TRI-CITIES CHAPLAINCY: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TRI-CITIES CHAPLAINCY (EIN 91-0913590)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202223189349319512
- 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 | 2022-11-14T19:06:40-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562382653 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST CPA GROUP PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1333 COLUMBIA PARK TRAIL STE 210 | AddressLine1Txt |
| City | RICHLAND | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99352 | 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 | 910913590 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-CITIES CHAPLAINCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRI- | BusinessNameControlTxt |
| Phone | 5097837416 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1480 FOWLER STREET | AddressLine1Txt |
| City | RICHLAND | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99352 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURIE JACKSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5097837416 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LAURIE | PersonFirstNm |
| Person Last | JACKSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALISON C GEBERS | PreparerPersonNm |
| PTIN | P00423745 | PTIN |
| Phone | 5097351300 | PhoneNum |
| Preparation | 2022-11-14 | 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 | CHAPLAINCY HEALTH CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAURIE JACKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1480 FOWLER STREET | AddressLine1Txt |
| City | RICHLAND | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,388,953 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHAPLAINCYHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | WE GUIDE, COMFORT, AND CARE FOR PEOPLE EXPERIENCING SERIOUS ILLNESS, END OF LIFE, AND GRIEF. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 190 | TotalEmployeeCnt |
| Total Volunteers | 74 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,561,895 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,377,393 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,044,671 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,731,707 | CYProgramServiceRevenueAmt |
| PY Investment Income | $212,210 | PYInvestmentIncomeAmt |
| CY Investment Income | $755,298 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$635,628 | PYOtherRevenueAmt |
| CY Other Revenue | -$795,752 | CYOtherRevenueAmt |
| PY Total Revenue | $14,183,148 | PYTotalRevenueAmt |
| CY Total Revenue | $15,068,646 | 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 | $10,493,140 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,486,642 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $556,197 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,506,749 | PYOtherExpensesAmt |
| CY Other Expenses | $3,837,379 | CYOtherExpensesAmt |
| PY Total Expenses | $13,999,889 | PYTotalExpensesAmt |
| CY Total Expenses | $13,324,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $183,259 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,744,625 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,602,957 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,848,152 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,047,766 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $902,238 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,555,191 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,945,914 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHAPLAINCY HEALTH CARE EXISTS TO SERVE OTHERS WITH EXEMPLARY SPIRITUAL, EMOTIONAL, AND PHYSICAL CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,206,585 | ExpenseAmt |
| Revenue | $10,261,994 | RevenueAmt |
| Desc | HOSPICE CARE - THE HOSPICE TEAM PROVIDES COMPASSIONATE CARE TO INDIVIDUALS WITH A LIFE-LIMITING ILLNESS THAT FOCUSES ON ADDING COMFORT AND QUALITY TO EACH DAY. THE HOSPICE TEAM IS AN INTERDISCIPLINARY TEAM CONSISTING OF A PHYSICIAN, NURSES, SOCIAL WORKERS, CHAPLAINS, NURSING ASSISTANTS, GRIEF CARE SPECIALISTS AND VOLUNTEERS WHO CARE FOR THE FAMILY AS WELL AS THE PATIENT. PATIENTS RECEIVE EXPERT MEDICAL CARE, AS WELL AS EMOTIONAL AND SPIRITUAL SUPPORT WHEREVER THEY CALL HOME. OUR 10-BED HOSPICE HOUSE IS AVAILABLE FOR GENERAL IN-PATIENT CARE WHEN PAIN AND SYMPTOMS CANNOT BE MANAGED IN THE HOME SETTING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $439,639 | ExpenseAmt |
| Revenue | $368,140 | RevenueAmt |
| Desc | CHAPLAIN SERVICES - PROFESSIONAL CHAPLAINS CONNECT BODY, MIND AND SPIRIT, ESPECIALLY WHEN UNDER STRESS. OUR TEAM OF PROFESSIONAL CHAPLAINS PROVIDE SPIRITUAL CARE SERVICES TO HOSPITALS, CORRECTIONAL INSTITUTIONS, HOSPICE, AND THE COMMUNITY AT LARGE. CHAPLAINS OFFER EMOTIONAL AND SPIRITUAL SUPPORT THOUGH DISTRESSING TIMES TO GUIDE PEOPLE TOWARD PEACE, UNDERSTANDING, RECOVERY, AND DIGNIFIED DYING. OUR CHAPLAINS REPRESENT A WIDE RANGE OF DENOMINATIONS AND CARE FOR THOSE IN CRISIS REGARDLESS OF THEIR RELIGIOUS AFFILIATION (OR LACK THEREOF). THEY PRIORITIZE AND PROMOTE THE SPRITUAL AND EXISTENTIAL RESOURCES OF THE INDIVIDUAL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $96,392 | ExpenseAmt |
