MOUNT EVANS HOSPICE INC: Form 990, tax year 2022
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- Organization
- MOUNT EVANS HOSPICE INC (EIN 84-0831843)
- Tax period
- 2022-11-01 to 2023-10-31
- Filed
- 2024-05-06
- IRS object ID
- 202411279349301711
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-06T14:27:51-05:00 | ReturnTs |
| Tax Period End | 2023-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 841509269 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCMAHAN AND ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5850 | AddressLine1Txt |
| City | AVON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81620 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840831843 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT EVANS HOSPICE INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA MOUNT EVANS HOME HEALTH CARE AND HOS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 3036746400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3081 BERGEN PEAK DRIVE | AddressLine1Txt |
| City | EVERGREEN | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80439 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERI SCHROEDER-JAEGER | PersonNm |
| Person Title | PRESIDENT CEO | PersonTitleTxt |
| Phone | 3036746400 | PhoneNum |
| Signature | 2024-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KERI | PersonFirstNm |
| Person Last | SCHROEDER-JAEGER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL J BACKES CPA | PreparerPersonNm |
| PTIN | P00175605 | PTIN |
| Phone | 9708458800 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KERI SCHROEDER-JAEGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3081 BERGEN PEAK DRIVE | AddressLine1Txt |
| City | EVERGREEN | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80439 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,798,800 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MTEVANS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | WE SUPPORT OUR MOUNTAIN COMMUNITY BY PROVIDING COMPASSIONATE AND EXPERIENCED CARE DURING CHALLENGING TIMES | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 97 | TotalEmployeeCnt |
| Total Volunteers | 300 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,322,380 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,350,282 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,905,808 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,087,685 | CYProgramServiceRevenueAmt |
| PY Investment Income | $213,730 | PYInvestmentIncomeAmt |
| CY Investment Income | $137,468 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,864 | PYOtherRevenueAmt |
| CY Other Revenue | $38,456 | CYOtherRevenueAmt |
| PY Total Revenue | $9,446,782 | PYTotalRevenueAmt |
| CY Total Revenue | $7,613,891 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,906,900 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,512,629 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $251,036 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,445,134 | PYOtherExpensesAmt |
| CY Other Expenses | $2,255,916 | CYOtherExpensesAmt |
| PY Total Expenses | $7,352,034 | PYTotalExpensesAmt |
| CY Total Expenses | $7,768,545 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,094,748 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$154,654 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,828,699 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,954,594 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $693,072 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $903,515 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,135,627 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,051,079 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE SUPPORT OUR MOUNTAIN COMMUNITY BY PROVIDING COMPASSIONATE AND EXPERIENCED CARE DURING CHALLENGING TIMES | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,332,785 | ExpenseAmt |
| Revenue | $2,302,115 | RevenueAmt |
| Desc | MOUNT EVANS HOME HEALTH CARE SERVICES PROVIDE HOMEBOUND INDIVIDUALS AND THEIR FAMILIES WITH NURSING, THERAPIES, AND SUPPORT SERVICES AS THEY RECOVER FROM AN ILLNESS OR INJURY, HOME HEALTH CARE ALLOWS PEOPLE TO RECOVER IN THE COMFORT OF THEIR OWN HOME UNITL THEY ARE ABLE TO TRANSFER TO OUT PATIENT SERVICES. MOUNT EVANS PROVIDED HOME HEALTH CARE SERVICES TO 916 PATIENTS THROUGH 11,063 VISITS DURING THE FISCAL YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,889,564 | ExpenseAmt |
| Grant | $35,000 | GrantAmt |
| Revenue | $3,838,426 | RevenueAmt |
| Desc | MOUNT EVANS HOSPICE SERVICES PROVIDE COMFORT CARE AND SUPPORT TO THOSE NEARING THE END OF THEIR LIVES. MOUNT EVANS PALLIATIVE AND HOSPICE CARE SERVICES PROVIDE SUPORTIVE CARE TO THOSE LIVING WITH A CHRONIC OR PROGRESSIVE ILLNESS. PALLIATIVE CARE FOCUSES ON PROVIDING RELIEF FROM A PATIENTS SYMPTOMS AND THE STRESS OF THEIR ILLNESS WITH THE GOAL OF IMPROVIING THEIR QUALITY OF LIFE. DURING THE FISCAL YEAR OUR HOSPICE AND PALLIATIVE CARE PROGRAMS MADE 10,027 VISISTS TO 373 PEOPLE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $50,197 | ExpenseAmt |
| Revenue | $49,537 | RevenueAmt |
| Desc | MOUNT EVANS SUPPORT SERVICES PROGRAM PROVIDES INDIVIDUAL AND FAMILY BEREAVEMENT COUNSELING AND SUPPORT GROUPS INCLUDING: CAREGIVER SUPPORT, GRIEVING THE DEATH OF A SPOUSE/PARTNER, ADULT GRIEF SUPPORT, BEREAVED PARENT SUPPORT, SURVIVING THE HOLIDAYS, AND SOLSTICE MEMORIALS. IN FISCAL YEAR 2023, MOUNT EVANS HELD OVER 150 INDIVIDUAL AND GROUP BEREAVEMENT COUNSELING SESSIONS AND OVER 45 CAREGIVER AND BEREAVEMENT SUPPORT GROUPS. MOUNT EVANS ALSO OFFERED FREE FOOT CARE AND BLOOD PRESSURE CLINICS, INFORMATION AND REFERRAL, AND COORDINATED WITH SAINT JOSEPH'S HOSPITAL TO HOST A MOBILE MAMMOGRAPHY UNIT | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,272,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 2 | IRPDocumentW2GCnt |
| Employee | 97 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRANDI HOSKINS | PersonNm |
| Phone | 3036746400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3081 BERGEN PEAK DR | AddressLine1Txt |
| City | EVERGREEN | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80439 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| BARRY SCHROEDER | |||||||
| PAST CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILL SLAUGHTER | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK GRAYBILL | |||||||
| CHAIR-ELECT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BOB LOEFFLER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BARB SCRIPPS | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARVIN GEISNESS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALLYSON GOTTSMAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH HURD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVIS LINDEN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEONOR MCCALL RODRIGUEZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RACHEL MULVIHILL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TED NING MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE WEINFELD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD WISSER DO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN STEARNS | |||||||
| HONORARY MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KERI JAEGER | |||||||
| PRESIDENT / CEO | 40.00 | Yes (X) | $208,357 | $0 | $28,361 | ||
| BRANDI HOSKINS | |||||||
| DIRECTOR OF FINANCE | 1.00 | Yes (X) | $73,795 | $0 | $2,006 | ||
| ISABELLE COMINA | |||||||
| DIRECTOR OF CLINICAL SERVICES | 40.00 | $112,574 | $0 | $14,286 | Yes (X) | ||
| SUZANNE FEROLDI | |||||||
| DIRECTOR OF OPERATIONS | 40.00 | $104,970 | $0 | $14,681 | Yes (X) | ||
| JULIE NELSON | |||||||
| REGISTERED NURSE | 40.00 | $125,841 | $0 | $4,140 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $625,537 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $63,474 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LIFE CARE CENTER OF EVERGREEN | |||||
| 2987 BERGEN PEAK DRIVE | EVERGREEN | CO | 80439 | HOSPICE FACILITY PATIENT CARE | $423,821 |
| UNITED HEALTHCARE INSURANCE | |||||
| PO BOX 94017 | PALANTINE | IL | 60094 | EMPLOYEE MEDICAL INSURANCE | $387,729 |
| CORE MEDICAL GROUP | |||||
| PO BOX 306478 | NASHVILLE | TN | 37230 | CONTRACT CLINICIAN STAFFING SERVICE | $230,428 |
| MAXIM HEALTHCARE SERVICES | |||||
| 12558 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACT CLINICIAN STAFFING SERVICE | $154,865 |
| FUSION MEDICAL STAFFING LLC | |||||
| PO BOX 30131 | OMAHA | NE | 68103 | CONTRACT CLINICIAN STAFFING SERVICE | $141,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $289,757 | FundraisingAmt |
| Government Grants | $109,047 | GovernmentGrantsAmt |
| All Other Contributions | $951,478 | AllOtherContributionsAmt |
| Total Contributions | $1,350,282 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROG.SERV.REVENUE-RELA | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $6,082,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,082,665 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,020 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,087,685 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,468 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $137,468 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $223,365 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $185,943 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $184,909 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,456 | TotalRevenueColumnAmt |
| Exclusion | $38,456 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,613,891 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,225,153 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $38,456 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,800,465 | TotalAmt |
| Program Services | $3,758,079 | ProgramServicesAmt |
| Management And General | $883,207 | ManagementAndGeneralAmt |
| Fundraising | $159,179 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,195 | TotalAmt |
| Program Services | $290,047 | ProgramServicesAmt |
| Management And General | $70,156 | ManagementAndGeneralAmt |
| Fundraising | $14,992 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,969 | TotalAmt |
| Program Services | $248,834 | ProgramServicesAmt |
| Management And General | $80,103 | ManagementAndGeneralAmt |
| Fundraising | $8,032 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Management And General | $10,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,649 | TotalAmt |
| Management And General | $43,649 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,007 | TotalAmt |
| Program Services | $310,526 | ProgramServicesAmt |
| Management And General | $19,328 | ManagementAndGeneralAmt |
| Fundraising | $13,153 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,354 | TotalAmt |
| Program Services | $42,551 | ProgramServicesAmt |
| Management And General | $10,001 | ManagementAndGeneralAmt |
| Fundraising | $1,802 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,136 | TotalAmt |
| Program Services | $90,918 | ProgramServicesAmt |
| Management And General | $21,367 | ManagementAndGeneralAmt |
| Fundraising | $3,851 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,085 | TotalAmt |
| Program Services | $271,718 | ProgramServicesAmt |
| Management And General | $63,858 | ManagementAndGeneralAmt |
| Fundraising | $11,509 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,448 | TotalAmt |
| Program Services | $32,448 | ProgramServicesAmt |
| Management And General | $7,626 | ManagementAndGeneralAmt |
| Fundraising | $1,374 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,619 | TotalAmt |
| Program Services | $194,089 | ProgramServicesAmt |
| Management And General | $4,446 | ManagementAndGeneralAmt |
| Fundraising | $84 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,010 | TotalAmt |
