HOSPICE OF THE VALLEY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF THE VALLEY INC (EIN 26-3651313)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-11
- IRS object ID
- 201712849349301606
- Schema version
- 2016v3.1
- 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 | 2017-10-11T18:31:41-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263651313 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospice of the Valley Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % HOSPICE OF THE VALLEY | InCareOfNm |
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 9709306008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Grande Avenue STE 206 | AddressLine1Txt |
| City | Glenwood Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN S SWANSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9709306008 | PhoneNum |
| Signature | 2017-10-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ADAM R SMITH CPA | PreparerPersonNm |
| PTIN | P00958966 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | 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 | Homecare and Hospice of the Valley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARCHITA BUTLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 GRAND AVENUE | AddressLine1Txt |
| City | GLENWOOD SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,508,336 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HCHOTV.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO PREVENT AND RELIEVE SUFFERING AND PROMOTE QUALITY OF LIFE AT ANY STAGE OF LIFE, THROUGH PATIENT AND FAMILY CARE, ADVOCACY, AND COMMUNITY EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 118 | TotalEmployeeCnt |
| Total Volunteers | 85 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $424,182 | PYContributionsGrantsAmt |
| CY Contributions Grants | $476,956 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,622,422 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,023,368 | CYProgramServiceRevenueAmt |
| PY Investment Income | $412 | PYInvestmentIncomeAmt |
| CY Investment Income | $512 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$45,994 | PYOtherRevenueAmt |
| CY Other Revenue | -$19,557 | CYOtherRevenueAmt |
| PY Total Revenue | $6,001,022 | PYTotalRevenueAmt |
| CY Total Revenue | $5,481,279 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,000 | 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 | $3,881,384 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,855,230 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $18,789 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $256,727 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,802,384 | PYOtherExpensesAmt |
| CY Other Expenses | $1,893,067 | CYOtherExpensesAmt |
| PY Total Expenses | $5,704,557 | PYTotalExpensesAmt |
| CY Total Expenses | $5,748,297 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $296,465 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$267,018 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,602,015 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,245,890 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $419,803 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $330,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,182,212 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $915,194 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PREVENT AND RELIEVE SUFFERING AND PROMOTE QUALITY OF LIFE AT ANY STAGE OF LIFE, THROUGH PATIENT AND FAMILY CARE, ADVOCACY, AND COMMUNITY EDUCATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,650,370 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,023,368 | RevenueAmt |
| Desc | HOME CARE, HOSPICE AND BEREAVEMENT CARE, AND PRIVATE DUTY CARE PROVIDED TO RESIDENTS OF WESTERN CENTRAL COLORADO. APPROXIMATELY 9,647 HOSPICE DAYS, 21,139 HOME HEALTH VISITS, AND 5,373 PRIVATE DUTY HOURS WERE PROVIDED IN 2016. AS THE LARGEST HOME CARE AND HOSPICE PROVIDER IN CENTRAL WESTERN COLORADO, WE PROVIDE HOME AND HOSPICE CARE TO PATIENTS IN OVER 6,000 SQUARE MILES. THOUGH THE LARGEST PERCENTAGE OF OUR PATIENTS ARE MEDICARE (65%), WE ALSO SERVE MEDICAID PATIENTS (20%) AND PRIVATE PAY PATIENTS. | Desc |
| Total Program Service Expenses | $4,650,370 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 118 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HOSPICE OF THE VALLEY | PersonNm |
| Phone | 9709306008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 GRAND AVE SUITE 206 | AddressLine1Txt |
| City | GLENWOOD SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| ROBERT PURVIS | |||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Bill Poss | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Colleen Weiss-Hanen | |||||||
| Treasurer | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Doug Rovira MD | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Dwayne Romero | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Gary Woodworth | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Jack Eck MD | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Ken Robinson | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Laura Kornasiewicz | |||||||
| Secretary | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Maria Morrow | |||||||
| Director | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Mary Gould | |||||||
| Director | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Michael Brown | |||||||
| Vice Chair | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Monica Benderly | |||||||
| Director | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Peter Guy | |||||||
| Chair | 10.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEPHEN SWANSON | |||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | $105,794 | $0 | $13,326 | Yes (X) | |
| Marchita Butler | |||||||
| Executive Director | 40.0 | 0.0 | $166,731 | $0 | $15,000 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $272,525 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $28,326 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Fusion Medical Staffing LLC | |||||
| PO Box 82674 | LINCOLN | NE | 68501 | Temporary Staffing | $157,376 |
