COASTAL HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COASTAL HOSPICE INC (EIN 52-1214775)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-10-31
IRS object ID
201343049349301324
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

FieldValueIRS element (for citing)
Timestamp2013-10-31T15:31:31-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521224986EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PKS & COMPANY PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 72AddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218030072ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521214775EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COASTAL HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOASNameControl
Phone4107428732Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1733AddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218021733ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALANE CAPENName
TitlePRESIDENTTitle
Phone4107428732Phone
Date Signed2013-09-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN M STERN CPAName
PTINP00000490PTIN
Phone4105465600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALANE CAPENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1733AddressLine1
CitySALISBURYCity
StateMDState
ZIP Code218021733ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9857632GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COASTALHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionCOASTAL HOSPICE PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES IN THE FOUR LOWER COUNTIES OF THE EASTERN SHORE OF MARYLAND TO INDIVIDUALS FACING LIFE-LIMITING CONDITIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees160TotalNbrEmployees
Total Nbr Volunteers249TotalNbrVolunteers
Total Gross UBI93431TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year902949ContributionsGrantsPriorYear
Contributions Grants Current Year1429958ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8063897ProgramServiceRevenuePriorYear
Program Service Revenue CY8252619ProgramServiceRevenueCY
Investment Income Prior Year21431InvestmentIncomePriorYear
Investment Income Current Year38118InvestmentIncomeCurrentYear
Other Revenue Prior Year41847OtherRevenuePriorYear
Other Revenue Current Year55645OtherRevenueCurrentYear
Total Revenue Prior Year9030124TotalRevenuePriorYear
Total Revenue Current Year9776340TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6201310SalariesEtcPriorYear
Salaries Etc Current Year6353166SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year148628TotalFundrsngExpCurrentYear
Other Expense Prior Year2552641OtherExpensePriorYear
Other Expenses Current Year2418231OtherExpensesCurrentYear
Total Expenses Prior Year8753951TotalExpensesPriorYear
Total Expenses Current Year8771397TotalExpensesCurrentYear
Revenues Less Expenses Prior Year276173RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1004943RevenuesLessExpensesCY
Total Assets BOY4024163TotalAssetsBOY
Total Assets EOY4714667TotalAssetsEOY
Total Liabilities BOY942025TotalLiabilitiesBOY
Total Liabilities EOY576933TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3082138NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4137734NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOASTAL HOSPICE PROMOTES DIGNITY AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO FACE LIFE-LIMITING CONDITIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4996007Expense
Revenue6952773Revenue
DescriptionHOME HOSPICE CARE: COASTAL HOSPICE DELIVERS PATIENT-CENTERED HOSPICE CARE IN DORCHESTER, WICOMICO, SOMERSET AND WORCESTER COUNTIES. THE HOSPICE TEAM INCLUDES (BUT IS NOT LIMITED TO) PRIMARY PHYSICIANS, REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. WE VISIT OUR PATIENTS WHERE THEY ARE MOST COMFORTABLE: IN PRIVATE HOMES, NURSING HOMES AND ASSISTED LIVING FACILITIES. WE BASE EACH PLAN OF CARE ON THE PATIENT'S GOALS AND WORK WITH THE PATIENT AND HIS OR HER LOVED ONES, ULTIMATELY TO ACHIEVE DEATH WITH DIGNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2163781Expense
Revenue1198790Revenue
DescriptionFOR PATIENTS WHOSE SYMPTOM MANAGEMENT NEEDS REQUIRE CLOSE ATTENTION, WE HAVE AN INPATIENT CENTER: COASTAL HOSPICE AT THE LAKE. OUR WING OF DEER'S HEAD HOSPITAL CENTER, WHICH IS SURROUNDED BY THE PICTURESQUE JOHNSON'S POND IN SALISBURY, OFFERS PATIENT ROOMS THAT ACCOMMODATE FAMILY MEMBERS OVERNIGHT. COASTAL HOSPICE AT THE LAKE IS STAFFED BY A TEAM OF REGISTERED NURSES WHO COORDINATE INDIVIDUAL PATIENT CARE, PHYSICIANS (WITH ADVANCED TRAINING IN SYMPTOM MANAGEMENT), SOCIAL WORKERS, CERTIFIED NURSING AIDES, SPIRITUAL COUNSELORS, BEREAVEMENT COUNSELORS AND VOLUNTEERS. IN THIS PEACEFUL SETTING, PATIENTS ARE ATTENDED TO AROUND THE CLOCK, BUT IN A SETTING THAT IS MORE HOME-LIKE THAN CLINICAL. A FAMILY ROOM AND GARDEN ROOM, AS WELL AS A COUNSELING OFFICE, PROVIDE FAMILY MEMBERS SPACE FOR THE SENSITIVE CONVERSATIONS AND SUPPORT THAT SHOULD COME AT THE END OF LIFE OF A LOVED ONE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense288190Expense
Revenue101056Revenue
DescriptionPALLIATIVE CARE IS DELIVERED TO MANAGE THE PHYSIOLOGICAL, PRACTICAL AND EMOTIONAL NEEDS OF PATIENTS WHO ARE FACING SERIOUS ILLNESS. UNLIKE HOSPICE PATIENTS, PALLIATIVE CARE PATIENTS ARE RECEIVING MEDICAL CARE IN ACTIVE PURSUIT OF CURE OR REMISSION. THE PALLIATIVE CARE TEAM PROVIDES PATIENT CARE THAT WOULD OTHERWISE HAVE GONE BY THE WAYSIDE IN THE CURRENT HEALTH CARE LANDSCAPE. PHYSICIANS HAVE SO LITTLE TIME TO SPEND WITH EACH PATIENT THAT IT IS ESPECIALLY VALUABLE TO HAVE THE PALLIATIVE CARE TEAM ON HAND TO CATCH THOSE PATIENTS AND FAMILY MEMBERS REELING FROM THE NEWS OF A SERIOUS DIAGNOSIS. IN ADDITION TO PROVIDING SYMPTOM MANAGEMENT CARE, THE PHYSICIAN, NURSE PRACTITIONER, SOCIAL WORKER AND PASTORAL COUNSELOR HELP PATIENTS AND FAMILIES SORT THROUGH THE PRACTICAL ISSUES AND EMOTIONAL AND SPIRITUAL TURMOIL THAT FOLLOW IN THE WAKE OF DIAGNOSIS. WE KNOW WELL THAT WE HAVE THE SKILLS AND KNOWLEDGE TO MEET THIS NEED IN OUR COMMUNITY. COASTAL HOSPICE & PALLIATIVE CARE OPERATES IN PARTNERSHIP WITH PENINSULA REGIONAL MEDICAL CENTER IN THIS ENDEAVOR.Description
FieldValueIRS element (for citing)
Total Program Service Expense7447978TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees160NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUE OLISCHARBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4107428732TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12604 OLD OCEAN CITY RDAddressLine1
CitySALISBURYCity
StateMDState
ZIP Code21804ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
ALANE CAPEN
PRESIDENT40.00XX11452100
BARBARA LONG
DIRECTOR5.00X000
MALCOLM PEVERELY
IMMED PAST CHAIRMAN5.00XX000
NEVINS TODD MD
DIRECTOR5.00X000
BYRON BRANIFF
SECRETARY5.00XX000
DEBORAH ABBOTT
DIRECTOR5.00X000
DIANA BARBER
DIRECTOR5.00X000
BARBARA JACKSON
DIRECTOR5.00X000
REV RONALD BELL
DIRECTOR5.00X000
ROGER HARRELL
DIRECTOR5.00X000
THOMAS SPAIN ESQ
DIRECTOR5.00X000
W RICHARD HOLLOWAY
CHAIRMAN5.00XX000
LORIE PHILLIPS
TREASURER5.00XX000
MACKY STANSELL
DIRECTOR5.00X000
DIRK WIDDOWSON ESQ
DIRECTOR5.00X000
GLENNA HECKATHORN
VICE CHAIRMAN5.00XX000
WARREN ROSENFELD
DIRECTOR5.00X000
CATHERINE WASHBURN
DIRECTOR5.00X000
INGRID PARKER
DIRECTOR5.00X000
GHULAM WARIS
PHYSICIAN40.0017861600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org293137TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events76469FundraisingEvents
All Other Contributions1353489AllOtherContributions
Noncash Contributions304110NoncashContributions
Total Contributions1429958TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HOSPICE CARE62410069527736952773
INPATIENT CENTER62410011987901198790
PALLIATIVE CARE624100101056101056
FieldValueIRS element (for citing)
Total Program Service Revenue8252619TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29994TotalRevenueColumn
Unrelated Business Revenue29994UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8124Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8124Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8124TotalRevenueColumn
Unrelated Business Revenue8124UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Gross Income Fundraising Events136605GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events76469CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses81292FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column55313TotalRevenueColumn
Unrelated Business Revenue55313UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionTHRIFT STORE SALES (NEDescription
Business Code453310BusinessCode
Total Revenue Column332TotalRevenueColumn
Related Or Exempt Function Income332RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue332TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9776340TotalRevenueColumn
Related Or Exempt Function Income8252951RelatedOrExemptFunctionIncome
Unrelated Business Revenue93431UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total293137Total
Program Services275959ProgramServices
Management And General17178ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total4872006Total
Program Services4180720ProgramServices
Management And General600447ManagementAndGeneral
Fundraising90839Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total773066Total
Program Services676105ProgramServices
Management And General82781ManagementAndGeneral
Fundraising14180Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total414957Total
Program Services363292ProgramServices
Management And General44260ManagementAndGeneral
Fundraising7405Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47314Total
Management And General47314ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total57038Total
Management And General57038ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total382165Total
Program Services219375ProgramServices
Management And General162790ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total325056Total
Program Services317704ProgramServices
Management And General2563ManagementAndGeneral
Fundraising4789Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total135884Total
Program Services89428ProgramServices
Management And General46456ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ANCILLARIES839702839702
GENERAL AND ADMIN34051419658011251931415
INPATIENT COSTS230448230448
CONTRACT SERVICES36805353601445

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23305Total
Program Services23305ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8771397Total
Program Services7447978ProgramServices
Management And General1174791ManagementAndGeneral
Fundraising148628Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY382644BOY
EOY925662EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY52124BOY
EOY52244EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY54874BOY
EOY429843EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1615612BOY
EOY1340206EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY126183BOY
EOY133237EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY67131BOY
EOY117127EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2282562LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1375154LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY995519BOY
EOY907408EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY710386BOY
EOY789250EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19690BOY
EOY19690EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4024163BOY
EOY4714667EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY929425BOY
EOY568683EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12600BOY
EOY8250EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY942025BOY
EOY576933EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3054460BOY
EOY3470269EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY27678BOY
