HARBORS HOME HEALTH & HOSPICE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HARBORS HOME HEALTH & HOSPICE (EIN 91-1143445)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-07
- IRS object ID
- 202213119349303776
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-07T15:45:27-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | 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 | 911143445 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARBORS HOME HEALTH & HOSPICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARB | BusinessNameControlTxt |
| Phone | 3605325454 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 7TH STREET | AddressLine1Txt |
| City | HOQUIAM | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98550 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMIE GRAVES | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3605325454 | PhoneNum |
| Signature | 2022-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAMIE | PersonFirstNm |
| Person Last | GRAVES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2022-11-04 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMIE GRAVES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 7TH STREET | AddressLine1Txt |
| City | HOQUIAM | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,662,759 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYHHHH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 88 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,519 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,302,722 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,353,570 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,079,001 | CYProgramServiceRevenueAmt |
| PY Investment Income | $222,561 | PYInvestmentIncomeAmt |
| CY Investment Income | $274,777 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,155 | PYOtherRevenueAmt |
| CY Other Revenue | $6,259 | CYOtherRevenueAmt |
| PY Total Revenue | $8,586,805 | PYTotalRevenueAmt |
| CY Total Revenue | $10,662,759 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $725 | 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 | $5,323,356 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,989,366 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,839,692 | PYOtherExpensesAmt |
| CY Other Expenses | $3,670,778 | CYOtherExpensesAmt |
| PY Total Expenses | $8,163,773 | PYTotalExpensesAmt |
| CY Total Expenses | $8,660,144 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $423,032 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,002,615 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,099,373 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,204,104 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,457,383 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,531,478 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,641,990 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,672,626 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO REMAIN ACTIVE AND INDEPENDENT WITHIN THEIR OWN HOME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,919,052 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,079,001 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,353 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2021. 337 HOSPICE PATIENTS WERE SERVED DURING THE YEAR IN GRAYS HARBOR AND PACIFIC COUNTIES. | Desc |
| Total Program Service Expenses | $5,919,052 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 88 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CINDY MINZEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3605325454 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 7TH STREET | AddressLine1Txt |
| City | HOQUIAM | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98550 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| MICHAEL BARAN | |||||||
| SPEECH PATHOLOGIST | 40.00 | Yes (X) | $174,347 | $0 | $44,814 | ||
| RALPH CURRY | |||||||
| OCCUPATIONAL THERAPIST | 40.00 | Yes (X) | $130,251 | $0 | $31,835 | ||
| BRENT ROBERTS | |||||||
| PHYSICAL THERAPIST | 40.00 | Yes (X) | $122,974 | $0 | $27,041 | ||
| KAYLENE TATE | |||||||
| OCCUPATIONAL THERAPIST | 40.00 | Yes (X) | $116,443 | $0 | $16,153 | ||
| MARK SZTROIN | |||||||
| PHYSICAL THERAPIST | 40.00 | Yes (X) | $117,265 | $0 | $13,476 | ||
| JOEL STEPHENS | |||||||
| CEO (THROUGH MAY 2021) | 40.00 | $102,126 | $0 | $21,523 | Yes (X) | ||
| DARLENE GEENAWALT RN BOARD | |||||||
| VICE PRESIDENT, THEN INTERIM CEO | 24.00 | $52,710 | $0 | $3,521 | Yes (X) | Yes (X) | |
| CINDY GIBBONS | |||||||
| CONTRACT CFO (JAN - AUG 2021) | 10.00 | $0 | $0 | $0 | Yes (X) | ||
| LISA WEBER | |||||||
| CONTRCT CFO (AS OF SEP 2021) | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| NORM SPRAGUE | |||||||
| PRESIDENT | 4.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JAMIE GRAVES | |||||||
| DIRECTOR & VICE PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CAROL O'NEIL RN | |||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| NANCY WOOD | |||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| KEN RAUSCH | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHRIS RIGGS | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $816,116 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $158,363 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 55 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMN HEALTHCARE INC | |||||
| 12400 HIGH BLUFF DRIVE | SAN DIEGO | CA | 92130 | STAFFING SERVICES | $525,285 |
| SUPPLEMENTAL HEALTHCARE | |||||
| 6955 UNION PARK CENTER DR | COTTONWOOD HEIGHTS | UT | 84047 | STAFFING SERVICES | $300,947 |
| ASCENSION TECHNOLOGY GROUP | |||||
| PO BOX 3573 | BELLEVUE | WA | 98009 | IT CONSULTANTS | $156,277 |
| SIMIONE HEALTHCARE CONSULTANTS | |||||
| 4130 WHITNEY AVENUE | HAMDEN | CT | 06518 | CONTRACT CFO SERVICES | $135,721 |
| BRIGHTREE HOME HEALTH & HOSPICE | |||||
| 125 TECH PARKWAY | PEACHTREE CORNERS | GA | 30092 | EMR SERVICES | $121,856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,294,534 | GovernmentGrantsAmt |
| All Other Contributions | $8,188 | AllOtherContributionsAmt |
| Total Contributions | $1,302,722 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $9,079,001 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,079,001 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,079,001 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,264 | TotalRevenueColumnAmt |
| Exclusion | $65,264 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $209,513 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $209,513 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $209,513 | TotalRevenueColumnAmt |
| Exclusion | $209,513 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,259 | TotalRevenueColumnAmt |
| Exclusion | $6,259 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,259 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,662,759 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,079,001 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $281,036 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,880 | TotalAmt |
| Management And General | $179,880 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,917,854 | TotalAmt |
| Program Services | $2,065,060 | ProgramServicesAmt |
| Management And General | $852,794 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,761 | TotalAmt |
| Program Services | $157,684 | ProgramServicesAmt |
| Management And General | $69,077 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,981 | TotalAmt |
| Program Services | $929,580 | ProgramServicesAmt |
| Management And General | $436,401 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,890 | TotalAmt |
| Program Services | $200,875 | ProgramServicesAmt |
| Management And General | $98,015 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,684 | TotalAmt |
| Management And General | $38,684 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,630 | TotalAmt |
| Management And General | $21,630 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,004 | TotalAmt |
| Management And General | $16,004 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,615,188 | TotalAmt |
| Program Services | $1,126,053 | ProgramServicesAmt |
| Management And General | $489,135 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,372 | TotalAmt |
| Program Services | $16,380 | ProgramServicesAmt |
| Management And General | $7,992 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,712 | TotalAmt |
| Program Services | $224,927 | ProgramServicesAmt |
| Management And General | $141,785 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,567 | TotalAmt |
| Program Services | $187,888 | ProgramServicesAmt |
| Management And General | $91,679 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,719 | TotalAmt |
| Program Services | $34,759 | ProgramServicesAmt |
| Management And General | $16,960 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,013 | TotalAmt |
| Program Services | $253,455 | ProgramServicesAmt |
| Management And General | $1,558 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,610 | TotalAmt |
| Program Services | $17,212 | ProgramServicesAmt |
| Management And General | $8,398 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,449 | TotalAmt |
| Program Services | $132,027 | ProgramServicesAmt |
| Management And General | $64,422 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,423 | TotalAmt |
| Program Services | $67,491 | ProgramServicesAmt |
| Management And General | $32,932 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $516,492 | $368,646 | $147,846 |
| BAD DEBT EXPENSE | $83,933 | $83,933 | |
| DUES & SUBSCRIPTIONS | $61,926 | $41,619 | $20,307 |
| OTHER EXPENSES | $11,520 | $7,742 | $3,778 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,536 | TotalAmt |
| Program Services | $3,721 | ProgramServicesAmt |
| Management And General | $1,815 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,660,144 | TotalAmt |
| Program Services | $5,919,052 | ProgramServicesAmt |
| Management And General | $2,741,092 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,632,587 | BOYAmt |
| EOY | $1,011,895 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,218 | BOYAmt |
| EOY | $572,931 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,122 | BOYAmt |
| EOY | $2,365,957 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,244 | BOYAmt |
| EOY | $62,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,122,656 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $903,666 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,317,004 | BOYAmt |
| EOY | $1,218,990 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,685,430 | BOYAmt |
| EOY | $4,971,369 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,768 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,099,373 | BOYAmt |
| EOY | $10,204,104 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,079,741 | BOYAmt |
| EOY | $799,202 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,574 | BOYAmt |
| EOY | $732,276 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,768 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $854,300 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,457,383 | BOYAmt |
| EOY | $1,531,478 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,641,990 | BOYAmt |
| EOY | $8,672,626 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,641,990 | BOYAmt |
| EOY | $8,672,626 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,099,373 | BOYAmt |
| EOY | $10,204,104 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,002,615 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $28,021 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| 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 | $12,134 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $197,861 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,923 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,519 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,302,722 | CurrentTaxYearAmt |
| Total | $1,526,159 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,022,169 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,418,436 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,661,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,353,570 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,079,001 | CurrentTaxYearAmt |
| Total | $40,534,468 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,034,303 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,616,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,670,215 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,358,089 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,381,723 | CurrentTaxYearAmt |
| Total | $42,060,627 | 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) |
|---|---|---|
| Current Tax Year Minus3 Years | $70,401 | CurrentTaxYearMinus3YearsAmt |
| Total | $70,401 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $70,401 | CurrentTaxYearMinus3YearsAmt |
| Total | $70,401 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $41,990,226 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $98,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $108,991 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,081 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,264 | CurrentTaxYearAmt |
| Total | $423,180 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $98,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $108,991 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,081 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,264 | CurrentTaxYearAmt |
| Total | $423,180 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $31,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $6,155 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,259 | CurrentTaxYearAmt |
| Total | $43,914 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,132,380 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,756,788 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,754,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,431,011 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,453,246 | CurrentTaxYearAmt |
| Total | $42,527,721 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98740 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98640 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01090 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,000 | OtherCostOrOtherBasisAmt |
| Book Value | $125,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $956,650 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,783 | DepreciationAmt |
| Book Value | $771,867 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,049 | DepreciationAmt |
| Book Value | $5,210 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,028,747 | OtherCostOrOtherBasisAmt |
| Depreciation | $711,834 | DepreciationAmt |
| Book Value | $316,913 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,218,990 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,590,843 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $28,021 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $28,021 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,562,822 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $16,004 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $83,933 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $99,937 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,662,759 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,560,207 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,560,207 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $16,004 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $83,933 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $99,937 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,660,144 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY. ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES ON THE FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 83,933. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 83,933. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BARAN | ||||||||||||||
| SPEECH PATHOLOGIST | $172,116 | $0 | $2,231 | $0 | $0 | $0 | $12,309 | $0 | $32,505 | $0 | $219,161 | $0 | $0 | $0 |
| RALPH CURRY | ||||||||||||||
| OCCUPATIONAL THERAPIST | $127,858 | $0 | $2,393 | $0 | $0 | $0 | $9,344 | $0 | $22,491 | $0 | $162,086 | $0 | $0 | $0 |
| BRENT ROBERTS | ||||||||||||||
| PHYSICAL THERAPIST | $120,490 | $0 | $2,484 | $0 | $0 | $0 | $8,746 | $0 | $18,295 | $0 | $150,015 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | JOEL STEPHENS RECEIVED A SEVERANCE PAYMENT OF $24,815 IN 2021. |
| PART I, LINE 7 | DURING 2021, IN HONOR OF OUR STAFF'S ONGOING WORK DURING THE COVID PANDEMIC, THE BOARD MADE ONE OF THE FINAL DISBURSEMENTS OF THE COVID CARES MONIES TO OUR EMPLOYEES TO RECOGNIZE THEIR WORK DURING THE HOLIDAY SEASON. FULL TIME EMPLOYEES RECEIVED $2,000 EACH, THE INTERIM CEO RECEIVED $2,000, AND PART-TIME/PER DIEM EMPLOYEES RECEIVED $1,000 EACH. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | CONTRACT CFO SERVICES WERE PROVIDED BY CINDY GIBBONS AND LISA WEBER WITH SIMIONE HEALTHCARE CONSULTANTS. SIMIONE WAS PAID $135,721 FOR CFO SERVICES IN 2021. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM, REVIEWED BY THE ADMINISTRATOR AND FINANCIAL MANAGER, AND DISTRIBUTED TO THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS ITS BOARD MEMBERS AND EMPLOYEES CONTINUOUSLY TO ENSURE THAT CONFLICTS OF INTEREST ARE AVOIDED. THIS MANIFESTS ITSELF IN BOARD VOTES WHERE MEMBERS WITH POSSIBLE CONFLICTS OF INTEREST ABSTAIN FROM CERTAIN VOTES. EMPLOYEES ARE NOT ALLOWED TO MAINTAIN EMPLOYMENT WHERE A CONFLICT OF INTEREST EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THEY PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THIS SALARY. THE PROCESS WAS LAST PERFORMED IN 2021. THE CFO'S SALARY IS REVIEWED AND APPROVED BY THE CEO AND H.R. DIRECTOR. THEY PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THIS SALARY. THE PROCESS WAS LAST PERFORMED IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST IN PERSON AT THE ORGANIZATION'S MAIN OFFICE DURING NORMAL BUSINESS HOURS. |
| FORM 990, PART IX, LINE 11G | OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,126,053. MANAGEMENT AND GENERAL EXPENSES 489,135. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,615,188. |