HILLSIDE HOUSE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HILLSIDE HOUSE (EIN 95-1816019)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349309484
Schema version
2012v2.0
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)
Timestamp2013-11-15T14:31:14-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Stoltey & AssociatesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 57AddressLine1
CityLos OlivosCity
StateCAState
ZIP Code93441ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951816019EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HILLSIDE HOUSEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHILLNameControl
Phone8056870788Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11235 VERONICA SPRINGS ROADAddressLine1
CitySANTA BARBARACity
StateCAState
ZIP Code93105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCraig OlsonName
TitleExecutive DirectorTitle
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRAD STOLTEY CPAName
PTINP00241354PTIN
Phone8056895880Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMr Jim WolfeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11235 VERONICA SPRINGS ROADAddressLine1
CitySANTA BARBARACity
StateCAState
ZIP Code93105ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4517289GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.HILLSIDEHOUSESB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide a home that supports our residents' efforts to maximize their physical, cognitive, social and emotional abilities so that they can achieve the highest individual level of independence in an environment where people are treated with dignity and respect.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees103TotalNbrEmployees
Total Nbr Volunteers55TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year435635ContributionsGrantsPriorYear
Contributions Grants Current Year360713ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3485825ProgramServiceRevenuePriorYear
Program Service Revenue CY4002292ProgramServiceRevenueCY
Investment Income Prior Year102098InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year94467OtherRevenuePriorYear
Other Revenue Current Year125908OtherRevenueCurrentYear
Total Revenue Prior Year4118025TotalRevenuePriorYear
Total Revenue Current Year4488913TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2795143SalariesEtcPriorYear
Salaries Etc Current Year2847673SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year108723TotalFundrsngExpCurrentYear
Other Expense Prior Year1094637OtherExpensePriorYear
Other Expenses Current Year1253834OtherExpensesCurrentYear
Total Expenses Prior Year3889780TotalExpensesPriorYear
Total Expenses Current Year4101507TotalExpensesCurrentYear
Revenues Less Expenses Prior Year228245RevenuesLessExpensesPriorYear
Revenues Less Expenses CY387406RevenuesLessExpensesCY
Total Assets BOY3385896TotalAssetsBOY
Total Assets EOY3885541TotalAssetsEOY
Total Liabilities BOY520624TotalLiabilitiesBOY
Total Liabilities EOY469938TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2865272NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3415603NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide a home that supports our residents' efforts to maximize their physical, cognitive, social and emotional abilities so that they can achieve the highest individual level of independence in an environment where people are treated with dignity and respect.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3574425Expense
Revenue4002292Revenue
Description2012 Program Service AccomplishmentsCraig Olson became our new Executive Director in July 2012 following Pam Flynt Tambos retirement.With a generous grant from Assistance League of Santa Barbara, we were able to transition to a computerized, paperless treatment documentation system by purchasing CareTracker i.e. (for Programs) and NTT Solutions i.e. (for Nursing).We held our 9th annual Fundraising event, The Sunset Soiree, at El Mirador Estate in Montecito and raised over $80,000. 175 supporters attended.With a generous grant from Santa Barbara Foundation, we Implemented Silverchair Learning Systems, a new online system to provide state-of-the-art training for all staff.We restructured our Community Plan strategic planning team and are proceeding to develop the Hillside House property.Description
Total Program Service Expense3574425TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees103NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCRAIG OLSONNamePerson
Telephone Number8056870788TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11235 VERONICA SRINGS ROADAddressLine1
CitySANTA BARBARACity
StateCAState
ZIP Code931054522ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Mr Earl Armstrong
DIR. AT LARGE0.500.00X000
Mr Mark Manion
Director0.500.00X000
Mr Jon Valois
Director0.250.00X000
Mr Peter Troesch
Director0.500.00X000
Mr Ernesto Paredes
Director0.500.00X000
Mr Richard Monk Esq
Director1.000.00X000
Mr Chuck Klein
Director0.500.00X2700000
Dr Lynn Jones DSW
Director0.500.00X300000
Mr Brad Frohling
Director0.250.00X000
Mr Silvio DiLoreto
Director0.500.00X000
Ms Susan Chapman
Director0.500.00X000
Mrs Cynthy Ardell
Director0.500.00X000
Mr Donald Becker
Secretary0.750.00X000X
Dr Erik Wipf DDS
Treasurer0.750.00X000X
Mrs Norris Goss
Vice President2.000.00X000X
Mr Jim Wolfe
President2.000.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org30000TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions360713AllOtherContributions
Total Contributions360713TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT FEESDescription
Business Code623000BusinessCode
Total Revenue Column4002292TotalRevenueColumn
Related Or Exempt Function Income4002292RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4002292TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25700Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25700Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25700TotalRevenueColumn
