STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOSPICE AND PALLIATIVE CARE OF THE WOOD RIVER VALLEY INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HOSPICE AND PALLIATIVE CARE OF THE WOOD RIVER VALLEY INC (EIN 82-0397698)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-11
IRS object ID
201821319349302997
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T16:04:06-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN840437743PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BECKER CHAMBERS & CO PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 909AddressLine1Txt
CityHAILEYCityNm
State AbbreviationIDStateAbbreviationCd
ZIP833330909ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820397698EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AND PALLIATIVE CARE OF THEBusinessNameLine1Txt
Business Name Line2WOOD RIVER VALLEY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4320AddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA WILDPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2087268464PhoneNum
Signature2018-05-04SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLINDA P CHAMBERSPreparerPersonNm
PTINP00157522PTIN
Phone2087889595PhoneNum
Preparation2018-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA WILDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4320AddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$772,506GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HPCWRV.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCELLENCE IN END-OF-LIFE CARE AND BEREAVEMENT SERVICESActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$814,876PYContributionsGrantsAmt
CY Contributions Grants$713,199CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$67,088PYInvestmentIncomeAmt
CY Investment Income$18,794CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$881,964PYTotalRevenueAmt
CY Total Revenue$731,993CYTotalRevenueAmt
CY Grants And Similar Paid$9,513CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$324,027PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$405,427CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$81,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$128,372CYTotalFundraisingExpenseAmt
PY Other Expenses$88,219PYOtherExpensesAmt
CY Other Expenses$77,446CYOtherExpensesAmt
PY Total Expenses$412,246PYTotalExpensesAmt
CY Total Expenses$573,386CYTotalExpensesAmt
PY Revenues Less Expenses$469,718PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$158,607CYRevenuesLessExpensesAmt
Total Assets BOY$2,256,117TotalAssetsBOYAmt
Total Assets EOY$2,632,246TotalAssetsEOYAmt
Total Liabilities BOY$69TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,256,048NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,632,246NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXCELLENCE IN END-OF-LIFE CARE AND BEREAVEMENT SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$386,682ExpenseAmt
Grant$9,513GrantAmt
DescTHE HOSPICE PROVIDES CARE FOR THE TERMINALLY ILL, BEREAVEMENT PROGRAMS FOR BOTH ADULTS AND CHILDREN, AND PROVIDES EDUCATION AND RESOURCES REGARDING WELLNESS. IN 2017 THEY SERVED 1,957 INDIVIDUALS INCLUDING 120 HOSPICE PATIENTS AND THEIR FAMILIES. THE PROVIDED EDUCATIONAL/TRAINING OPPORTUNITIES REACHING 343 INDIVIDUALS. RN'S MADE 2,748 VISITS TO PATIENTS RESULTING IN 19,616 MILES TRAVELED TO SEE PATIENTS IN EVERY CORNER OF OUR SERVICE AREA. THIRTY FOUR SUPPORT GROUP WERE OFFERED, FOCUSING ON CAREGIVING AND BEREAVEMENT. VOLUNTEERS PROVIDED 2,758 HOURS OF SERVICE.Desc
Total Program Service Expenses$386,682TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCRISS FALLOWFIELDPersonNm
Phone2087268464PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1507 1ST AVE NORTHAddressLine1Txt
CityKETCHUMCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83340ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MONICA HEBERT
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
DAVE STURDEVANT
TREASURER1.00Yes (X)Yes (X)$0$0$0
BILL JOSEPH
DIRECTOR1.00Yes (X)$0$0$0
ALAN STEVENSON
DIRECTOR0.50Yes (X)$0$0$0
MICHELLE PRAGGASTIS
VICE PRESIDE0.50Yes (X)Yes (X)$0$0$0
BRUCE COLLIER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ROBERT RENIERS
DIRECTOR1.00Yes (X)$0$0$0
BARBARA BOSWELL
DIRECTOR0.50Yes (X)$0$0$0
LISA WILD
EXECUTIVE DI40.00Yes (X)$92,171$0$2,765
FieldValueIRS element (for citing)
Total Reportable Comp From Org$92,171TotalReportableCompFromOrgAmt
Total Other Compensation$2,765TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$713,199AllOtherContributionsAmt
Total Contributions$713,199TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,553TotalRevenueColumnAmt
Exclusion$25,553ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,754SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$40,513SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,759SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,759TotalRevenueColumnAmt
Exclusion-$6,759ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$731,993TotalRevenueColumnAmt
Exclusion$18,794ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$9,513TotalAmt
Program Services$9,513ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$362,238TotalAmt
Program Services$289,790ProgramServicesAmt
Management And General$36,224ManagementAndGeneralAmt
Fundraising$36,224FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,122TotalAmt
Program Services$4,898ProgramServicesAmt
Management And General$612ManagementAndGeneralAmt
Fundraising$612FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,703TotalAmt
Program Services$6,163ProgramServicesAmt
Management And General$770ManagementAndGeneralAmt
Fundraising$770FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,364TotalAmt
Program Services$23,492ProgramServicesAmt
Management And General$2,936ManagementAndGeneralAmt
Fundraising$2,936FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,262TotalAmt
Management And General$6,262ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$81,000TotalAmt
Fundraising$81,000FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,120TotalAmt
Program Services$8,304ProgramServicesAmt
Management And General$2,701ManagementAndGeneralAmt
Fundraising$4,115FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,324TotalAmt
Program Services$7,227ProgramServicesAmt
Management And General$3,097ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,494TotalAmt
Program Services$10,494ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,230TotalAmt
Program Services$1,648ProgramServicesAmt
Management And General$3,432ManagementAndGeneralAmt
Fundraising$1,150FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,670TotalAmt
Program Services$6,372ProgramServicesAmt
Management And General$2,298ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PUBLIC RELATIONS$5,317$5,317
PATIENT CARE$4,749$4,749
VOLUNTEER RECOGNITION$4,397$4,397
TRAINING$3,854$3,854

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,029TotalAmt
Program Services$464ProgramServicesAmt
Fundraising$1,565FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$573,386TotalAmt
Program Services$386,682ProgramServicesAmt
Management And General$58,332ManagementAndGeneralAmt
Fundraising$128,372FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$292,359BOYAmt
EOY$249,822EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$427,945BOYAmt
EOY$220,465EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$223,082LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$153,023LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$76,289BOYAmt
EOY$70,059EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,459,524BOYAmt
EOY$2,091,900EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,256,117BOYAmt
EOY$2,632,246EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,759,956BOYAmt
EOY$1,916,242EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,917BOYAmt
EOY$39,388EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$463,175BOYAmt
EOY$676,616EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,256,048BOYAmt
EOY$2,632,246EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,256,117BOYAmt
EOY$2,632,246EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$158,607ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$217,591NetUnrlzdGainsLossesInvstAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$453,724CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$502,424CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$814,876CurrentTaxYearMinus1YearAmt
Current Tax Year$713,199CurrentTaxYearAmt
Total$2,956,805TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$453,724CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$502,424CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$814,876CurrentTaxYearMinus1YearAmt
Current Tax Year$713,199CurrentTaxYearAmt
Total$2,956,805TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$543,416SubstantialContributorsTotAmt
Public Support Total170$2,413,389PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,872CurrentTaxYearMinus1YearAmt
Current Tax Year$25,553CurrentTaxYearAmt
Total$99,088TotalAmt
FieldValueIRS element (for citing)
Total Support$3,055,893TotalSupportAmt
Public Support CY1700.78970PublicSupportCY170Pct
Public Support PY1700.82790PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$462,679BeginningYearBalanceAmt
Contributions$195,358ContributionsAmt
Investment Earnings Or Losses$18,532InvestmentEarningsOrLossesAmt
End Year Balance$676,569EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$100,000BeginningYearBalanceAmt
Contributions$352,448ContributionsAmt
Investment Earnings Or Losses$7,045InvestmentEarningsOrLossesAmt
Other Expenditures$3,186OtherExpendituresAmt
End Year Balance$462,679EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$100,000BeginningYearBalanceAmt
Investment Earnings Or Losses$402InvestmentEarningsOrLossesAmt
Other Expenditures$402OtherExpendituresAmt
End Year Balance$100,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$100,000BeginningYearBalanceAmt
Investment Earnings Or Losses$418InvestmentEarningsOrLossesAmt
Other Expenditures$418OtherExpendituresAmt
End Year Balance$100,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$100,000BeginningYearBalanceAmt
Investment Earnings Or Losses$405InvestmentEarningsOrLossesAmt
Other Expenditures$405OtherExpendituresAmt
End Year Balance$100,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,493OtherCostOrOtherBasisAmt
Depreciation$115,967DepreciationAmt
Book Value$69,526BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,589OtherCostOrOtherBasisAmt
Depreciation$37,056DepreciationAmt
Book Value$533BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$70,059TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1CCS FUNDRAISINGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MONTGOMERY ST SUITE 2270AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94104ZIPCd
FieldValueIRS element (for citing)
ActivityPLANNINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Retained By Contractor$81,000RetainedByContractorAmt
Net To Organization-$81,000NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$81,000TotalRetainedByContractorsAmt
Total Net To Organization-$81,000TotalNetToOrganizationAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCAREGIVE RESPITE FUNDGrantTypeTxt
Recipient3RecipientCnt
Cash Grant$9,513CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BEXECUTIVE DIRECTOR AND OFFICER WHO SIGNS RETURN REVIEWS THE 990.
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST FORMS ARE COMPLETED AT TEH START OF EACH BOARD MEMBER'S TERM AND MONITORED AT BOARD MEETINGS.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPARABLE DATA IS OBTAINED AND CHANGES WERE CONSISTENT WITH OTHER STAFF.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST