FURP.ORG / PUBLIC DATA EXPLORER

HOFFMANN HOSPICE OF THE VALLEY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOFFMANN HOSPICE OF THE VALLEY INC (EIN 77-0386207)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-12
IRS object ID
201212569349300616
Schema version
2011v1.2
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)
Timestamp2012-09-12T09:35:58-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Williams Brown Parsons & CompanyBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15558 California Avenue Suite 208AddressLine1
CityBakersfieldCity
StateCAState
ZIP Code93309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770386207EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOFFMANN HOSPICE OF THE VALLEYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOFFNameControl
Phone6618333900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18501 BRIMHALL ROAD SUITE 100AddressLine1
CityBAKERSFIELDCity
StateCAState
ZIP Code93312ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas HoffmannName
TitlePresidentTitle
Date Signed2012-09-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICK WILLIAMS CPAName
Phone6616339122Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonThomas HoffmannNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line115520 Black Hawk AvenueAddressLine1
CityBakersfieldCity
StateCAState
ZIP Code93314ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13341638GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.hoffmannhospice.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe Organization provides spiritual, physical and emotional support to terminally ill patients and their families.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees135TotalNbrEmployees
Total Nbr Volunteers229TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year106065ContributionsGrantsPriorYear
Contributions Grants Current Year260411ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12661135ProgramServiceRevenuePriorYear
Program Service Revenue CY13035469ProgramServiceRevenueCY
Investment Income Prior Year18826InvestmentIncomePriorYear
Investment Income Current Year11758InvestmentIncomeCurrentYear
Other Revenue Prior Year87023OtherRevenuePriorYear
Other Revenue Current Year-159029OtherRevenueCurrentYear
Total Revenue Prior Year12873049TotalRevenuePriorYear
Total Revenue Current Year13148609TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7406439SalariesEtcPriorYear
Salaries Etc Current Year7838053SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3768146OtherExpensePriorYear
Other Expenses Current Year4404602OtherExpensesCurrentYear
Total Expenses Prior Year11174585TotalExpensesPriorYear
Total Expenses Current Year12242655TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1698464RevenuesLessExpensesPriorYear
Revenues Less Expenses CY905954RevenuesLessExpensesCY
Total Assets BOY10512734TotalAssetsBOY
Total Assets EOY11383256TotalAssetsEOY
Total Liabilities BOY2933320TotalLiabilitiesBOY
Total Liabilities EOY2928783TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7579414NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8454473NetAssetsOrFundBalancesEOY
Mission DescriptionThe Organization provides spiritual, physical and emotional support to terminally ill patients and their families.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8841036Expense
Revenue13035469Revenue
DescriptionThe organization provided hospice care to over 2,580 patients in 2011, many of whom could not otherwise afford such services.Description
Total Program Service Expense8841036TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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 RequiredtrueScheduleJRequired
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 RltnshptrueOfficerEntityWithBsnssRltnshp
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 RequiredfalseScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees135NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOAN WRIGHTNamePerson
Telephone Number6614101010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18501 BRIMHALL ROAD SUITE 100AddressLine1
CityBAKERSFIELDCity
StateCAState
ZIP Code93312ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Darlene Mohlke
Director1.00X000
Dr Edward Nichols
Director1.00X000
Beth Hoffmann
Exec. Director40.00X133636036053X
Jim Wren
Director1.00X000
Grover Waldon
Director1.00X000
Thomas Hoffmann
President20.0068598037089X
SHEILA FRYER
DIR PATIENT CARE40.00123559033296X
FieldValueIRS element (for citing)
Total Reportable Comp From Org325793TotalReportableCompFromOrg
Total Other Compensation106438TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events177587FundraisingEvents
All Other Contributions82824AllOtherContributions
Total Contributions260411TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Private Patient Fees624100920343920343
Medicare/Medicaid Payment6241001211512612115126
FieldValueIRS element (for citing)
Total Program Service Revenue13035469TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11758TotalRevenueColumn
Exclusion$11,758ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events34000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events177587CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses193029FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-159029TotalRevenueColumn
Exclusion-$159,029ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13148609TotalRevenueColumn
Related Or Exempt Function Income13035469RelatedOrExemptFunctionIncome
Exclusion-$147,271ExclusionAmount

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)
Total275376Total
Management And General275376ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6064101Total
Program Services5095861ProgramServices
Management And General968240ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1498576Total
Program Services715797ProgramServices
Management And General782779ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

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)
Total4786Total
Management And General4786ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64733Total
Management And General64733ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total218706Total
Management And General218706ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total137197Total
Management And General137197ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total172741Total
Management And General172741ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total222834Total
Program Services83782ProgramServices
Management And General139052ManagementAndGeneral

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)
Total129664Total
Management And General129664ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total180270Total
Management And General180270ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total46649Total
Management And General46649ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
VEHICLE EXPENSES45735939738759972
TELEPHONE1213946625355141
Postage and Shipping7426974269
PATIENT CARE EXPENSES21817582181758
BAD DEBT EXPENSE239353239353

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total152889Total
Program Services60845ProgramServices
Management And General92044ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12242655Total
Program Services8841036ProgramServices
Management And General3401619ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY387408BOY
EOY409390EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2420661BOY
EOY2721423EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY6350EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1847885BOY
EOY1869166EOY