| Program Services | $21,865 | ProgramServicesAmt |
| Management And General | $11,145 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,870 | TotalAmt |
| Program Services | $35,910 | ProgramServicesAmt |
| Management And General | $8,439 | ManagementAndGeneralAmt |
| Fundraising | $1,521 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,255 | TotalAmt |
| Program Services | $49,520 | ProgramServicesAmt |
| Management And General | $11,638 | ManagementAndGeneralAmt |
| Fundraising | $2,097 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PATIENT SERVICES | $820,534 | $820,534 |
| DUES AND SUBSCRIPTIONS | $46,651 | $46,651 |
| VOLUNTEER EXPENSE | $2,867 | $2,867 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,431 | TotalAmt |
| Program Services | $55,989 | ProgramServicesAmt |
| Fundraising | $33,442 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,768,545 | TotalAmt |
| Program Services | $6,272,546 | ProgramServicesAmt |
| Management And General | $1,244,963 | ManagementAndGeneralAmt |
| Fundraising | $251,036 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,580 | BOYAmt |
| EOY | $345,193 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,154 | BOYAmt |
| EOY | $473,216 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,320 | BOYAmt |
| EOY | $467,567 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,792,337 | BOYAmt |
| EOY | $499,878 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,850 | BOYAmt |
| EOY | $12,924 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,435 | BOYAmt |
| EOY | $60,410 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,931,953 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,528,627 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,416,446 | BOYAmt |
| EOY | $1,403,326 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,532,577 | BOYAmt |
| EOY | $3,583,897 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,000 | BOYAmt |
| EOY | $108,183 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,828,699 | BOYAmt |
| EOY | $6,954,594 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $601,512 | BOYAmt |
| EOY | $188,571 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $297,571 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,560 | BOYAmt |
| EOY | $417,373 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,072 | BOYAmt |
| EOY | $903,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,096,721 | BOYAmt |
| EOY | $4,910,570 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,906 | BOYAmt |
| EOY | $1,140,509 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,135,627 | BOYAmt |
| EOY | $6,051,079 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,828,699 | BOYAmt |
| EOY | $6,954,594 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$154,654 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $48,731 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,978,623 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $925,010 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,189,213 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,804,982 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,322,380 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,350,282 | CurrentTaxYearAmt |
| Total | $8,591,867 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,824,383 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,914,168 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,834,941 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,905,808 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,147,885 | CurrentTaxYearAmt |
| Total | $28,627,185 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,749,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,103,381 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,639,923 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,228,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,498,167 | CurrentTaxYearAmt |
| Total | $37,219,052 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $103,411 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $111,003 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,429 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,850 | CurrentTaxYearAmt |
| Total | $356,813 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,726 | CurrentTaxYearMinus4YearsAmt |
| Total | $5,726 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $109,137 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $111,003 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,429 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,850 | CurrentTaxYearAmt |
| Total | $362,539 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $36,856,513 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,795 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $158,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $215,180 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,468 | CurrentTaxYearAmt |
| Total | $725,919 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,795 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $158,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $215,180 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,468 | CurrentTaxYearAmt |
| Total | $725,919 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,461 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,375 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $3,194 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,456 | CurrentTaxYearAmt |
| Total | $201,486 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,949,936 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,277,551 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,798,317 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,446,562 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,674,091 | CurrentTaxYearAmt |
| Total | $38,146,457 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96620 | PublicSupportCY509Pct |
| Investment Income CY | 0.01900 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $639,270 | BeginningYearBalanceAmt |
| Contributions | $2,270 | ContributionsAmt |
| Investment Earnings Or Losses | $117,859 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $759,399 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $728,693 | BeginningYearBalanceAmt |
| Contributions | $63,500 | ContributionsAmt |
| Investment Earnings Or Losses | -$152,923 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $639,270 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $539,730 | BeginningYearBalanceAmt |
| Contributions | $20,102 | ContributionsAmt |
| Investment Earnings Or Losses | $168,861 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $728,693 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $515,913 | BeginningYearBalanceAmt |
| Contributions | $6,620 | ContributionsAmt |
| Investment Earnings Or Losses | $17,197 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $539,730 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $463,553 | BeginningYearBalanceAmt |
| Contributions | $14,850 | ContributionsAmt |
| Investment Earnings Or Losses | $37,510 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $515,913 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $394,000 | OtherCostOrOtherBasisAmt |
| Book Value | $394,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,307,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,343,385 | DepreciationAmt |
| Book Value | $964,220 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,077 | DepreciationAmt |
| Book Value | $45,106 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $122,165 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,403,326 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PUBLICLY TRADED STOCKS AND BONDS | Desc |
| Book Value | $3,583,897 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $3,583,897 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $417,373 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $417,373 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,662,621 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $48,731 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $48,731 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,613,890 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,613,890 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,768,546 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,768,546 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,768,546 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $176,612 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $103,288 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $73,324 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $19,629 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $39,852 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $0 | OtherDirectExpensesEvent1Amt |
| Event2 | MOONLIGHT SOIREE | Event2Nm |
| Gross Receipts Event2 | $99,155 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $82,655 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $16,500 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $33,688 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $133,541 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $0 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $133,541 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $91,740 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $409,308 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $185,943 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $223,365 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $19,629 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $39,852 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $125,428 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $184,909 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $38,456 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERI JAEGER | PersonNm |
| Title | PRESIDENT / CEO | TitleTxt |
| Base Compensation Filing Org | $191,857 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $16,500 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $2,259 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $26,102 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $236,718 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANZIATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPLETED FORM 990 IS EMAILED IN PDF FORMAT TO ALL BOARD MEMBERS AND MEMBERS OF THE FINANCE COMMITTEE FOR THEIR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY TRANSACTIONS WITH THE ORGANIZATION THAT WOULD RESULT IN ANY BENEFIT TO THEMSELVES. THEIR IMMEDIATE FAMILIES, OR ANY ENTITY IN WHICH THEY HOLD A SIGNIFICANT FINANICAL OWNERSHIP OR OTHER INTEREST. BOARD MEMBERS WILL REFRAIN FROM PARTICIPATION IN ANY ACTION ON SUCH MATTERS. DISCLOSURE OF A POTENTIAL CONFLICT AND THE GOVENRING BODY'S DECISION REGARDING VOTING WILL BE NOTED IN THE MINUTES OF THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PRESIDENT OF THE BOARD OF DIRECTORS COMPLETES A PERFORMANCE EVALUATION OF THE PRESIDENT / CHIEF EXECUTIVE OFFICER BASED ON PREVIOUS GOALS SET FOR THE PRIOR YEAR. THE PRESIDENT'S EVALUATION AND RECOMMENDATION FOR COMPENSATION IS TAKEN TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. SALARY SURVEYS ARE REVIEW AND DISCUSSED DURING THE EXECUTIVE COMMITTEE'S APPROVAL PROCESS. ONCE THE EXECUTIVE COMMITTEE HAS COMPLETED THEIR REVIEW, THE RECOMMENDATION FOR COMPENSATION, INCLUDDING SALARY SURVEYS AND THE PERFORMANCE EVALUATION ARE TAKEN TO THE BOARD OF DIRECTORS FOR THE FINAL REVIEW AND APPROVAL. DELIBERATION AND DOCUMENTATION IS RECORDED IN THE BOARD MEETING MINUTES AND PERSONELL FILE. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANICAL STATEMENTS ARE MAINTAINED IN THE ADMINISTRATIVE OFFICES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |