STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOSPICE AND PALLIATIVE CARE OF THE WOOD RIVER VALLEY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HOSPICE AND PALLIATIVE CARE OF THE WOOD RIVER VALLEY INC (EIN 82-0397698)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-06-08
IRS object ID
202231599349300318
Schema version
2021v4.0
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)
Return2022-06-08T14:44:30-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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)
PersonLISA WILDPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2087268464PhoneNum
Signature2022-05-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLISAPersonFirstNm
Person LastWILDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLINDA P CHAMBERSPreparerPersonNm
PTINP00157522PTIN
Phone2087889595PhoneNum
Preparation2022-06-08PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA WILDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4320AddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,707,420GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers91TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$946,037PYContributionsGrantsAmt
CY Contributions Grants$2,074,662CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$70,420PYInvestmentIncomeAmt
CY Investment Income$89,337CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,016,457PYTotalRevenueAmt
CY Total Revenue$2,163,999CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$392,367PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$470,748CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$54,979CYTotalFundraisingExpenseAmt
PY Other Expenses$94,474PYOtherExpensesAmt
CY Other Expenses$108,876CYOtherExpensesAmt
PY Total Expenses$486,841PYTotalExpensesAmt
CY Total Expenses$579,624CYTotalExpensesAmt
PY Revenues Less Expenses$529,616PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,584,375CYRevenuesLessExpensesAmt
Total Assets BOY$5,868,609TotalAssetsBOYAmt
Total Assets EOY$8,800,889TotalAssetsEOYAmt
Total Liabilities BOY$68,577TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,606TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,800,032NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,787,283NetAssetsOrFundBalancesEOYAmt
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$455,048ExpenseAmt
DescTHE HOSPICE PROVIDES CARE FOR THE TERMINALLY ILL, BEREAVEMENT PROGRAMS FOR BOTH ADULTS AND CHILDREN, AND PROVIDES EDUCATION AND RESOURCES REGARDING WELLNESS. IN 2021 THEY SERVED 1,367 INDIVIDUALS INCLUDING 135 HOSPICE PATIENTS AND THEIR FAMILIES. THEY PROVIDED EDUCATIONAL/TRAINING OPPORTUNITIES REACHING 148 INDIVIDUALS. RN'S MADE 2,272 VISITS. 36 SUPPORT GROUPS WERE OFFERED, FOCUSING ON CAREGIVING AND BEREAVEMENT. VOLUNTEERS PROVIDED 1,327 HOURS OF SERVICE.Desc
Total Program Service Expenses$455,048TotalProgramServiceExpensesAmt
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 IndividualsfalseGrantsToIndividualsInd
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 ContriYes (true)DeductibleNonCashContriInd
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
Employee11EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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

FieldValueIRS element (for citing)
PersonCRISS FALLOWFIELDPersonNm
Phone2087268464PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
LISA WILD
EXECUTIVE DI40.00Yes (X)$116,425$0$4,250
LYNN CAMPION
VICE PRESIDE0.50Yes (X)$0$0$0Yes (X)
BRUCE COLLIER
SECRETARY1.50Yes (X)$0$0$0Yes (X)
ROBERT RENIERS
TREASURER1.00Yes (X)$0$0$0Yes (X)
MICKI CHAPIN
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
BOB ELGEE
DIRECTOR1.50$0$0$0Yes (X)
PETER LAFLEUR
TREASURER1.00Yes (X)$0$0$0Yes (X)
ERIN PFAEFFLE
DIRECTOR0.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$116,425TotalReportableCompFromOrgAmt
Total Other Compensation$4,250TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$2,074,662AllOtherContributionsAmt
Noncash Contributions$73,155NoncashContributionsAmt
Total Contributions$2,074,662TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,106TotalRevenueColumnAmt
Exclusion$90,106ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$542,652SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$543,421SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$769SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$769TotalRevenueColumnAmt
Exclusion-$769ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,163,999TotalRevenueColumnAmt
Exclusion$89,337ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$419,708TotalAmt
Program Services$335,766ProgramServicesAmt
Management And General$41,971ManagementAndGeneralAmt
Fundraising$41,971FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,721TotalAmt
Program Services$14,177ProgramServicesAmt
Management And General$1,772ManagementAndGeneralAmt
Fundraising$1,772FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,319TotalAmt
Program Services$26,655ProgramServicesAmt
Management And General$3,332ManagementAndGeneralAmt
Fundraising$3,332FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,284TotalAmt
Management And General$6,284ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,344TotalAmt
Management And General$1,344ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,328TotalAmt
Program Services$6,600ProgramServicesAmt
Management And General$3,016ManagementAndGeneralAmt
Fundraising$3,712FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,492TotalAmt
Program Services$10,144ProgramServicesAmt
Management And General$4,348ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,815TotalAmt
Program Services$7,815ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,566TotalAmt
Program Services$3,259ProgramServicesAmt
Management And General$3,307ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,524TotalAmt
Program Services$6,265ProgramServicesAmt
Management And General$2,259ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
PATIENT CARE$15,234$15,234
PUBLIC RELATIONS$9,579$9,579
CAREGIVER RESPITE FUND$8,774$8,774
BANK CHARGES$4,192$4,192

