STRATEGY STUDIO / PUBLIC DATA EXPLORER

HEAVENLY GRACE ASSISTANT LIVING FACILITY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEAVENLY GRACE ASSISTANT LIVING FACILITY INC (EIN 22-3891982)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-10
IRS object ID
202242229349300114
Schema version
2021v4.1
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)
Return2022-08-10T09:06:01-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521681255PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOAN M PRATT CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11900 E NORTHERN PKWY STE T-10AddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223891982EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEAVENLY GRACE ASSISTANT LIVINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEAVBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 GITTINGS AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENDA WEST-LITTLEPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone4432710884PhoneNum
Signature2022-06-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRENDAPersonFirstNm
Person LastWEST-LITTLEPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTACEY A JOHNSONPreparerPersonNm
PTINP01439643PTIN
Phone4102431200PhoneNum
Preparation2022-06-13PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRENDA WESTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 GITTINGS AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$203,267GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE SAFE ENVIRONMENT WITHIN A HOME LIKE SETTING FOR RESIDENTS THAT REQUIRE OBSERVATION AND ASSISTANCE WITH DAILY LIVINGActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$34,602PYContributionsGrantsAmt
CY Contributions Grants$11,084CYContributionsGrantsAmt
PY Program Service Revenue$189,430PYProgramServiceRevenueAmt
CY Program Service Revenue$192,183CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$224,032PYTotalRevenueAmt
CY Total Revenue$203,267CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$68,633PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$75,893CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$167,802PYOtherExpensesAmt
CY Other Expenses$171,526CYOtherExpensesAmt
PY Total Expenses$236,435PYTotalExpensesAmt
CY Total Expenses$247,419CYTotalExpensesAmt
PY Revenues Less Expenses-$12,403PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$44,152CYRevenuesLessExpensesAmt
Total Assets BOY$142,488TotalAssetsBOYAmt
Total Assets EOY$128,706TotalAssetsEOYAmt
Total Liabilities BOY$117,818TotalLiabilitiesBOYAmt
Total Liabilities EOY$231,731TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,670NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$103,025NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE QUALITY AND COMPASSION CARE IN A HOME LIKE ENVIRONMENT FOR OUR RESIDENTSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$247,419ExpenseAmt
DescPROVIDE SAFE LIVING ENVIROMENT FOR RESIDENTS WHO REQUIRE OBSERVATIONDesc
Total Program Service Expenses$247,419TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Excs Tax Sect4951 Or4952 Or4953falseExcsTaxSect4951Or4952Or4953Ind
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
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)
PersonBRENDA WEST LITTLEPersonNm
Phone4432710884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11210 GITTINGSAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21239ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BRENDA WEST
PRESIDENT400Yes (X)$52,500$0$0
RICARDO RICKS
VICE PRESIDENT200Yes (X)$0$0$0Yes (X)
BETTY MOORE
SECRETARY200Yes (X)$0$0$0Yes (X)
CORRINA BAILEY
TREASURER10Yes (X)$0$0$0Yes (X)
CHRISTIANNA FL
DIRECTOR10Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$52,500TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$11,084GovernmentGrantsAmt
Total Contributions$11,084TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM REVENUEDesc
Business621610BusinessCd
Total Revenue Column$192,183TotalRevenueColumnAmt
Related Or Exempt Func Income$192,183RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$192,183TotalProgramServiceRevenueAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$203,267TotalRevenueColumnAmt
Related Or Exempt Func Income$192,183RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,500TotalAmt
Management And General$52,500ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,000TotalAmt
Program Services$18,000ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,393TotalAmt
Management And General$5,393ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,137TotalAmt
Management And General$20,137ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$72,173TotalAmt
Management And General$72,173ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,321TotalAmt
Management And General$7,321ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,625TotalAmt
Program Services$5,625ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,852TotalAmt
Management And General$30,852ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$4,761$4,761
PHARMACY$1,437$1,437
AUTO$3,128$3,128
CONTRACT LABOR$26,092$26,092

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$247,419TotalAmt
Program Services$55,915ProgramServicesAmt
Management And General$191,504ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,343BOYAmt
EOY$9,041EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$295,234LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$176,625LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$138,089BOYAmt
EOY$118,609EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,056BOYAmt
EOY$1,056EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$142,488BOYAmt
EOY$128,706EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$117,818BOYAmt
EOY$81,731EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$150,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,818BOYAmt
EOY$231,731EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,670BOYAmt
EOY-$103,025EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,670BOYAmt
EOY-$103,025EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$142,488BOYAmt
EOY$128,706EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$44,152ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$83,543PriorPeriodAdjustmentsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$331,352CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$406,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$224,032CurrentTaxYearMinus1YearAmt
Current Tax Year$203,267CurrentTaxYearAmt
Total$1,562,947TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$331,352CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$406,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$224,032CurrentTaxYearMinus1YearAmt
Current Tax Year$203,267CurrentTaxYearAmt
Total$1,562,947TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,562,947PublicSupportTotal170Amt
Total Support$1,562,947TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$290,040OtherCostOrOtherBasisAmt
Depreciation$171,431DepreciationAmt
Book Value$118,609BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,194OtherCostOrOtherBasisAmt
Depreciation$5,194DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$118,609TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI 11BFORM 990 IS REVIEWED WITH THE ACCOUNTANT PRIOR TO SUBMISSION
PART VI LINE 19FORM 990 AND OTHER RELATED GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST