HOSPICE OF DARKE COUNTY INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF DARKE COUNTY INC (EIN 31-1004692)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-12-13
- IRS object ID
- 201223489349300447
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-12-13T15:21:21-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310905417 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VONLEHMAN & COMPANY INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 GRANDVIEW DR SUITE 300 | AddressLine1 |
| City | FT MITCHELL | City |
| State | KY | State |
| ZIP Code | 41017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311004692 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF DARKE COUNTY INC | BusinessNameLine1 |
| Business Name Line2 | DBA STATE OF THE HEART HOSPICE | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 9375482999 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 N BROADWAY | AddressLine1 |
| City | GREENVILLE | City |
| State | OH | State |
| ZIP Code | 45331 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA GASPER | Name |
| Title | PRESIDENT | Title |
| Phone | 9375486994 | Phone |
| Date Signed | 2012-12-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETH VICE | Name |
| PTIN | P00545816 | PTIN |
| Phone | 8593313300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JIM STAMCOFF | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 N BROADWAY | AddressLine1 |
| City | GREENVILLE | City |
| State | OH | State |
| ZIP Code | 45331 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7495942 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STATEOFTHEHEARTCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | HOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 106 | TotalNbrEmployees |
| Total Nbr Volunteers | 112 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 172204 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 196369 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7635356 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7132535 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 83006 | InvestmentIncomePriorYear |
| Investment Income Current Year | 122357 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 34605 | OtherRevenuePriorYear |
| Other Revenue Current Year | 27021 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7925171 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7478282 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3655200 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3833570 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 87789 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3700330 | OtherExpensePriorYear |
| Other Expenses Current Year | 3494799 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7355530 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7328369 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 569641 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 149913 | RevenuesLessExpensesCY |
| Total Assets BOY | 7869876 | TotalAssetsBOY |
| Total Assets EOY | 8305452 | TotalAssetsEOY |
| Total Liabilities BOY | 579263 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 809164 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7290613 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7496288 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5932316 | Expense |
| Revenue | 7133954 | Revenue |
| Description | HOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES. | Description |
| Total Program Service Expense | 5932316 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 106 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABBY THOMAS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9375482999 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 N BROADWAY | AddressLine1 |
| City | GREENVILLE | City |
| State | OH | State |
| ZIP Code | 45331 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| LISA GASPER | ||||||
| PAST PRESIDENT | 2.00 | X | 0 | 0 | 0 | |
| PAULA COX | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| GAIL DUES | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| JIM STAMCOFF | ||||||
| PRESIDENT | 2.00 | X | 0 | 0 | 0 | X |
| TONI HEGGIE | ||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X |
| TRACY HAINES | ||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | X |
| ILZE KOCH | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| CINDY MCCALLISTER | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| GINGER GODFREY | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| DIANE SWALLOW | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| MIKE RIEMAN | ||||||
| VICE PRESIDENT | 2.00 | X | 0 | 0 | 0 | |
| WENDY STUKEY | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| THEODORE BAUER | ||||||
| EXECUTIVE DIRECTOR | 40.00 | 72455 | 0 | 0 | X | |
| ABBY THOMAS | ||||||
| DIRECTOR OF FINANCE | 40.00 | 80872 | 0 | 0 | X | |
| ELAINE SEGER | ||||||
| DIRECTOR OF CLINICAL SERVI | 40.00 | 80952 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 234279 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PROCARE PBM | |||||
| 1267 PROFESSIONAL PARKWAY | GAINSVILLE | GA | 30507 | PHARMACEUTICAL COMPANY | 337517 |
| RESTHAVEN | |||||
| 1096 N OHIO ST | GREENVILLE | OH | 45331 | PATIENT ROOM AND BOARD | 231946 |
| KAUP PHARMACY INC | |||||
| PO BOX 605 | FT RECOVERY | OH | 45846 | DURABLE MEDICAL EQUIPMENT | 209441 |
| BRETHREN RETIREMENT COMMUNITY | |||||
| 750 CHESTNUT ST | GREENVILLE | OH | 45331 | PATIENT ROOM AND BOARD | 188249 |
| QUALIS MANAGEMENT | |||||