| Revenue | $79,695 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH - ASSISTS INDIVIDUALS AND FAMILIES TO WORK THROUGH LIFE'S CHALLENGES BY PROVIDING HELP MANAGING CHANGE AND NAVIGATING UNCERTAINTY. LICENSED THERAPISTS OFFER EVIDENCE-BASED TREATMENTS AND EMPHASIZE IMPROVING THE TWO THINGS THAT MATTER MOST - QUALITY OF LIFE AND RELATIONSHIPS. COUNSELING IS FOR INDIVIDUALS, COUPLES, CHILDREN AND FAMILIES AND IS CULTURALLY SENSITIVE AND BI-LINGUAL. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $600,967 | ExpenseAmt |
| Revenue | $21,878 | RevenueAmt |
| Desc | CORK'S PLACE - PROVIDES A SAFE AND NURTURING PLACE WHERE HURTING CHILDREN, TEENS AND FAMILIES CAN SHARE EXPERIENCES AND SUPPORT ONE ANOTHER THROUGH THE DIFFICULT PROCESS OF EMOTIONAL HEALING. IT IS STAFFED BY PROFESSIONAL GRIEF COUNSELORS AND TRAINED VOLUNTEERS AND IS THE ONLY FACILITY IN OUR AREA THAT IS SPECIFICALLY DESIGNED FOR CHILDREN AND TEENAGERS WHO ARE GRIEVING THE DEATH OF A LOVED ONE. OTHER PROGRAMS INCLUDE BEREAVEMENT GROUPS AND COMMUNITY OUTREACH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $600,967 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $21,878 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,343,583 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 190 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAURIE JACKSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5097837416 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1480 FOWLER STREET | AddressLine1Txt |
| City | RICHLAND | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99352 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JOHN SERLE | |||||||
| CHAIR | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NAVDEEP GIL | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SYNDEE SAUCEDA-CAVAZOS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE CICOTTE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RON KATHREN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHELLEY MATTA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER GILCHRIST | |||||||
| VICE CHAIR /CEO (INTERIM) | 40.00 | Yes (X) | Yes (X) | $18,813 | $0 | $0 | |
| QUINN SMITH | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| FARION WILLIAMS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BRUCE COVERT | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA MEAD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES MAIN | |||||||
| CHIEF FINANCIAL OFFICER/TR | 40.00 | Yes (X) | $161,064 | $0 | $21,929 | ||
| ZOE DIAZ | |||||||
| SECRETARY | 40.00 | Yes (X) | $54,246 | $0 | $10,719 | ||
| GARY CASTILLO | |||||||
| EXECUTIVE DIRECTOR (FORMER) | 40.00 | Yes (X) | $148,002 | $0 | $6,203 | ||
| THOMAS CORLEY | |||||||
| CHIEF EXECUTIVE OFFICER (INTERIM) | 40.00 | Yes (X) | $64,500 | $0 | $0 | ||
| ROBERT ROSSELLI | |||||||
| CHIEF EXECUTIVE OFFICER (INTERIM) | 40.00 | Yes (X) | $18,569 | $0 | $0 | ||
| WAYNE KOHAN | |||||||
| MEDICAL DIRECTOR (FORMER) | 40.00 | $224,339 | $0 | $26,973 | Yes (X) | ||
| JILL ADCOCK | |||||||
| DIRECTOR OF HOSPICE (FORMER) | 40.00 | $129,057 | $0 | $19,163 | Yes (X) | ||
| SHANNON NOVAKOVICH | |||||||
| DIRECTOR OF HUMAN RESOURCE | 40.00 | $139,995 | $0 | $13,381 | Yes (X) | ||
| YVONNE MICHEL | |||||||
| RN | 40.00 | $122,553 | $0 | $12,924 | Yes (X) | ||
| ROBIN KUEMPER | |||||||
| RN | 40.00 | $124,694 | $0 | $19,201 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,205,832 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $130,493 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | 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 |
|---|---|---|---|---|---|
| MACDONALD-MILLER FACILITY SOLUTIONS LLC | |||||
| DEPT C700 PO BOX 509017 | SAN DIEGO | CA | 921509017 | HVAC CONTRACTOR | $426,625 |
| ALSC ARCHITECTS PS | |||||
| 203 N WASHINGTON ST SUITE 400 | SPOKANE | WA | 992010224 | ARCHITECTURAL FEES | $194,982 |
| MEDEFIS INC | |||||
| PO BOX 5065 | NEW YORK | NY | 10087 | CONTRACTED RN STAFFING | $187,432 |
| WELLSKY FINANCIAL SERVICES LLC | |||||
| PO BOX 207613 | DALLAS | TX | 753207613 | MEDICAL BILLING SERVICES | $145,533 |
| VISION MUNICIPAL SOLUTIONS INC | |||||
| PO BOX 2849 | SPOKANE | WA | 99228 | IT AND HELP DESK SUPPORT | $129,492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $8,029 | FederatedCampaignsAmt |
| Fundraising | $186,245 | FundraisingAmt |
| Government Grants | $1,982,528 | GovernmentGrantsAmt |
| All Other Contributions | $2,200,591 | AllOtherContributionsAmt |
| Noncash Contributions | $608,877 | NoncashContributionsAmt |
| Total Contributions | $4,377,393 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPICE CARE | 621610 | $10,261,994 | $10,261,994 |
| CHAPLAIN SERVICES | 812900 | $368,140 | $368,140 |
| BEHAVIOR HEALTH | 621300 | $79,695 | $79,695 |