Exclusion$25,700ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events101618GrossIncomeFundraisingEvents
Fundraising Direct Expenses28376FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column73242TotalRevenueColumn
Exclusion$73,242ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column26966TotalRevenueColumn
Related Or Exempt Function Income26966RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue26966TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4488913TotalRevenueColumn
Related Or Exempt Function Income4029258RelatedOrExemptFunctionIncome
Exclusion$98,942ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30000Total
Management And General30000ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2399450Total
Program Services2135697ProgramServices
Management And General198702ManagementAndGeneral
Fundraising65051Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total215118Total
Program Services187135ProgramServices
Management And General27983ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total203105Total
Program Services180495ProgramServices
Management And General17583ManagementAndGeneral
Fundraising5027Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total430Total
Management And General430ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43750Total
Management And General43750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17738Total
Management And General17738ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total98024Total
Program Services58784ProgramServices
Management And General8757ManagementAndGeneral
Fundraising30483Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2048Total
Program Services102ProgramServices
Management And General1127ManagementAndGeneral
Fundraising819Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total251142Total
Program Services232000ProgramServices
Management And General14770ManagementAndGeneral
Fundraising4372Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total148442Total
Program Services138051ProgramServices
Management And General8907ManagementAndGeneral
Fundraising1484Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total75406Total
Program Services70128ProgramServices
Management And General4524ManagementAndGeneral
Fundraising754Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total59298Total
Program Services55147ProgramServices
Management And General3558ManagementAndGeneral
Fundraising593Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS16991410149140
BAD DEBT EXPENSE2902829028
MEDI-CAL QAF18921517786211353
RESIDENT SERVICES337614337614

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4101507Total
Program Services3574425ProgramServices
Management And General418359ManagementAndGeneral
Fundraising108723Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY712227BOY
EOY276592EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY8574EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY352011BOY
EOY662033EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY65259BOY
EOY88132EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2628161LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1684960LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY841357BOY
EOY943201EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1415042BOY
EOY1907009EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3385896BOY
EOY3885541EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY520624BOY
EOY469938EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY520624BOY
EOY469938EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2715137BOY
EOY3253718EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY150135BOY
EOY161885EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2865272BOY
EOY3415603EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3385896BOY
EOY3885541EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses387406ReconcilationRevenueExpenses
Reconciliation Unrealized Invest162925ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years363998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years395344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years344957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year435635CurrentTaxYearMinus1Year
Current Tax Year360713CurrentTaxYear
Total1900647Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years363998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years395344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years344957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year435635CurrentTaxYearMinus1Year
Current Tax Year360713CurrentTaxYear
Total1900647Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701900647PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8568CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36754CurrentTaxYearMinus1Year
Total60049Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3079CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2241CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34601CurrentTaxYearMinus1Year
Current Tax Year25700CurrentTaxYear
Total67482Total
FieldValueIRS element (for citing)
Total Support2028178TotalSupport
Public Support Pertcentage1700.93710PublicSupportPertcentage170
Public Support Pertcent Prior Year0.94200PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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)
Agent Trustee EtctrueAgentTrusteeEtc
Beginning Balance18534BeginningBalance
Additions During Year506444AdditionsDuringYear
Distributions During Year504016DistributionsDuringYear
Ending Balance20961EndingBalance
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis30000OtherCostOrOtherBasis
Book Value30000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1159813OtherCostOrOtherBasis
Depreciation674007Depreciation
Book Value485806BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis135831OtherCostOrOtherBasis
Depreciation59891Depreciation
Book Value75940BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis952428OtherCostOrOtherBasis
Depreciation808688Depreciation
Book Value143740BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis350089OtherCostOrOtherBasis
Depreciation142374Depreciation
Book Value207715BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings943201TotalOfBookValueLandBuildings
Total Of Book Value Securities1907009TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt4651838TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments162925NetUnrealizedGainsInvestments
Revenue Not Rptd F990162925RevenueNotRptdF990
Revenue Subtotal4488913RevenueSubtotal
Total Revenue Per Form9904488913TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4101507TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4101507ExpensesSubtotal
Total Expenses Per Form9904101507TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart IV, Line 1bIdentifier
Return ReferencePart IV, Line 1b: Why is organization an agent, trustee, custodian or other intermediary for contribReturnReference
ExplanationPATIENT ACCOUNTS ARE ADMINISTERED BY HILLSIDE HOUSEExplanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WOMEN OF PURPOSE LUNCHEONNameOfEvent1
Gross Receipts Event1101618GrossReceiptsEvent1
Gross Revenue Event1101618GrossRevenueEvent1
Non Cash Prizes Event1851NonCashPrizesEvent1
Rent Facility Costs Event17094RentFacilityCostsEvent1
Food And Beverage Event115607FoodAndBeverageEvent1
Entertainment Event12270EntertainmentEvent1
Other Direct Expenses Event12554OtherDirectExpensesEvent1
Gross Receipts Total101618GrossReceiptsTotal
Gross Revenue Total Events101618GrossRevenueTotalEvents
Non Cash Prizes Total Events851NonCashPrizesTotalEvents
Rent Facility Costs Total Events7094RentFacilityCostsTotalEvents
Food And Beverage Total Events15607FoodAndBeverageTotalEvents
Entertainment Total Events2270EntertainmentTotalEvents
Other Direct Expenses Total Events2554OtherDirectExpensesTotalEvents
Direct Expense Summary Events28376DirectExpenseSummaryEvents
Net Income Summary73242NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENT ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ON HILLSIDE HOUSE'S WEBSITE AS WELL AS UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe bylaws of Hillside House establish an executive committee that has general oversight of the organization's compensation of the salaried employees in key leadership positions within the organization. Specific duties include evaluation of the chief executive of the organization and approval of the compensation of salaried employees in key leadership positions within the organization. The positions reviewed by the compensation committee include the Executive Director, Director of Nursing, Director of Administrative Services, the Director of Development and the Program Director. A competent salary survey is used to benchmark compensation for the key salaried positions within the organization, utilizing health and social service industry statistics and other studies. In reviewing the executive director/administrator position the committee meets independent of the executive director/administrator to discuss performance relative to the position description. During these deliberations, the committee also considers any input obtained from other board members, staff, professional advisors, residents and family members, and other informed community leaders.Once a consensus is reached regarding performance, a similar discussion is held concerning compensation relative to annual benchmark and established objectives.The committee presents its findings and recommendations, in an executive session without the chief executive present, to the full board for review and approval. The committee and/or the board chair (a member of the committee) then meet with the chief executive to discuss and document strengths, weaknesses, and goals for the upcoming year. Compensation for the upcoming year is also discussed and documented.The executive committee will also review and approve or deny the recommended salaries for the exempt (salaried) staff.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessHillside House will complete an audit of Hillside House Financial Records at the conclusion of each business year by a certified auditor. Prior to submission of the organization's Federal and State Form 990 reports the reports will be reviewed by the Hillside House Board of Directors and staff according to the following procedures.1.Complete audit - A draft of the Form 990 Return of Organization Exempt from Income Tax (990) will be completed by the auditor after the conclusion of the audit of Hillside House's (HH) Financial Records for a given year. 2.Internal Review - The Form 990 draft will be reviewed by the HH Auditor, the Director of Administrative Services, the Executive Director, a member of the Board Audit Committee and the Board Treasurer. At that time any questions or concerns can be addressed and corrections made, if warranted, to the draft prior to final approval.3.Board Approval - Once the internal review is completed the final draft of the 990 will be E-mailed or mailed to the entire HH board. The cover letter will state:"Unless the recipient of the e-mail or mail responds to the contrary in the next 5 business days, it will be assumed that the 990 meets with your approval and will be signed and submitted to the IRS by HH staff."4.Questions & Concerns - If questions or concerns about the Form 990 are raised by the HH board they will be addressed by the HH auditor and/or the HH staff, via corrections or explanations. If no consensus can be reached between HH staff and the HH board member's concerns the final dispensation of the matter will go to the HH Executive Committee for final approval or changes. 5.Final Approval - Upon approval HH staff will sign and mail the 990 to the IRS prior to due date.
Form 990, Part VI, Line 8Form 990, Part VI, Line 8: Explanation of No Contemporaneously Documentation of MeetingsCOMMITTEES REPORT MEETINGS TO GENERAL BOARD AND WERE INCORPORATED IN THE BOARD MEETING MINUTES.

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