| PO BOX 7458 | ROCKY MOUNT | NC | 27804 | DURABLE MEDICAL EQUIPMENT | 166054 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| All Other Contributions | 196369 | AllOtherContributions |
| Total Contributions | 196369 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT CARE REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 7132535 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7132535 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7132535 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 126420 | TotalRevenueColumn |
| Exclusion | $126,420 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4063 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -4063 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4063 | TotalRevenueColumn |
| Exclusion | -$4,063 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 39199 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 13597 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25602 | TotalRevenueColumn |
| Exclusion | $25,602 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1419 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1419 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1419 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7478282 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7133954 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $147,959 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234279 | Total |
| Program Services | 182737 | ProgramServices |
| Management And General | 46856 | ManagementAndGeneral |
| Fundraising | 4686 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3001811 | Total |
| Program Services | 2341413 | ProgramServices |
| Management And General | 600362 | ManagementAndGeneral |
| Fundraising | 60036 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50389 | Total |
| Program Services | 27361 | ProgramServices |
| Management And General | 23028 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297026 | Total |
| Program Services | 275012 | ProgramServices |
| Management And General | 22014 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250065 | Total |
| Program Services | 177863 | ProgramServices |
| Management And General | 72202 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54462 | Total |
| Management And General | 54462 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114080 | Total |
| Program Services | 54983 | ProgramServices |
| Management And General | 53431 | ManagementAndGeneral |
| Fundraising | 5666 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126585 | Total |
| Program Services | 37779 | ProgramServices |
| Management And General | 80150 | ManagementAndGeneral |
| Fundraising | 8656 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189786 | Total |
| Program Services | 67957 | ProgramServices |
| Management And General | 121829 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31329 | Total |
| Program Services | 9399 | ProgramServices |
| Management And General | 20930 | ManagementAndGeneral |
| Fundraising | 1000 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| ROOM AND BOARD EXPENSE | 1370225 | 1370225 | ||
| MEDICAL SUPPLIES & DRUG | 762888 | 762888 | ||
| MILEAGE | 237573 | 203469 | 26359 | 7745 |
| UTILITIES, TELEPHONE, A | 194520 | 92024 | 102496 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413351 | Total |
| Program Services | 329206 | ProgramServices |
| Management And General | 84145 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7328369 | Total |
| Program Services | 5932316 | ProgramServices |
| Management And General | 1308264 | ManagementAndGeneral |
| Fundraising | 87789 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340 | BOY |
| EOY | 175 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1327260 | BOY |
| EOY | 1356580 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 861552 | BOY |
| EOY | 809963 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33958 | BOY |
| EOY | 30025 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3259224 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1255090 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2160047 | BOY |
| EOY | 2004134 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3485969 | BOY |
| EOY | 4104575 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7869876 | BOY |
| EOY | 8305452 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 579263 | BOY |
| EOY | 809164 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 579263 | BOY |
| EOY | 809164 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6772737 | BOY |
| EOY | 6949344 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 517876 | BOY |
| EOY | 546944 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7290613 | BOY |
| EOY | 7496288 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7869876 | BOY |
| EOY | 8305452 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 149913 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 55762 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 204927 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 178449 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 162287 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 172204 | CurrentTaxYearMinus1Year |
| Current Tax Year | 196369 | CurrentTaxYear |
| Total | 914236 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 204927 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 178449 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 162287 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 172204 | CurrentTaxYearMinus1Year |