| OTHER PROGRAMS | 812900 | $21,878 | $21,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,731,707 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,282 | TotalRevenueColumnAmt |
| Exclusion | $37,282 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,632,408 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,914,392 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $718,016 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $718,016 | TotalRevenueColumnAmt |
| Exclusion | $718,016 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $186,245 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $20,049 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,049 | TotalRevenueColumnAmt |
| Exclusion | -$20,049 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $610,163 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,385,866 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$775,703 | TotalRevenueColumnAmt |
| Exclusion | -$775,703 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,068,646 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,731,707 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$40,454 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,066 | TotalAmt |
| Management And General | $309,066 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,473,128 | TotalAmt |
| Program Services | $6,654,060 | ProgramServicesAmt |
| Management And General | $497,657 | ManagementAndGeneralAmt |
| Fundraising | $321,411 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,645 | TotalAmt |
| Program Services | $246,163 | ProgramServicesAmt |
| Management And General | $25,744 | ManagementAndGeneralAmt |
| Fundraising | $10,738 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,640 | TotalAmt |
| Program Services | $583,595 | ProgramServicesAmt |
| Management And General | $75,549 | ManagementAndGeneralAmt |
| Fundraising | $41,496 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,163 | TotalAmt |
| Program Services | $628,024 | ProgramServicesAmt |
| Management And General | $66,115 | ManagementAndGeneralAmt |
| Fundraising | $27,024 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,791 | TotalAmt |
| Program Services | $13,201 | ProgramServicesAmt |
| Management And General | $6,450 | ManagementAndGeneralAmt |
| Fundraising | $1,140 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,057 | TotalAmt |
| Management And General | $37,057 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,460 | TotalAmt |
| Management And General | $28,460 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $872,312 | TotalAmt |
| Program Services | $675,363 | ProgramServicesAmt |
| Management And General | $159,184 | ManagementAndGeneralAmt |
| Fundraising | $37,765 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,525 | TotalAmt |
| Program Services | $131,050 | ProgramServicesAmt |
| Management And General | $91,739 | ManagementAndGeneralAmt |
| Fundraising | $6,736 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,848 | TotalAmt |
| Program Services | $171,236 | ProgramServicesAmt |
| Management And General | $9,651 | ManagementAndGeneralAmt |
| Fundraising | $14,961 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,344 | TotalAmt |
| Program Services | $169,047 | ProgramServicesAmt |
| Management And General | $29,975 | ManagementAndGeneralAmt |
| Fundraising | $7,322 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,818 | TotalAmt |
| Program Services | $228,934 | ProgramServicesAmt |
| Management And General | $22,900 | ManagementAndGeneralAmt |
| Fundraising | $14,984 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,630 | TotalAmt |
| Program Services | $169,640 | ProgramServicesAmt |
| Management And General | $1,579 | ManagementAndGeneralAmt |
| Fundraising | $1,411 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,731 | TotalAmt |
| Program Services | $21,773 | ProgramServicesAmt |
| Management And General | $5,507 | ManagementAndGeneralAmt |
| Fundraising | $4,451 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,087 | TotalAmt |
| Program Services | $179,710 | ProgramServicesAmt |
| Management And General | $20,416 | ManagementAndGeneralAmt |
| Fundraising | $9,961 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,120 | TotalAmt |
| Program Services | $78,550 | ProgramServicesAmt |
| Management And General | $20,593 | ManagementAndGeneralAmt |
| Fundraising | $3,977 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $1,190,626 | $1,184,823 | $3,619 | $2,184 |
| BAD DEBTS | $174,822 | $156,938 | $2,884 | $15,000 |
| MISCELLANEOUS | $65,078 | $27,757 | $7,493 | $29,828 |
| DUES AND LICENSES | $32,130 | $23,719 | $2,603 | $5,808 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,324,021 | TotalAmt |
| Program Services | $11,343,583 | ProgramServicesAmt |
| Management And General | $1,424,241 | ManagementAndGeneralAmt |
| Fundraising | $556,197 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $872,869 | BOYAmt |
| EOY | $723,426 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,818,983 | BOYAmt |
| EOY | $1,637,662 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,528 | BOYAmt |
| EOY | $13,750 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,736,835 | BOYAmt |
| EOY | $1,029,847 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,830 | BOYAmt |
| EOY | $155,921 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,156 | BOYAmt |
| EOY | $92,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,425,667 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,146,747 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,429,201 | BOYAmt |
| EOY | $4,278,920 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,952,553 | BOYAmt |
| EOY | $2,714,362 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,002 | BOYAmt |
| EOY | $1,201,434 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,602,957 | BOYAmt |
| EOY | $11,848,152 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,022,848 | BOYAmt |
| EOY | $902,238 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,533 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,805,385 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,047,766 | BOYAmt |
| EOY | $902,238 | 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 | $7,541,568 | BOYAmt |
| EOY | $9,086,824 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,623 | BOYAmt |
| EOY | $1,859,090 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,555,191 | BOYAmt |
| EOY | $10,945,914 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,602,957 | BOYAmt |
| EOY | $11,848,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,744,625 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$353,901 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $772,338 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,077,823 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,581,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,561,895 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,377,393 | CurrentTaxYearAmt |
| Total | $10,371,326 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $772,338 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,077,823 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,581,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,561,895 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,377,393 | CurrentTaxYearAmt |
| Total | $10,371,326 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,371,326 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,495 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,991 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81,908 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,923 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,282 | CurrentTaxYearAmt |
| Total | $357,599 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,728,925 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $56,993,381 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96670 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,244,633 | BeginningYearBalanceAmt |
| Contributions | $339,594 | ContributionsAmt |
| Investment Earnings Or Losses | $269,005 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $890,865 | OtherExpendituresAmt |
| Administrative Expenses | $19,566 | AdministrativeExpensesAmt |
| End Year Balance | $1,942,801 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,460,207 | BeginningYearBalanceAmt |
| Contributions | $108,434 | ContributionsAmt |
| Investment Earnings Or Losses | $195,708 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $500,414 | OtherExpendituresAmt |
| Administrative Expenses | $19,302 | AdministrativeExpensesAmt |
| End Year Balance | $2,244,633 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,587,379 | BeginningYearBalanceAmt |
| Contributions | $213,301 | ContributionsAmt |
| Investment Earnings Or Losses | $315,978 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $629,000 | OtherExpendituresAmt |
| Administrative Expenses | $27,451 | AdministrativeExpensesAmt |
| End Year Balance | $2,460,207 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,548,015 | BeginningYearBalanceAmt |
| Contributions | $509,062 | ContributionsAmt |
| Investment Earnings Or Losses | -$142,171 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $299,000 | OtherExpendituresAmt |
| Administrative Expenses | $28,527 | AdministrativeExpensesAmt |
| End Year Balance | $2,587,379 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,024,970 | BeginningYearBalanceAmt |
| Contributions | $310,766 | ContributionsAmt |
| Investment Earnings Or Losses | $256,700 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,000 | OtherExpendituresAmt |
| Administrative Expenses | $26,421 | AdministrativeExpensesAmt |
| End Year Balance | $2,548,015 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.21620 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.53840 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.24540 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,047,831 | OtherCostOrOtherBasisAmt |