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)
BOY49825BOY
EOY125575EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6050247LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec698238LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5156447BOY
EOY5352009EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY122414EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

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)
BOY650508BOY
EOY776929EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10512734BOY
EOY11383256EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY478481BOY
EOY605839EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1974250BOY
EOY1787110EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY480589BOY
EOY535834EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2933320BOY
EOY2928783EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6929099BOY
EOY7638293EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY650315BOY
EOY816180EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7579414BOY
EOY8454473EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10512734BOY
EOY11383256EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses905954ReconcilationRevenueExpenses
Reconcilation Other Changes-30895ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86427CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years117841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106065CurrentTaxYearMinus1Year
Current Tax Year260411CurrentTaxYear
Total656654Total

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 Years85910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86427CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years117841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106065CurrentTaxYearMinus1Year
Current Tax Year260411CurrentTaxYear
Total656654Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170656654PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30998CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19816CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18826CurrentTaxYearMinus1Year
Current Tax Year11758CurrentTaxYear
Total168216Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support824870TotalSupport
Gross Receipts From Admissions Etc54333246GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.79610PublicSupportPertcentage170
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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5160612OtherCostOrOtherBasis
Depreciation363903Depreciation
Book Value4796709BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis48433OtherCostOrOtherBasis
Depreciation3511Depreciation
Book Value44922BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis621001OtherCostOrOtherBasis
Depreciation219691Depreciation
Book Value401310BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis220201OtherCostOrOtherBasis
Depreciation111133Depreciation
Book Value109068BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5352009TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Employee Receivable
Deposits57688
Deferred Comp 457 Plan424254
501(C) Trust Account94987
FieldValueIRS element (for citing)
Total Book Value Other Assets776929TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
UNEARNED REVENUE$13,275
ACCRUED PAYROLL$496,665
ACCRUED INTEREST EXPENSE$9,740
ACCRUED EXPENSES$16,154
FieldValueIRS element (for citing)
Total Of Amounts535834TotalOfAmounts
Total Revenue13148609TotalRevenue
Total Expenses12242655TotalExpenses
Excess Or Deficit For Year905954ExcessOrDeficitForYear
Net Unrealized GL On Investments-30895NetUnrealizedGLOnInvestments
Total Adjustments-30895TotalAdjustments
Excess Or Deficit Per FS875059ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13148609TotRevenueEtcAuditedFinclStmt
Revenue Subtotal13148609RevenueSubtotal
Total Revenue Per Form99013148609TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12242655TotExpensesEtcAuditedFinclStmt
Expenses Subtotal12242655ExpensesSubtotal
Total Expenses Per Form99012242655TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsXEmailSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VOINameOfEvent1
Gross Receipts Event1172958GrossReceiptsEvent1
Charitable Contributions Event1138958CharitableContributionsEvent1
Gross Revenue Event134000GrossRevenueEvent1
Rent Facility Costs Event18628RentFacilityCostsEvent1
Food And Beverage Event125900FoodAndBeverageEvent1
Entertainment Event179811EntertainmentEvent1
Other Direct Expenses Event144983OtherDirectExpensesEvent1
Name Of Event2LUALNameOfEvent2
Gross Receipts Event236759GrossReceiptsEvent2
Charitable Contributions Event236759CharitableContributionsEvent2
Other Direct Expenses Event230914OtherDirectExpensesEvent2
Gross Receipts Total209717GrossReceiptsTotal
Charitable Contributions Total175717CharitableContributionsTotal
Gross Revenue Total Events34000GrossRevenueTotalEvents
Rent Facility Costs Total Events8628RentFacilityCostsTotalEvents
Food And Beverage Total Events25900FoodAndBeverageTotalEvents
Entertainment Total Events79811EntertainmentTotalEvents
Other Direct Expenses Total Events75897OtherDirectExpensesTotalEvents
Direct Expense Summary Events190236DirectExpenseSummaryEvents
Net Income Summary-156236NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
SHEILA FRYER
116446711333296156855
Beth Hoffmann
126178745836053169689

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHOFFMANN HOMECARENamePerson
FieldValueIRS element (for citing)
RelationshipOwner/OfficerRelationship
Amount Of Transaction911656AmountOfTransaction
Description Of TransactionPURCHASE MEDI SUPPLIESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationHOFFMANN HOMECARE IS OWNED BY THOMAS HOFFMANN, AN OFFICER OF THE ORGANIZATION. THE ORGANIZATION PURCHASES MEDICAL SUPPLIES FROM HOFFMANN HOMECARE.Explanation

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 AvailableNo documents available to the public.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe President and Executive Director determine the salaries and maximum percentages for pay increases for key employees and other officers. Industry statistics are reviewed periodically to determine comparable salaries.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCompliance with the Conflict of Interest policy is monitored at the quarterly board meetings. Identified conflicts of interest are reviewed by the Board, and a written plan of action is developed to address the potential conflicts.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Controller of the Organization reviews the Form 990 prior to filing. Questions are directed to the preparing CPA firm or the CPA on the Board of Directors.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtBETH HOFFMANN (DIRECTOR AND OFFICER) AND TOM HOFFMANN (OFFICER) ARE SPOUSES.