EOY667465EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3082138BOY
EOY4137734EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4024163BOY
EOY4714667EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1004943ReconcilationRevenueExpenses
Reconcilation Other Changes50653ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years750788CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years557506CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1122959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year902949CurrentTaxYearMinus1Year
Current Tax Year1442342CurrentTaxYear
Total4776544Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5769507CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6732198CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8275790CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8063897CurrentTaxYearMinus1Year
Current Tax Year8252618CurrentTaxYear
Total37094010Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year252CurrentTaxYearMinus1Year
Current Tax Year302CurrentTaxYear
Total554Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6520295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7289704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9398749CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8967098CurrentTaxYearMinus1Year
Current Tax Year9695262CurrentTaxYear
Total41871108Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50941871108PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65004CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21345CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25927CurrentTaxYearMinus1Year
Current Tax Year29994CurrentTaxYear
Total198123Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65004CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21345CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25927CurrentTaxYearMinus1Year
Current Tax Year29994CurrentTaxYear
Total198123Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6576148CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7354708CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9420094CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8993025CurrentTaxYearMinus1Year
Current Tax Year9725256CurrentTaxYear
Total42069231Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99530PublicSupportPercentage509
Prior Year Support Percentage0.99360PriorYearSupportPercentage
Investment Income Percentage0.00470InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00640PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis467611OtherCostOrOtherBasis
Book Value467611BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis442037OtherCostOrOtherBasis
Depreciation442037Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis606860OtherCostOrOtherBasis
Depreciation439527Depreciation
Book Value167333BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis598138OtherCostOrOtherBasis
Depreciation445419Depreciation
Book Value152719BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis167916OtherCostOrOtherBasis
Depreciation48171Depreciation
Book Value119745BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings907408TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionUNEARNED INCOMEDescription
Amount$8,250Amount
FieldValueIRS element (for citing)
Total Of Amounts8250TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt9776340TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal9776340RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909776340TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8771397TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8771397ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908771397TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TENNIS TOURNAMENTNameOfEvent1
Gross Receipts Event137599GrossReceiptsEvent1
Gross Revenue Event137599GrossRevenueEvent1
Other Direct Expenses Event125575OtherDirectExpensesEvent1
Name Of Event2BLUES ON THE BAYNameOfEvent2
Gross Receipts Event228004GrossReceiptsEvent2
Gross Revenue Event228004GrossRevenueEvent2
Other Direct Expenses Event216674OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events71002GrossReceiptsOtherEvents
Gross Revenue Other Events71002GrossRevenueOtherEvents
Other Direct Expenses Other Events39043OtherDirectExpensesOtherEvents
Gross Receipts Total136605GrossReceiptsTotal
Gross Revenue Total Events136605GrossRevenueTotalEvents
Other Direct Expenses Total Events81292OtherDirectExpensesTotalEvents
Direct Expense Summary Events81292DirectExpenseSummaryEvents
Net Income Summary55313NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonGHULAM WARISNamePerson
TitlePHYSICIANTitle
Base Compensation Filing Org178616BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org178616TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990304110NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY OF THE AUDIT AND FORM 990 ARE PROVIDED TO THE CHAIRMAN, SECRETARY, TREASURER AND PRESIDENT FOR REVIEW. THE ACCOUNTANT WILL MAKE ANY FINAL CHANGES AS NEEDED. AFTER CHANGES HAVE BEEN MADE THE FINAL COPY OF THE FORM 990 AND AUDIT IS PROVIDED BY THE ACCOUNTANT.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES ARE REVIEWED AND SIGNED ANNUALLY
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL EVALUATION IS COMPLETED BY IMMEDIATE SUPERVISOR AND A REVIEW OF WHETHER GOALS WERE MET OR NOT, AREAS OF EXCELLENCE AND AREAS NEEDING IMPROVEMENT IS CONDUCTED. SUPERVISOR DETERMINES, BASED ON THE EVALUATION AND REVIEW, IF MERIT INCREASE IS DESERVED. THE PERCENTAGE INCREASE FOR THE YEAR IS SET WHEN THE BUDGET IS CREATED.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION IS AVAILABLE UPON REQUEST TO THE BOARD OF DIRECTORS.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN/LOSS 50,653.CHANGES IN NET ASSETS OR FUND BALANCES:
NO CHANGES HAVE BEEN MADE TO THIS PROCESS.

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