MIRASOL HEALTH INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MIRASOL HEALTH INC (EIN 57-0774530)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2021-09-29
- IRS object ID
- 202102729349300605
- Schema version
- 2019v5.2
- 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 | 2021-09-29T07:40:23-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 570776381 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEBSTERROGERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1999 | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570774530 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE CARE OF THE LOWCOUNTRY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 8437062296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 PLANTATION PARK DRIVE | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAY ANDREWS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8437062296 | PhoneNum |
| Signature | 2021-09-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TAMARA L THOMPSON | PreparerPersonNm |
| PTIN | P00841562 | PTIN |
| Phone | 8437068440 | PhoneNum |
| Preparation | 2021-09-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | JENNY BRASINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 PLANTATION PARK DRIVE | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,577,548 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICECARELC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE SUPPORT AND HOME CARE FOR TERMINALLY ILL PATIENTS OF BEAUFORT CO.,SC | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 34 | TotalEmployeeCnt |
| Total Volunteers | 160 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,440,190 | PYContributionsGrantsAmt |
| CY Contributions Grants | $175,398 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,443,268 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,124,070 | CYProgramServiceRevenueAmt |
| PY Investment Income | $799 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,157 | CYInvestmentIncomeAmt |
| PY Other Revenue | $212,547 | PYOtherRevenueAmt |
| CY Other Revenue | $228,755 | CYOtherRevenueAmt |
| PY Total Revenue | $4,096,804 | PYTotalRevenueAmt |
| CY Total Revenue | $2,548,380 | 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 | $1,746,804 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,834,856 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $264,146 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $841,085 | PYOtherExpensesAmt |
| CY Other Expenses | $815,082 | CYOtherExpensesAmt |
| PY Total Expenses | $2,587,889 | PYTotalExpensesAmt |
| CY Total Expenses | $2,649,938 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,508,915 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$101,558 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,870,324 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,741,179 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $302,570 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,594 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,567,754 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,663,585 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE VOLUNTEER SUPPORTING SERVICES AND HOME CARE FOR THE TERMINALLY ILL AND OTHER ILLNESSES WHERE HOSPICE CARE IS DEEMED APPROPRIATE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,943,753 | ExpenseAmt |
| Revenue | $2,217,292 | RevenueAmt |
| Desc | HOSPICE CARE/HOME HEALTH CARE - SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,299 | ExpenseAmt |
| Desc | BEREAVEMENT - SUPPORT FOR FAMILIES OF TERMINALLY ILL PATIENTS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $139,486 | ExpenseAmt |
| Desc | EDUCATION - PROVIDING TRAINING AND SEMINARS FOR COMMUNITY AND OTHER HEALTH CARE GROUPS, TO EDUCATE THEM ON CARING FOR TERMINALLY ILL PATIENTS | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER MISCELLANEOUS REVENUE | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,094,538 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 34 | 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 |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 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 |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAYMOND ANDREWS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8437062296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 PLANTATION PARK DRIVE | AddressLine1Txt |
| City | BLUFFTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29910 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JANET PORTER | ||||||
| CHAIRMAN | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JACKIE DOUT | ||||||
| VICE PRESIDENT | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DONNA BAFUNDO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RAYMOND ANDREWS | ||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SUSAN ALLHUSEN | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHELLE WYCOFF | ||||||
| MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PHIL HARTMAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR MELISSA BROWN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JIM IRWIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN HOWE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JANET GORTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JENNY BRASINGTON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $126,646 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $126,646 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $175,398 | AllOtherContributionsAmt |
| Total Contributions | $175,398 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE PAYMENTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,124,070 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,124,070 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,124,070 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,157 | TotalRevenueColumnAmt |
| Exclusion | $20,157 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $250,330 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $29,168 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $221,162 | TotalRevenueColumnAmt |