| Current Tax Year | 196369 | CurrentTaxYear |
| Total | 914236 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 914236 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 185619 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 101140 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 95912 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 83006 | CurrentTaxYearMinus1Year |
| Current Tax Year | 126420 | CurrentTaxYear |
| Total | 592097 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 90401 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 31788 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22534 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 34605 | CurrentTaxYearMinus1Year |
| Total | 179328 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1685661 | TotalSupport |
| Public Support Pertcentage170 | 0.54240 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.54310 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 242530 | OtherCostOrOtherBasis |
| Book Value | 242530 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1984963 | OtherCostOrOtherBasis |
| Depreciation | 498868 | Depreciation |
| Book Value | 1486095 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1031731 | OtherCostOrOtherBasis |
| Depreciation | 756222 | Depreciation |
| Book Value | 275509 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2004134 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MUTUAL FUNDS | Description |
| Book Value | 4104575 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4104575 | TotalOfBookValueSecurities |
| Total Revenue | 7478282 | TotalRevenue |
| Total Expenses | 7328369 | TotalExpenses |
| Excess Or Deficit For Year | 149913 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 55762 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 55762 | TotalAdjustments |
| Excess Or Deficit Per FS | 205675 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7608011 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 55762 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 60370 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 13597 | OtherRevenues |
| Revenue Not Rptd F990 | 129729 | RevenueNotRptdF990 |
| Revenue Subtotal | 7478282 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7478282 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7402336 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 60370 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 13597 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 73967 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7328369 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7328369 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. IN ADDITION, THE ORGANIZATION IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A)(1) OF THE U.S. INTERNAL REVENUE CODE. THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENTS OF ACTIVITIES FOR BOTH YEARS ENDED JUNE 30, 2012 AND 2011. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. TAX YEARS STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR BOTH YEARS ENDED JUNE 30, 2012 AND 2011. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 13,597. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 13,597. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 32764 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 32764 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 11722 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 32764 | GrossReceiptsTotal |
| Gross Revenue Total Events | 32764 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 11722 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 11722 | DirectExpenseSummaryEvents |
| Net Income Summary | 21042 | NetIncomeSummary |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LORRI KAUP | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FORMER BOARD MEMBER | Relationship |
| Amount Of Transaction | 209441 | AmountOfTransaction |
| Description Of Transaction | PURCHASE OF DURABLE MEDICAL EQUIPMENT | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS PRESENTED TO THE FINANCE BOARD AND THEN RECOMMENDED FOR PRESENTATION TO THE BOARD OF DIRECTORS. THE BOARD THEN REVIEWS AND APPROVES THE FORM 990 AT ITS REGULAR MEETING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY THE BOARD OF TRUSTEES REVIEW A VENDOR AND FINANCIAL INSTITUTION LIST. THE BOARD OF TRUSTEES REVIEW THIS LIST IDENTIFYING ANY POTENTIAL VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER IS GIVEN THE CONFLICT OF INTEREST POLICY TO READ AND CERTIFICATION SHEET TO SIGN ANNUALLY. ALL AFFILIATIONS ARE REQUIRED TO BE DISCLOSED AND DESCRIBED ON THE AGENCY'S CONFLICT OF INTEREST DISCLOSURE DOCUMENT. THE BOARD OF TRUSTEES ANNUALLY REVIEW AND DOCUMENT ANY DISCLOSED AFFILIATIONS TO DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INCLUDES THE REVIEW AND APPROVAL BY THE GOVERNING BODY. INFORMATION CONSIDERED DURING THIS PROCESS INCLUDES COMPARATIVE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN COMPARATIVE POSITIONS AT SIMILAR ORGANIZATIONS. DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THIS REVIEW PROCESS ARE MAINTAINED THROUGHOUT THE PROCESS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT OUR FRONT DESK IN WHICH THE INFORMATION WILL BE MAILED TO THE ADDRESS PROVIDED. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 55,762. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII, LINE 2C | THERE HAVE BEEN NO CHANGES IN THE METHOD OF CHOOSING AN INDIVIDUAL AUDITOR OR METHOD OF OVERSIGHT. | AUDIT COMMITTE |
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