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MIRASOL HEALTH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MIRASOL HEALTH INC (EIN 57-0774530)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-11
IRS object ID
202201319349305110
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-11T15:18:10-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570776381PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEBSTERROGERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1999AddressLine1Txt
CityBLUFFTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29910ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570774530EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE CARE OF THE LOWCOUNTRY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone8437062296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17 PLANTATION PARK DRIVEAddressLine1Txt
CityBLUFFTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29910ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAYMOND ANDREWSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8437062296PhoneNum
Signature2022-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRAYMONDPersonFirstNm
Person LastANDREWSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTABATHA R BELLFLOWERSEAPreparerPersonNm
PTINP01314866PTIN
Phone8437068440PhoneNum
Preparation2022-05-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNY BRASINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17 PLANTATION PARK DRIVEAddressLine1Txt
CityBLUFFTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29910ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,395,042GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOSPICECARELC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionPROVIDE SUPPORT AND HOME CARE FOR TERMINALLY ILL PATIENTS OF BEAUFORT CO.,SCActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee38TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$537,042PYContributionsGrantsAmt
CY Contributions Grants$662,111CYContributionsGrantsAmt
PY Program Service Revenue$2,233,676PYProgramServiceRevenueAmt
CY Program Service Revenue$2,483,664CYProgramServiceRevenueAmt
PY Investment Income$17,936PYInvestmentIncomeAmt
CY Investment Income$10,073CYInvestmentIncomeAmt
PY Other Revenue$219,558PYOtherRevenueAmt
CY Other Revenue$210,026CYOtherRevenueAmt
PY Total Revenue$3,008,212PYTotalRevenueAmt
CY Total Revenue$3,365,874CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,936,809PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,985,528CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$298,650CYTotalFundraisingExpenseAmt
PY Other Expenses$868,571PYOtherExpensesAmt
CY Other Expenses$995,297CYOtherExpensesAmt
PY Total Expenses$2,805,380PYTotalExpensesAmt
CY Total Expenses$2,980,825CYTotalExpensesAmt
PY Revenues Less Expenses$202,832PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$385,049CYRevenuesLessExpensesAmt
Total Assets BOY$4,445,338TotalAssetsBOYAmt
Total Assets EOY$4,657,778TotalAssetsEOYAmt
Total Liabilities BOY$542,697TotalLiabilitiesBOYAmt
Total Liabilities EOY$233,832TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,902,641NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,423,946NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROMOTE VOLUNTEER SUPPORTING SERVICES AND HOME CARE FOR THE TERMINALLY ILL AND OTHER ILLNESSES WHERE HOSPICE CARE IS DEEMED APPROPRIATE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,195,571ExpenseAmt
Revenue$2,483,664RevenueAmt
DescHOSPICE CARE/HOME HEALTH CARE - SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,709ExpenseAmt
DescBEREAVEMENT - SUPPORT FOR FAMILIES OF TERMINALLY ILL PATIENTSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$148,143ExpenseAmt
DescEDUCATION - PROVIDING TRAINING AND SEMINARS FOR COMMUNITY AND OTHER HEALTH CARE GROUPS, TO EDUCATE THEM ON CARING FOR TERMINALLY ILL PATIENTSDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescOTHER MISCELLANEOUS REVENUEDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,357,423TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee38EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RAYMOND ANDREWSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8437062296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17 PLANTATION PARK DRIVEAddressLine1Txt
CityBLUFFTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29910ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JANET PORTER
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
JACKIE DOUT
VICE CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
TED BLIMAN
DIRECTOR1.00Yes (X)$0$0$0
RAYMOND ANDREWS
TREASURER5.00Yes (X)Yes (X)$0$0$0
SUSAN ALLHUSEN
DIRECTOR1.00Yes (X)$0$0$0
CINDY CREAMER
DIRECTOR1.00Yes (X)$0$0$0
PHIL HARTMAN
DIRECTOR1.00Yes (X)$0$0$0
DR MELISSA BROWN
MEMBER AT LARGE1.00Yes (X)$0$0$0
JIM IRWIN
DIRECTOR1.00Yes (X)$0$0$0
JEAN BECK
DIRECTOR1.00Yes (X)$0$0$0
JANET GORTON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
RICHARD DEAN
DIRECTOR1.00Yes (X)$0$0$0
BARRY LONG
DIRECTOR1.00Yes (X)$0$0$0
JENNY BRASINGTON
EXECUTIVE DIRECTOR40.00Yes (X)$140,184$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$140,184TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$335,972GovernmentGrantsAmt
All Other Contributions$326,139AllOtherContributionsAmt
Total Contributions$662,111TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINSURANCE PAYMENTSDesc
Business900099BusinessCd
Total Revenue Column$2,483,664TotalRevenueColumnAmt
Related Or Exempt Func Income$2,483,664RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,483,664TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,885TotalRevenueColumnAmt
Exclusion$7,885ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,188SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,188SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,188TotalRevenueColumnAmt
Exclusion$2,188ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$239,194FundraisingGrossIncomeAmt
Fundraising Direct Expenses$29,168FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,026TotalRevenueColumnAmt
Exclusion$210,026ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,365,874TotalRevenueColumnAmt
Related Or Exempt Func Income$2,483,664RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$220,099ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$140,184TotalAmt
Program Services$109,344ProgramServicesAmt
Management And General$16,822ManagementAndGeneralAmt
Fundraising$14,018FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,513,011TotalAmt
Program Services$1,183,973ProgramServicesAmt
Management And General$180,161ManagementAndGeneralAmt
Fundraising$148,877FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,762TotalAmt
Program Services$15,395ProgramServicesAmt
Management And General$5,101ManagementAndGeneralAmt
Fundraising$1,266FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$159,964TotalAmt
Program Services$130,894ProgramServicesAmt
Management And General$20,306ManagementAndGeneralAmt
Fundraising$8,764FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$150,607TotalAmt
Program Services$117,349ProgramServicesAmt
Management And General$21,163ManagementAndGeneralAmt
Fundraising$12,095FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,911TotalAmt
Program Services$41,986ProgramServicesAmt
Management And General$7,003ManagementAndGeneralAmt
Fundraising$2,922FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,200TotalAmt
Program Services$5,759ProgramServicesAmt
Management And General$793ManagementAndGeneralAmt
Fundraising$648FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$104,544TotalAmt
Program Services$104,544ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$89,471TotalAmt
Program Services$25,179ProgramServicesAmt
Fundraising$64,292FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$63,978TotalAmt
Program Services$28,334ProgramServicesAmt
Management And General$18,537ManagementAndGeneralAmt
Fundraising$17,107FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$68,479TotalAmt
Program Services$32,698ProgramServicesAmt
Management And General$25,262ManagementAndGeneralAmt
Fundraising$10,519FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$42,756TotalAmt
Program Services$20,417ProgramServicesAmt
Management And General$15,772ManagementAndGeneralAmt
Fundraising$6,567FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,175TotalAmt
Program Services$50,516ProgramServicesAmt
Fundraising$1,659FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,492TotalAmt
Program Services$15,492ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,232TotalAmt
Program Services$7,593ProgramServicesAmt
Fundraising$3,639FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,409TotalAmt
Program Services$22,962ProgramServicesAmt
Management And General$2,781ManagementAndGeneralAmt
Fundraising$1,666FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL EQUIPMENT & SUP$154,617$154,617
OTHER EXPENSE$136,545$120,883$11,051$4,611
PHARMACEUTICAL$99,461$99,461
HOSPITAL AND LAB WORK$54,221$54,221

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,806TotalAmt
Program Services$15,806ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,980,825TotalAmt
Program Services$2,357,423ProgramServicesAmt
Management And General$324,752ManagementAndGeneralAmt
Fundraising$298,650FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$969,725BOYAmt
EOY$541,763EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$426,814BOYAmt
EOY$733,189EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$681,820LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$316,782LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$376,270BOYAmt
EOY$365,038EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,672,529BOYAmt
EOY$3,017,788EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,445,338BOYAmt
EOY$4,657,778EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$78,379BOYAmt
EOY$105,486EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$464,318BOYAmt
EOY$128,346EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$542,697BOYAmt
EOY$233,832EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,855,809BOYAmt
EOY$4,330,254EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,832BOYAmt
EOY$93,692EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,902,641BOYAmt
EOY$4,423,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,445,338BOYAmt
EOY$4,657,778EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$385,049ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$136,256NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$285,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,465,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$537,042CurrentTaxYearMinus1YearAmt
Current Tax Year$662,111CurrentTaxYearAmt
Total$3,093,619TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$285,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,465,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$537,042CurrentTaxYearMinus1YearAmt
Current Tax Year$662,111CurrentTaxYearAmt
Total$3,093,619TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$163,061SubstantialContributorsTotAmt
Public Support Total170$2,930,558PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$458,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$213,346CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$516,847CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,578CurrentTaxYearMinus1YearAmt
Current Tax Year$7,885CurrentTaxYearAmt
Total$1,245,079TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,246CurrentTaxYearMinus4YearsAmt
Total$8,246TotalAmt
FieldValueIRS element (for citing)
Total Support$4,346,944TotalSupportAmt
Gross Receipts Rltd Activities$8,793,671GrossReceiptsRltdActivitiesAmt
Public Support CY1700.67420PublicSupportCY170Pct
Public Support PY1700.60710PublicSupportPY170Pct
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$450,236BeginningYearBalanceAmt
Contributions$100ContributionsAmt
Investment Earnings Or Losses$46,970InvestmentEarningsOrLossesAmt
Other Expenditures$20,412OtherExpendituresAmt
Administrative Expenses$4,071AdministrativeExpensesAmt
End Year Balance$472,823EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$545,611BeginningYearBalanceAmt
Contributions$300ContributionsAmt
Investment Earnings Or Losses$43,687InvestmentEarningsOrLossesAmt
Other Expenditures$135,115OtherExpendituresAmt
Administrative Expenses$4,247AdministrativeExpensesAmt
End Year Balance$450,236EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$465,736BeginningYearBalanceAmt
Contributions$100ContributionsAmt
Investment Earnings Or Losses$84,871InvestmentEarningsOrLossesAmt
Administrative Expenses$5,096AdministrativeExpensesAmt
End Year Balance$545,611EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$503,217BeginningYearBalanceAmt
Investment Earnings Or Losses-$32,425InvestmentEarningsOrLossesAmt
Administrative Expenses$5,056AdministrativeExpensesAmt
End Year Balance$465,736EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$400,802BeginningYearBalanceAmt
Contributions$42,964ContributionsAmt
Investment Earnings Or Losses$63,904InvestmentEarningsOrLossesAmt
Administrative Expenses$4,453AdministrativeExpensesAmt
End Year Balance$503,217EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$449,279OtherCostOrOtherBasisAmt
Depreciation$84,241DepreciationAmt
Book Value$365,038BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,633OtherCostOrOtherBasisAmt
Depreciation$170,633DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,908OtherCostOrOtherBasisAmt
Depreciation$61,908DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$365,038TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescHHS REFUNDABLE ADVANCEDesc
Amt$128,346Amt
FieldValueIRS element (for citing)
Total Liability$128,346TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,549,554TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$136,256NetUnrealizedGainsInvstAmt
Other Revenue$54,623OtherRevenueAmt
Revenue Not Reported$190,879RevenueNotReportedAmt
Revenue Subtotal$3,358,675RevenueSubtotalAmt
Investment Expenses Not Incld$7,199InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$7,199RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,365,874TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,028,249TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$54,623OtherExpensesIncludedAmt
Expenses Not Reported$54,623ExpensesNotReportedAmt
Expenses Subtotal$2,973,626ExpensesSubtotalAmt
Investment Expenses Not Incld2$7,199InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$7,199ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,980,825TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO PROVIDE SUPPORTING SERVICES TO THOSE INDIVIDUALS WHO ARE UNABLE TO PROVIDE THEIR OWN SUPPORT OR WHO DO NOT QUALIFY FOR THIRD PARTY REIMBURSEMENT.
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS INCOME FROM THE YEAR ENDED DECEMBER 31,2021. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. BECAUSE THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER INTERNAL REVENUE CODE 501(C)(3), THE ORGANIZATION IS GENERALLY NOT EXPOSED TO INTEREST AND PENALTIES RELATED TO INCOME TAXES. WHEN APPLICABLE, THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES PAID RELATED TO TAX OBLIGATIONS AND BENEFITS IN MANAGEMENT AND GENERAL EXPENSES. THE ORGANIZATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF SOUTH CAROLINA.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REVENUE TO PROVIDE SUPPORT TO THOSE WHO ARE UNABLE TO PAY OR W/O INSURANCE 54,623.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES TO PROVIDE SUPPORT TO THOSE WHO ARE UNABLE TO PAY OR W/O INSURANCE 54,623.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE TREASURER DISTRIBUTES THE TAX RETURN AND AUDITED FINANCIAL REPORT TO ALL BOARD MEMBERS FOR THEIR REVIEW, WHICH IS FOLLOWED BY A BOARD MEETING FOR QUESTONS AND ANSWERS, AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE ORGANIZATION NOTIFIES ALL OFFICERS AND DIRECTORS THAT A CONFLICT OF INTEREST POLICY IS IN EXISTENCE, AND REMINDS EACH PARTY THAT ANY CONFLICT IS REQUIRED TO BE DISCLOSED TO ALL OF THOSE IN CHARGE OF GOVERNANCE.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DECIDES COMPENSATION FOR THE EXECUTIVE DIRECTOR BY COMPARING MARKET DATA FOR THE POSITION IN SIMILAR ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL INFORMATION IS PROVIDED UPON REQUEST FROM ANY OUTSIDE PARTY.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED