STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOSPICE AND PALLIATIVE CARE OF THE WOOD RIVER VALLEY INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
HOSPICE AND PALLIATIVE CARE OF THE WOOD RIVER VALLEY INC (EIN 82-0397698)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202413179349303971
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-12T12:40:16-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN820437743PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BECKER CHAMBERS & CO PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 909AddressLine1Txt
CityHAILEYCityNm
State AbbreviationIDStateAbbreviationCd
ZIP833330909ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820397698EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AND PALLIATIVE CARE OF THEBusinessNameLine1Txt
Business Name Line2WOOD RIVER VALLEY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4320AddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER LAFLEURPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2087268464PhoneNum
Signature2024-10-31SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLINDA P CHAMBERSPreparerPersonNm
PTINP00157522PTIN
Phone2087889595PhoneNum
Preparation2024-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBOB ELGEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O PO BOX 4320AddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,695,160GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HPCWRV.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCELLENCE IN SERIOUS ILLNESS AND END-OF-LIFE CARE AND BEREAVEMENT SERVICES; AS WELL AS SUPPORT AND EDUCATION FOR PATIENTS, FAMILIES, AND CAREGIVERS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$784,272PYContributionsGrantsAmt
CY Contributions Grants$1,160,016CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$277,242PYInvestmentIncomeAmt
CY Investment Income$908,052CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,061,514PYTotalRevenueAmt
CY Total Revenue$2,068,068CYTotalRevenueAmt
CY Grants And Similar Paid$10,573CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$587,638PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$602,245CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$67,416CYTotalFundraisingExpenseAmt
PY Other Expenses$134,815PYOtherExpensesAmt
CY Other Expenses$229,589CYOtherExpensesAmt
PY Total Expenses$722,453PYTotalExpensesAmt
CY Total Expenses$842,407CYTotalExpensesAmt
PY Revenues Less Expenses$339,061PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,225,661CYRevenuesLessExpensesAmt
Total Assets BOY$7,360,853TotalAssetsBOYAmt
Total Assets EOY$8,838,698TotalAssetsEOYAmt
Total Liabilities EOY$19,696TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,360,853NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,819,002NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXCELLENCE IN SERIOUS ILLNESS AND END-OF-LIFE CARE AND BEREAVEMENT SERVICES; AS WELL AS SUPPORT AND EDUCATION FOR PATIENTS, FAMILIES, AND CAREGIVERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$667,039ExpenseAmt
Grant$10,573GrantAmt
DescTHE HOSPICE PROVIDES CARE FOR THE TERMINALLY ILL, BEREAVEMENT PROGRAMS FOR BOTH ADULTS AND CHILDREN, AND PROVIDES EDUCATION AND RESOURCES REGARDING WELLNESS.Desc
Total Program Service Expenses$667,039TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee15EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AND PALLIATIVE CARE OF THEBusinessNameLine1Txt
Business Name Line2WOOD RIVER VALLEY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone2087268464PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1507 1ST AVE NORTHAddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BOB ELGEE
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
LYNN CAMPION
VICE PRESIDE5.00Yes (X)Yes (X)$0$0$0
BRUCE COLLIER
SECRETARY5.00Yes (X)Yes (X)$0$0$0
PETER LAFLEUR
TREASURER5.00Yes (X)Yes (X)$0$0$0
MICKI CHAPIN
DIRECTOR1.00Yes (X)$0$0$0
AL STEVENSON
DIRECTOR5.00Yes (X)$0$0$0
ERIN PFAEFFLE
DIRECTOR1.00Yes (X)$0$0$0
SHEILA FRYBERGER
DIRECTOR3.00Yes (X)$0$0$0
LINDA HATZENBUEHLER
DIRECTOR3.00Yes (X)$0$0$0
LISA WILD
EXECUTIVE DI40.00Yes (X)$36,679$0$1,094
ALLISON COLLINS
EXECUTIVE DI40.00Yes (X)$97,995$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$134,674TotalReportableCompFromOrgAmt
Total Other Compensation$1,094TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,160,016AllOtherContributionsAmt
Noncash Contributions$10,039NoncashContributionsAmt
Total Contributions$1,160,016TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$260,176TotalRevenueColumnAmt
Exclusion$260,176ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,274,968SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,627,092SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$647,876SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$647,876TotalRevenueColumnAmt
Related Or Exempt Func Income$647,876RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,068,068TotalRevenueColumnAmt
Related Or Exempt Func Income$647,876RelatedOrExemptFuncIncomeAmt
Exclusion$260,176ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,573TotalAmt
Program Services$10,573ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$536,576TotalAmt
Program Services$429,260ProgramServicesAmt
Management And General$53,658ManagementAndGeneralAmt
Fundraising$53,658FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,159TotalAmt
Program Services$17,727ProgramServicesAmt
Management And General$2,216ManagementAndGeneralAmt
Fundraising$2,216FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,510TotalAmt
Program Services$34,808ProgramServicesAmt
Management And General$4,351ManagementAndGeneralAmt
Fundraising$4,351FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,090TotalAmt
Management And General$15,090ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,552TotalAmt
Management And General$10,552ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$42,527TotalAmt
Program Services$42,527ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,568TotalAmt
Program Services$8,294ProgramServicesAmt
Management And General$2,823ManagementAndGeneralAmt
Fundraising$3,451FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,218TotalAmt
Program Services$10,652ProgramServicesAmt
Management And General$4,566ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$384TotalAmt
Management And General$384ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,230TotalAmt
Program Services$2,923ProgramServicesAmt
Management And General$3,307ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,183TotalAmt
Program Services$15,570ProgramServicesAmt
Management And General$5,613ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PATIENT CARE$34,479$34,479
CONTRACT LABOR$33,860$33,860
VOLUNTEER RECOGNITION$10,377$10,377
MILEAGE$8,976$8,976

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,145TotalAmt
Program Services$7,013ProgramServicesAmt
Management And General$5,392ManagementAndGeneralAmt
Fundraising$3,740FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$842,407TotalAmt
Program Services$667,039ProgramServicesAmt
Management And General$107,952ManagementAndGeneralAmt
Fundraising$67,416FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$131,122BOYAmt
EOY$89,461EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,816BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$252,664LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$195,920LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,974BOYAmt
EOY$56,744EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,143,941BOYAmt
EOY$8,692,493EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,360,853BOYAmt
EOY$8,838,698EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$19,696EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$19,696EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,825,279BOYAmt
EOY$4,737,952EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,535,574BOYAmt
EOY$4,081,050EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,360,853BOYAmt
EOY$8,819,002EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,360,853BOYAmt
EOY$8,838,698EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,225,661ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$232,489NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,230,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$946,037CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,074,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$784,272CurrentTaxYearMinus1YearAmt
Current Tax Year$1,160,016CurrentTaxYearAmt
Total$6,195,450TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,230,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$946,037CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,074,662CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$784,272CurrentTaxYearMinus1YearAmt
Current Tax Year$1,160,016CurrentTaxYearAmt
Total$6,195,450TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,280,935SubstantialContributorsTotAmt
Public Support Total170$4,914,515PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,700CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$90,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$108,682CurrentTaxYearMinus1YearAmt
Current Tax Year$260,176CurrentTaxYearAmt
Total$583,581TotalAmt
FieldValueIRS element (for citing)
Total Support$6,779,031TotalSupportAmt
Public Support CY1700.72500PublicSupportCY170Pct
Public Support PY1700.57100PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,763,600BeginningYearBalanceAmt
Contributions$9,950ContributionsAmt
Investment Earnings Or Losses$469,412InvestmentEarningsOrLossesAmt
Other Expenditures$4,320OtherExpendituresAmt
End Year Balance$3,238,642EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,354,596BeginningYearBalanceAmt
Contributions$15,500ContributionsAmt
Investment Earnings Or Losses-$606,496InvestmentEarningsOrLossesAmt
End Year Balance$2,763,600EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,672,076BeginningYearBalanceAmt
Contributions$22,950ContributionsAmt
Investment Earnings Or Losses$659,570InvestmentEarningsOrLossesAmt
End Year Balance$3,354,596EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,163,992BeginningYearBalanceAmt
Contributions$77,000ContributionsAmt
Investment Earnings Or Losses$431,084InvestmentEarningsOrLossesAmt
End Year Balance$2,672,076EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,237,694BeginningYearBalanceAmt
Contributions$558,867ContributionsAmt
Investment Earnings Or Losses$372,152InvestmentEarningsOrLossesAmt
Other Expenditures$4,721OtherExpendituresAmt
End Year Balance$2,163,992EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$207,075OtherCostOrOtherBasisAmt
Depreciation$150,331DepreciationAmt
Book Value$56,744BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,589OtherCostOrOtherBasisAmt
Depreciation$45,589DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$56,744TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DIRECT DEPOSIT LIABILITIES$11,243
PAYROLL LIABILITIES$8,453
FieldValueIRS element (for citing)
Total Liability$19,696TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCAREGIVER GRANTS TO FAMILGrantTypeTxt
Cash Grant$10,573CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BEXECUTIVE DIRECTOR AND OFFICER WHO SIGNS RETURN REVIEWS THE 990.
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST FORMS ARE COMPLETED AT THE START OF EACH BOARD MEMBER'S TERM AND MONITORED AT BOARD MEETINGS.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPARABLE DATA IS OBTAINED AND CHANGES WERE CONSISTENT WITH OTHER STAFF.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST
FORM 990, PART XI, LINE 9ROUNDING -1