ASSISTED HOME HOSPICE FOUNDATION: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ASSISTED HOME HOSPICE FOUNDATION (EIN 20-1051648)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-31
- IRS object ID
- 202022139349200607
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-31T10:23:28-04:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201051648 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASSISTED HOME HOSPICE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Michael Donley | InCareOfNm |
| Business Name Control | ASSI | BusinessNameControlTxt |
| Phone | 8053719898 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 72 MOODY COURT SUITE 100 | AddressLine1Txt |
| City | THOUSAND OAKS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91360 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Donley | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2020-07-31 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.51.188.14 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-31 | IPDt |
| IP Timezone | ES | IPTimezoneCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Gross Receipts | $82,698 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $52,509 | ContributionsGiftsGrantsEtcAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Fundraising Gross Income | $30,189 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $18,194 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $11,995 | SpecialEventsNetIncomeLossAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $64,504 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $86,132 | GrantsAndSimilarAmountsPaidAmt |
| Total Expenses | $86,132 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$21,628 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $293,022 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $271,394 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,022 | BOYAmt |
| EOY | $271,394 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,022 | BOYAmt |
| EOY | $271,394 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,022 | BOYAmt |
| EOY | $271,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Provide health services for the under served | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (4 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| Nursing Services for Hospice Patients | $0 | $52,771 |
| Respite for homebound patients | $0 | $4,196 |
| Cremation services for undeserved patients | $0 | $14,400 |
| Other program services for needy famlies | $0 | $14,765 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $86,132 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Michael Donley | ||
| Treasurer | 5.00 | $0 |
| Heather Donley | ||
| Program Director | 40.00 | $0 |
| Elaine Donley | ||
| President | 5.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Donley | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 72 MOODY COURT SUITE 100 | AddressLine1Txt |
| City | THOUSAND OAKS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8053719898 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,368 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $69,275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,509 | CurrentTaxYearAmt |
| Total | $243,854 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,189 | CurrentTaxYearAmt |
| Total | $81,293 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $102,714 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $82,698 | CurrentTaxYearAmt |
| Total | $325,147 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $325,147 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $102,714 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $82,698 | CurrentTaxYearAmt |
| Total | $325,147 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II - Line 10 | | Year:, Amount:, Description:| 2015, , | 2016, | 2017, | 2018, | 2019, | |
| Part III - Line 12 | | Year:, Amount:, Description:| 2015, , | 2016, | 2017, | 2018, | 2019, | |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Movie event | Event1Nm |
| Gross Receipts Event1 | $22,462 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $0 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $22,462 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,234 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,505 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,477 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,778 | OtherDirectExpensesEvent1Amt |
| Event2 | Flu shots | Event2Nm |
| Gross Receipts Event2 | $0 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $0 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $0 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $0 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $0 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $7,727 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $0 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $7,727 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $0 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $0 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $4,200 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $30,189 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $0 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $30,189 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $0 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $0 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,234 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,505 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,477 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,978 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,194 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $11,995 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, line 10 | | Grants And Similar Amounts Paid:, Amount:| Nursing Services for Hospice Patients, $52771| Respite for Homebound Patients, $4196| Reardon Funeral Homes Cremation, $14400| DME Service Grants, $745| Patient Co-pay grants, $2748| Revenue grant from Movie event, $5105| Other program service grants to needy families, $6167| |
| Part III, line 31 | |Explanation:, Grants Amount:, Expense Amount:|Other program services for needy famlies, $, $14765| |