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,744TotalAmt
Program Services$10,780ProgramServicesAmt
Management And General$1,964ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$579,624TotalAmt
Program Services$455,048ProgramServicesAmt
Management And General$69,597ManagementAndGeneralAmt
Fundraising$54,979FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$251,278BOYAmt
EOY$547,369EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$523,473BOYAmt
EOY$40,008EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$252,664LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$183,301LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,929BOYAmt
EOY$69,363EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,017,929BOYAmt
EOY$8,144,149EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,868,609BOYAmt
EOY$8,800,889EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,577BOYAmt
EOY$13,606EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,577BOYAmt
EOY$13,606EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,089,002BOYAmt
EOY$4,414,376EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,711,030BOYAmt
EOY$4,372,907EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,800,032BOYAmt
EOY$8,787,283EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,868,609BOYAmt
EOY$8,800,889EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,584,375ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,334,464NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$68,412OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
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$713,199CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,214,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,230,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$946,037CurrentTaxYearMinus1YearAmt
Current Tax Year$2,074,662CurrentTaxYearAmt
Total$6,178,608TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$713,199CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,214,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,230,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$946,037CurrentTaxYearMinus1YearAmt
Current Tax Year$2,074,662CurrentTaxYearAmt
Total$6,178,608TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,620,204SubstantialContributorsTotAmt
Public Support Total170$3,558,404PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,700CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,917CurrentTaxYearMinus1YearAmt
Current Tax Year$90,106CurrentTaxYearAmt
Total$288,695TotalAmt
FieldValueIRS element (for citing)
Total Support$6,467,303TotalSupportAmt
Public Support CY1700.55020PublicSupportCY170Pct
Public Support PY1700.70750PublicSupportPY170Pct
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$2,672,076BeginningYearBalanceAmt
Contributions$22,950ContributionsAmt
Investment Earnings Or Losses$659,570InvestmentEarningsOrLossesAmt
End Year Balance$3,354,596EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$676,569BeginningYearBalanceAmt
Contributions$677,176ContributionsAmt
Investment Earnings Or Losses-$93,645InvestmentEarningsOrLossesAmt
Other Expenditures$22,407OtherExpendituresAmt
End Year Balance$1,237,694EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$462,679BeginningYearBalanceAmt
Contributions$195,358ContributionsAmt
Investment Earnings Or Losses$18,532InvestmentEarningsOrLossesAmt
End Year Balance$676,569EndYearBalanceAmt
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$137,712DepreciationAmt
Book Value$69,363BookValueAmt

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$69,363TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITESDesc
Amt$13,606Amt
FieldValueIRS element (for citing)
Total Liability$13,606TotalLiabilityAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$73,155NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

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 9PPP LOAN FORGIVENESS 68,412