| Exclusion | $221,162 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INVESTMENT INCOM | Desc |
| Business | 523000 | BusinessCd |
| Total Revenue Column | $7,593 | TotalRevenueColumnAmt |
| Exclusion | $7,593 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,593 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,548,380 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,124,070 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $248,912 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,518,438 | TotalAmt |
| Program Services | $1,200,560 | ProgramServicesAmt |
| Management And General | $167,365 | ManagementAndGeneralAmt |
| Fundraising | $150,513 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,929 | TotalAmt |
| Program Services | $17,635 | ProgramServicesAmt |
| Management And General | $5,843 | ManagementAndGeneralAmt |
| Fundraising | $1,451 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,244 | TotalAmt |
| Program Services | $124,562 | ProgramServicesAmt |
| Management And General | $19,195 | ManagementAndGeneralAmt |
| Fundraising | $8,487 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,245 | TotalAmt |
| Program Services | $112,031 | ProgramServicesAmt |
| Management And General | $16,577 | ManagementAndGeneralAmt |
| Fundraising | $10,637 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,866 | TotalAmt |
| Program Services | $37,097 | ProgramServicesAmt |
| Management And General | $6,187 | ManagementAndGeneralAmt |
| Fundraising | $2,582 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,864 | TotalAmt |
| Management And General | $11,864 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,176 | TotalAmt |
| Program Services | $102,176 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,637 | TotalAmt |
| Program Services | $14,147 | ProgramServicesAmt |
| Fundraising | $52,490 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,427 | TotalAmt |
| Program Services | $27,222 | ProgramServicesAmt |
| Management And General | $16,286 | ManagementAndGeneralAmt |
| Fundraising | $14,919 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,775 | TotalAmt |
| Program Services | $25,200 | ProgramServicesAmt |
| Management And General | $19,468 | ManagementAndGeneralAmt |
| Fundraising | $8,107 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,532 | TotalAmt |
| Program Services | $21,264 | ProgramServicesAmt |
| Management And General | $16,427 | ManagementAndGeneralAmt |
| Fundraising | $6,841 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,554 | TotalAmt |
| Program Services | $57,677 | ProgramServicesAmt |
| Fundraising | $2,877 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,728 | TotalAmt |
| Program Services | $16,728 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,196 | TotalAmt |
| Program Services | $3,436 | ProgramServicesAmt |
| Management And General | $2,655 | ManagementAndGeneralAmt |
| Fundraising | $1,105 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,622 | TotalAmt |
| Program Services | $5,550 | ProgramServicesAmt |
| Management And General | $4,287 | ManagementAndGeneralAmt |
| Fundraising | $1,785 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,720 | TotalAmt |
| Program Services | $14,324 | ProgramServicesAmt |
| Management And General | $1,533 | ManagementAndGeneralAmt |
| Fundraising | $863 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ROOM AND BOARD | $126,192 | $126,192 |
| PHARMACEUTICAL | $110,766 | $110,766 |
| MEDICAL EQUIPMENT AND S | $88,406 | $88,406 |
| OUTSIDE SERVICES | $14,779 | $14,779 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$20,158 | TotalAmt |
| Program Services | -$25,214 | ProgramServicesAmt |
| Management And General | $3,567 | ManagementAndGeneralAmt |
| Fundraising | $1,489 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,649,938 | TotalAmt |
| Program Services | $2,094,538 | ProgramServicesAmt |
| Management And General | $291,254 | ManagementAndGeneralAmt |
| Fundraising | $264,146 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,312 | BOYAmt |
| EOY | $147,353 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,366,286 | BOYAmt |
| EOY | $135,115 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $791,871 | BOYAmt |
| EOY | $590,186 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,631 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $681,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $294,318 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,125 | BOYAmt |
| EOY | $387,502 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,050,809 | BOYAmt |
| EOY | $2,481,023 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,290 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,324 | BOYAmt |
| EOY | $3,741,179 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,773 | BOYAmt |
| EOY | $77,594 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,797 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,570 | BOYAmt |
| EOY | $77,594 | 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 | $3,536,726 | BOYAmt |
| EOY | $3,630,545 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,028 | BOYAmt |
| EOY | $33,040 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,567,754 | BOYAmt |
| EOY | $3,663,585 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,324 | BOYAmt |
| EOY | $3,741,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$101,558 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $279,799 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$82,410 | PriorPeriodAdjustmentsAmt |
| 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 | $447,132 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $331,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $285,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,465,089 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $143,508 | CurrentTaxYearAmt |
| Total | $2,672,970 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $447,132 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $331,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $285,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,465,089 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $143,508 | CurrentTaxYearAmt |