| Book Value | $1,047,831 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,047,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,248,100 | DepreciationAmt |
| Book Value | $2,799,723 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,524 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,450 | DepreciationAmt |
| Book Value | $13,074 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,304,489 | OtherCostOrOtherBasisAmt |
| Depreciation | $886,197 | DepreciationAmt |
| Book Value | $418,292 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,278,920 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONSTRUCTION IN PROGRESS | Desc |
| Book Value | $1,201,434 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,201,434 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,092,200 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$353,901 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$353,901 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,446,101 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $28,460 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$1,405,915 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$1,377,455 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,068,646 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,701,477 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,701,477 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $28,460 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$1,405,915 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$1,377,455 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,324,022 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE CHAPLAINCY IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED DECEMBER 31, 2021, THE CHAPLAINCY HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE CHAPLAINCY'S TAX POSITIONS AND CONCLUDED THAT THE CHAPLAINCY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES -20,049. COST OF GOODS SOLD -1,385,866. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES -20,049. COST OF GOODS SOLD -1,385,866. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | LIGHTING THE PATH BREAKFAST | Event1Nm |
| Gross Receipts Event1 | $127,922 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $127,922 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $11,588 | OtherDirectExpensesEvent1Amt |
| Event2 | HEART OF HEALING | Event2Nm |
| Gross Receipts Event2 | $58,323 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $58,323 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $8,461 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $186,245 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $186,245 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $20,049 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $20,049 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$20,049 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAYNE KOHAN | ||||||||||||||
| MEDICAL DIRECTOR (FORMER) | $224,339 | $0 | $0 | $0 | $0 | $0 | $8,919 | $0 | $18,054 | $0 | $251,312 | $0 | $0 | $0 |
| JAMES MAIN | ||||||||||||||
| CHIEF FINANCIAL OFFICER/TR | $161,064 | $0 | $0 | $0 | $0 | $0 | $6,618 | $0 | $15,311 | $0 | $182,993 | $0 | $0 | $0 |
| GARY CASTILLO | ||||||||||||||
| EXECUTIVE DIRECTOR (FORMER) | $148,002 | $0 | $0 | $0 | $0 | $0 | $2,906 | $0 | $3,297 | $0 | $154,205 | $0 | $0 | $0 |
| SHANNON NOVAKOVICH | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCE | $139,995 | $0 | $0 | $0 | $0 | $0 | $5,610 | $0 | $7,771 | $0 | $153,376 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED USING COMPARABLE INFORMATION FROM SIMILAR POSITIONS WITHIN THE COMMUNITY. THE BOARD OF DIRECTORS APPROVES THE COMPENSATION, WHICH IS DOCUMENTED THROUGH WRITTEN EMPLOYMENT CONTRACT. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $608,877 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | RESALE VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE TRI-CITIES CHAPLAINCY HAS ONE CLASS OF MEMBERSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE TRI-CITIES CHAPLAINCY HAS ONE CLASS OF MEMBERSHIP. THE MEMBERS ELECT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE TRI-CITIES CHAPLAINCY HAS ONE CLASS OF MEMBERSHIP. THE MEMBERS ELECT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY SENIOR MANAGEMENT BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS ALSO PROVIDED TO THE BOARD OF DIRECTORS' FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR INFORMATIONAL REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE TRI-CITIES CHAPLAINCY PROVIDES EDUCATION AND WRITTEN COMPLIANCE PROCEDURES TO DIRECTORS AND STAFF. A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL LISTED ELEMENTS UNDER LINE 15 ARE PERFORMED ON AN ANNUAL BASIS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR. BOARD OF DIRECTORS APPROVAL IS REQUIRED PRIOR TO ANY CHANGE IN COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THERE ARE NO OTHER GOVERNING DOCUMENTS AVAILABLE FOR DISTRIBUTION TO THE GENERAL PUBLIC. IRS FORMS 990 AND 1023 ARE AVAILABLE UPON REQUEST. |