NATIONAL HOSPICE WORK GROUP INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: NATIONAL HOSPICE WORK GROUP INC (EIN 05-0504522)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-05-12
IRS object ID: 202221329349300032
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-12T10:16:05-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	814319449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CALDWELL & ASSOCIATES LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8120 WOODMONT AVENUE 400	AddressLine1Txt
City	BETHESDA	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	20814	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	050504522	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NATIONAL HOSPICE WORK GROUP INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NATI	BusinessNameControlTxt
Phone	3134475542	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 16TH STREET NW 400	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20006	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CAROLE FISHER	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	3134475542	PhoneNum
Signature	2022-05-12	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CAROLE	PersonFirstNm
Person Last	FISHER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM J CALDWELL CPA	PreparerPersonNm
PTIN	P00187908	PTIN
Phone	3019418090	PhoneNum
Preparation	2022-05-09	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	NATIONAL PARTNERSHIP FOR HOSPICE INNOVATIONS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CAROLE FISHER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 16TH STREET NW 400	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20006	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,377,868	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HOSPICEINNOVATIONS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO INFLUENCE THE FUTURE OF HOSPICE AND ADVANCED ILLNESS CARE THROUGH INNOVATION AND COLLABORATION.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,077,825	PYContributionsGrantsAmt
CY Contributions Grants	$1,154,724	CYContributionsGrantsAmt
PY Program Service Revenue	$296,169	PYProgramServiceRevenueAmt
CY Program Service Revenue	$223,034	CYProgramServiceRevenueAmt
PY Investment Income	$523	PYInvestmentIncomeAmt
CY Investment Income	$110	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$1,374,517	PYTotalRevenueAmt
CY Total Revenue	$1,377,868	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	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,170,231	PYOtherExpensesAmt
CY Other Expenses	$1,312,133	CYOtherExpensesAmt
PY Total Expenses	$1,170,231	PYTotalExpensesAmt
CY Total Expenses	$1,312,133	CYTotalExpensesAmt
PY Revenues Less Expenses	$204,286	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$65,735	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,234,363	TotalAssetsBOYAmt
Total Assets EOY	$1,823,947	TotalAssetsEOYAmt
Total Liabilities BOY	$680,732	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,207,416	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$553,631	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$616,531	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NATIONAL HOSPICE WORK GROUP, INC. ("THE ORGANIZATION") D/B/A NATIONAL PARTNERSHIP FOR HOSPICE INNOVATIONS (NPHI) IS A NATIONWIDE COLLABORATIVE OF NOT-FOR-PROFIT, COMMUNITY-INTEGRATED HOSPICE AND PALLIATIVE CARE PROVIDER MEMBERS WHO SERVE AS A CRUCIAL SAFETY NET FOR THE SICKEST, MOST VULNERABLE PATIENTS IN THE COMMUNITIES WE SERVE. WE ARE MISSION-DRIVEN AND COMMITTED TO IMPROVING ACCESS TO HIGH-QUALITY CARE, ADVANCING POLICIES THAT PROTECT VITAL HOSPICE AND PALLIATIVE CARE BENEFITS FOR OUR TERMINALLY-ILL SENIORS, AND DESIGN AND OPERATE HOSPICEPROGRAMS FOR SPECIAL POPULATIONS, SUCH AS CHILDREN, MINORITIES, AND PRISONERS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,056,951	ExpenseAmt
Revenue	$1,154,724	RevenueAmt
Desc	EXCHANGE OF BEST PRACTICES AND EDUCATION OF EXECUTIVES REGARDING NEW ADVANCEMENTS TO ENSURE EVERY PERSON RECEIVES EXCEPTIONAL CARE DURING HIS OR HER LAST STAGE OF LIFE, IMPROVE END OF LIFE CARE, DEVELOP ENHANCED SERVICES FOR ADVANCED ILLNESS PATIENTS AND MEMBER HOSPICES ANDINFLUENCE POLICIES THAT IMPACT THE DELIVERY OF HOSPICE AND OTHER ADVANCED ILLNESS CARE.	Desc
Total Program Service Expenses	$1,056,951	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	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	0	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	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CAROLE FISHER	PersonNm
Phone	3134475542	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 16TH STREET STE 400	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20006	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
CHUCK LEE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PATTI MOORE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DAVID COOK
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BILL FINN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SAMIRA BECKWITH
CHAIR	1.00	Yes (X)	$0	$0	$0
MARY ANN BOCCOLINI
TREASURER	1.00	Yes (X)	$0	$0	$0
ANDREW MOLOSKY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
KAREN RUBEL
DIRECTOR	1.00	Yes (X)	$0	$0	$0
LYNNE SEXTEN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CAROLE FISHER
PRESIDENT	40.00		$0	$175,000	$0	Yes (X)
TOM KOUTSOUMPAS
CEO	1.00		$0	$0	$0	Yes (X)
DIANA FRANCHITTO
VICE CHAIR	1.00		$0	$0	$0	Yes (X)
DEBBIE SHUMWAY
SECRETARY	1.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$175,000	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTHSPERIEN LLC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 16TH ST NW STE 400	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20006	ZIPCd

Field	Value	IRS element (for citing)
Services	MANAGEMENT AND PAYROLL SERVICES	ServicesDesc
Compensation	$982,188	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Membership Dues	$1,154,724	MembershipDuesAmt
Total Contributions	$1,154,724	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SUMMIT AND VENDOR SPON	Desc
Business	541900	BusinessCd
Total Revenue Column	$223,034	TotalRevenueColumnAmt
Related Or Exempt Func Income	$223,034	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$223,034	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,377,868	TotalRevenueColumnAmt
Related Or Exempt Func Income	$223,144	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$982,188	TotalAmt
Program Services	$785,750	ProgramServicesAmt
Management And General	$196,438	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$20,104	TotalAmt
Program Services	$16,083	ProgramServicesAmt
Management And General	$4,021	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,363	TotalAmt
Program Services	$5,090	ProgramServicesAmt
Management And General	$1,273	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$191,790	TotalAmt
Program Services	$153,432	ProgramServicesAmt
Management And General	$38,358	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$27,500	TotalAmt
Program Services	$22,000	ProgramServicesAmt
Management And General	$5,500	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,378	TotalAmt
Program Services	$1,102	ProgramServicesAmt
Management And General	$276	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$593	TotalAmt
Program Services	$474	ProgramServicesAmt
Management And General	$119	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,007	TotalAmt
Program Services	$5,606	ProgramServicesAmt
Management And General	$1,401	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$36,227	TotalAmt
Program Services	$36,227	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,617	TotalAmt
Program Services	$2,894	ProgramServicesAmt
Management And General	$723	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DUES, SUBSCRIPTIONS AND	$17,983	$14,386	$3,597
TELEPHONE AND COMMUNICA	$11,661	$9,329	$2,332
SUPPLIES	$4,990	$3,992	$998
BANK FEES	$732	$586	$146

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,312,133	TotalAmt
Program Services	$1,056,951	ProgramServicesAmt
Management And General	$255,182	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$838,513	BOYAmt
EOY	$300,375	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$394,535	BOYAmt
EOY	$464,915	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$934,325	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,315	BOYAmt
EOY	$124,332	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,000	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,234,363	BOYAmt
EOY	$1,823,947	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,713	BOYAmt
EOY	$2,500	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$605	BOYAmt
EOY	$776	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$667,414	BOYAmt
EOY	$1,204,140	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$680,732	BOYAmt
EOY	$1,207,416	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$553,631	BOYAmt
EOY	$616,531	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$553,631	BOYAmt
EOY	$616,531	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,234,363	BOYAmt
EOY	$1,823,947	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$65,735	ReconcilationRevenueExpnssAmt
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	$681,661	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$972,334	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,380,506	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,260,103	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,154,724	CurrentTaxYearAmt
Total	$8,449,328	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$277,574	CurrentTaxYearMinus1YearAmt
Current Tax Year	$223,034	CurrentTaxYearAmt
Total	$500,608	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$681,661	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$972,334	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,380,506	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,537,677	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,377,758	CurrentTaxYearAmt
Total	$8,949,936	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$8,949,936	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$292	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$483	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$686	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110	CurrentTaxYearAmt
Total	$2,094	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$292	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$483	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$686	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110	CurrentTaxYearAmt
Total	$2,094	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$681,953	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$972,817	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,381,192	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,538,200	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,377,868	CurrentTaxYearAmt
Total	$8,952,030	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99980	PublicSupportCY509Pct
Public Support PY509	0.99970	PublicSupportPY509Pct
Investment Income CY	0.00020	InvestmentIncomeCYPct
Investment Income PY	0.00030	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,000	OtherCostOrOtherBasisAmt
Depreciation	$4,000	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	MEMBER DEPOSITS	Desc
Amt	$556,613	Amt

Field	Value	IRS element (for citing)
Total Liability	$556,613	TotalLiabilityAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	CAROLE FISHER	PersonNm
Title	PRESIDENT	TitleTxt
Base Compensation Filing Org	$0	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$135,000	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$40,000	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$0	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$175,000	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	REVIEWED ELECTRONICALLY AND AT GENERAL BOARD MEETING BY MEMBERS.
FORM 990, PART VI, SECTION C, LINE 19	NO DOCUMENTS LISTED ON LINE 19 ARE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 153,432. MANAGEMENT AND GENERAL EXPENSES 38,358. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,790.