| Total | $2,672,970 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $2,672,970 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $225,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $271,841 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $458,423 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $213,346 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $516,847 | CurrentTaxYearAmt |
| Total | $1,685,714 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,246 | CurrentTaxYearMinus2YearsAmt |
| Total | $10,522 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,369,206 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,977,633 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.61180 | PublicSupportCY170Pct |
| Public Support PY170 | 0.65630 | 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 | $465,736 | BeginningYearBalanceAmt |
| Contributions | $100 | ContributionsAmt |
| Investment Earnings Or Losses | $84,871 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,096 | AdministrativeExpensesAmt |
| End Year Balance | $545,611 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $503,217 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$32,425 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $5,056 | AdministrativeExpensesAmt |
| End Year Balance | $465,736 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $400,802 | BeginningYearBalanceAmt |
| Contributions | $42,964 | ContributionsAmt |
| Investment Earnings Or Losses | $63,904 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,453 | AdministrativeExpensesAmt |
| End Year Balance | $503,217 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $384,006 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,684 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $3,888 | AdministrativeExpensesAmt |
| End Year Balance | $400,802 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $395,546 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$7,576 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $3,964 | AdministrativeExpensesAmt |
| End Year Balance | $384,006 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $449,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,777 | DepreciationAmt |
| Book Value | $387,502 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,633 | OtherCostOrOtherBasisAmt |
| Depreciation | $170,633 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,908 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $387,502 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,862,926 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $279,799 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $46,611 | OtherRevenueAmt |
| Revenue Not Reported | $326,410 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,536,516 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $11,864 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $11,864 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,548,380 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,684,685 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $46,611 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $46,611 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,638,074 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $11,864 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $11,864 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,649,938 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO PROVIDE SUPPORTING SERVICES TO THOSE INDIVIDUALS WHO ARE UNABLE TO PROVIDE THEIR OWN SUPPORT OR WHO DO NOT QUALIFY FOR THIRD PARTY REIMBURSEMENT. |
| PART X, LINE 2: | THERE WERE NONE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE TO PROVIDE SUPPORT FOR THOSE WHO ARE UNABLE TO PAY OR W/O INSURANCE 46,611. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES TO PROVIDE SUPPORT FOR THOSE WHO ARE UNABLE TO PAY OR W/O INSURANCE 46,611. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | A SUMMER CELEBRATION/JAZZ CORNER | Event1Nm |
| Gross Receipts Event1 | $20,855 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $20,855 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $7,809 | OtherDirectExpensesEvent1Amt |
| Event2 | THE FALL APPEAL | Event2Nm |
| Gross Receipts Event2 | $119,492 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $119,492 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $5,174 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $109,983 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $109,983 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $16,185 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $250,330 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $250,330 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $29,168 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $29,168 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $221,162 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TREASURER DISTRIBUTES THE TAX RETURN AND AUDITED FINANCIAL REPORT TO ALL BOARD MEMBERS FOR THEIR REVIEW, WHICH IS FOLLOWED BY A BOARD MEETING FOR QUESTONS AND ANSWERS, AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE ORGANIZATION NOTIFIES ALL OFFICERS AND DIRECTORS THAT A CONFLICT OF INTEREST POLICY IS IN EXISTENCE, AND REMINDS EACH PARTY THAT ANY CONFLICT IS REQUIRED TO BE DISCLOSED TO ALL OF THOSE IN CHARGE OF GOVERNANCE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DECIDES COMPENSATION FOR THE EXECUTIVE DIRECTOR BY COMPARING MARKET DATA FOR THE POSITION IN SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL INFORMATION IS PROVIDED UPON REQUEST FROM ANY OUTSIDE PARTY. |
| FORM 990, PART I, SECTION B - AMENDED | THE ORGANIZATION IS AMENDEDING ITS 2019 FORM 990 TO COMPLY WITH THE REPORTING OF INVESTMENT INCOME. THE ORIGINAL RETURN ERRONEOUSLY REPORTED UNREALIZED GAINS ON INVESTMENTS CARRIED AT MARKET VALUE. THE INVESTMENT MANAGEMENT FEES WERE NETTED WITH THE INVESTMENT INCOME. THEY ARE NOW CORRECTLY REPORTED ON PART IX, LINE 11F. |