| Aspen Medical Staffing LLC | |||||
| 1894 37TH ST SE | ST CLOUD | MN | 56304 | Temporary Staffing | $101,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $6,500 | FederatedCampaignsAmt |
| Fundraising | $72,610 | FundraisingAmt |
| Government Grants | $113,075 | GovernmentGrantsAmt |
| All Other Contributions | $284,771 | AllOtherContributionsAmt |
| Noncash Contributions | $11,435 | NoncashContributionsAmt |
| Total Contributions | $476,956 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621610 | $5,023,208 | $5,023,208 |
| MEDICAL RECORDS COPIES | 900099 | $160 | $160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,023,368 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $512 | TotalRevenueColumnAmt |
| Exclusion | $512 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $7,500 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $72,610 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $27,057 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,557 | TotalRevenueColumnAmt |
| Exclusion | -$19,557 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,481,279 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,023,368 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$19,045 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,851 | TotalAmt |
| Program Services | $79,817 | ProgramServicesAmt |
| Management And General | $150,426 | ManagementAndGeneralAmt |
| Fundraising | $70,608 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,024,438 | TotalAmt |
| Program Services | $2,452,555 | ProgramServicesAmt |
| Management And General | $436,037 | ManagementAndGeneralAmt |
| Fundraising | $135,846 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,060 | TotalAmt |
| Program Services | $5,725 | ProgramServicesAmt |
| Management And General | $1,018 | ManagementAndGeneralAmt |
| Fundraising | $317 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,770 | TotalAmt |
| Program Services | $137,218 | ProgramServicesAmt |
| Management And General | $100,333 | ManagementAndGeneralAmt |
| Fundraising | $9,219 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,111 | TotalAmt |
| Program Services | $239,031 | ProgramServicesAmt |
| Management And General | $21,295 | ManagementAndGeneralAmt |
| Fundraising | $15,785 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,000 | TotalAmt |
| Management And General | $4,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,883 | TotalAmt |
| Management And General | $28,883 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,000 | TotalAmt |
| Program Services | $374,506 | ProgramServicesAmt |
| Management And General | $24,494 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,452 | TotalAmt |
| Program Services | $73,452 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,007 | TotalAmt |
| Program Services | $87,007 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,424 | TotalAmt |
| Program Services | $80,424 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,090 | TotalAmt |
| Program Services | $100,090 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,747 | TotalAmt |
| Program Services | $211,913 | ProgramServicesAmt |
| Management And General | $4,040 | ManagementAndGeneralAmt |
| Fundraising | $1,794 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,977 | TotalAmt |
| Program Services | $11,977 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,562 | TotalAmt |
| Management And General | $50,562 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,112 | TotalAmt |
| Management And General | $20,112 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $193,572 | $193,572 | |
| PATIENT SUPPLIES | $542,668 | $542,668 | |
| DUES/FEES | $33,529 | $33,529 | |
| FUNDRAISING EXP | $23,158 | $23,158 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,886 | TotalAmt |
| Program Services | $26,886 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,748,297 | TotalAmt |
| Program Services | $4,650,370 | ProgramServicesAmt |
| Management And General | $841,200 | ManagementAndGeneralAmt |
| Fundraising | $256,727 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,910 | BOYAmt |
| EOY | $35,964 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $829,358 | BOYAmt |
| EOY | $592,682 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,543 | BOYAmt |
| EOY | $496,499 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,317 | BOYAmt |
| EOY | $19,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $261,824 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $168,688 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,801 | BOYAmt |
| EOY | $93,136 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,086 | BOYAmt |
| EOY | $8,086 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,602,015 | BOYAmt |
| EOY | $1,245,890 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,803 | BOYAmt |
| EOY | $330,696 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,803 | BOYAmt |
| EOY | $330,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,063,868 | BOYAmt |
| EOY | $706,972 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $89,878 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,344 | BOYAmt |
| EOY | $118,344 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,182,212 | BOYAmt |
| EOY | $915,194 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,602,015 | BOYAmt |
| EOY | $1,245,890 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$267,018 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $260,904 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $342,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $386,159 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $424,182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $476,956 | CurrentTaxYearAmt |
| Total | $1,891,200 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $260,904 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $342,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $386,159 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $424,182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $476,956 | CurrentTaxYearAmt |
