500. TELEPHONE: PROGRAM SERVICE EXPENSES 49,365. MANAGEMENT AND GENERAL EXPENSES 24,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,795. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 66,437. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,437. FOOD PURCHASES: PROGRAM SERVICE EXPENSES 63,332. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,332. MAINTENANCE AND REPAIRS: PROGRAM SERVICE EXPENSES 30,801. MANAGEMENT AND GENERAL EXPENSES 15,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,044. PRINTING & PUBLICATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,775. FUNDRAISING EXPENSES 11,475. TOTAL EXPENSES 38,250. HOUSEKEEPING SUPPLIES: PROGRAM SERVICE EXPENSES 23,583. MANAGEMENT AND GENERAL EXPENSES 11,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,253. COMMUNITY AWARENESS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,985. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,985. MEDICAL WASTE: PROGRAM SERVICE EXPENSES 25,304. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,304. DEVELOPMENT EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,001. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,001. ANSWERING AND PAGING: PROGRAM SERVICE EXPENSES 20,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,300. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 19,965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,965. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,780. FUNDRAISING EXPENSES 5,906. TOTAL EXPENSES 19,686. ADMINISTRATIVE EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 19,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,416. LICENSES, FEES, AND TAXES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,883. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,883. EQUIPMENT RENTAL & MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,155. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,155. PROFESSIONAL MEDICAL FEES: PROGRAM SERVICE EXPENSES 7,621. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,621. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,595. EMERGENCY ROOM VISITS: PROGRAM SERVICE EXPENSES 3,491. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,491. EDUCATIONAL MATERIALS: PROGRAM SERVICE EXPENSES 2,267. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,267. DUES, BOOKS, AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,062. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,062. MEALS AND ENTERTAINMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,511. SMALL EQUIPMENT PURCHASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,399. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,399. | ALL OTHER FUNCTIONAL EXPENSES |
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