| Total | $1,891,200 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $91,030 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,800,170 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $562 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $449 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $821 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $412 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $512 | CurrentTaxYearAmt |
| Total | $2,756 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,893,956 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $24,846,253 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95048 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99800 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $118,344 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $108 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $108 | OtherExpendituresAmt |
| End Year Balance | $118,344 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $118,344 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $67 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $67 | OtherExpendituresAmt |
| End Year Balance | $118,344 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $118,344 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $116 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $116 | OtherExpendituresAmt |
| End Year Balance | $118,344 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $120,298 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $123 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,077 | OtherExpendituresAmt |
| End Year Balance | $118,344 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $119,830 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $468 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $120,298 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,446 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,929 | DepreciationAmt |
| Book Value | $45,517 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $177,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,755 | DepreciationAmt |
| Book Value | $47,619 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,004 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,004 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $93,136 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $5,513,901 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $17,000 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $15,622 | OtherRevenueAmt |
| Revenue Not Reported | $32,622 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,481,279 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,481,279 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,780,919 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $17,000 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $15,622 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $32,622 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,748,297 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,748,297 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THE ORGANIZATION'S ENDOWMENT CONSIST OF AN INDIVIDUAL FUND ESTABLISHED FOR THE PURPOSE OF SUPPORTING THE HOSPICE OPERATIONS AND FUTURE GROWTH. |
| Schedule D, Part X, Line 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE PROVIDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | REVENUE ON BOOKS, NOT ON RETURN 15,622 SPECIAL EVENT EXPENSE NET WITH REVENUE |
| SCHEDULE D, PART XII, LINE 2D | EXPENSE ON BOOKS, NOT ON RETURN 15,622 SPECIAL EVENT EXPENSE NET WITH REVENUE |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | CO | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Savour-Journey | Event1Nm |
| Gross Receipts Event1 | $40,235 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $32,734 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $7,501 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $5,325 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $13,733 | OtherDirectExpensesEvent1Amt |
| Event2 | Hearts-Remembr | Event2Nm |
| Gross Receipts Event2 | $39,875 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $39,875 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $7,999 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $80,110 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $72,609 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $7,501 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $5,325 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $21,732 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $27,057 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$19,556 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (true) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (true) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Marchita Butler | PersonNm |
| Title | Executive Director | TitleTxt |
| Base Compensation Filing Org | $166,731 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $15,000 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $181,731 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4b | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: EXECUTIVE DIRECTOR, MARCHITA BUTLER PARTICIPATES IN A 457(F) PLAN AND IN 2016, $15,000 OF DEFERRED COMPENSATION WAS PAID INTO THE PLAN AND REPORTED IN SCHEDULE J, PART ii, cOLUMN (c). |
| Schedule J, Part I, Line 8 | INITIAL CONTRACT EXCEPTION: MARCHITA BUTLER'S COMPENSATION IS COVERED BY HER INITIAL CONTRACT DATED SEPTEMBER 1ST, 2013. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR MORE INFORMATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | Process to Review the Form 990: THE 990 IS PREPARED BY A THIRD PARTY PREPARER AND REVIEWED BY THE EXECUTIVE DIRECTOR AND CFO. ONCE REVIEWED, THE BOARD IS PROVIDED A COPY OF THE FULL 990 FOR REVIEW PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ANY DIRECTOR, OFFICER, OR KEY EMPLOYEE OF THE CORPORATION IS COVERED UNDER THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE POLICY COVERS ANY PERSONAL INTEREST WHICH HE OR SHE MAY HAVE A MATTER PENDING BEFORE THE ORGANIZATION AND SHALL REFRAIN FROM PARTICIPATION IN ANY DECISION ON THE MATTER. ADDITIONALLY, ANY MEMBER OF HOSPICE OF THE VALLEY'S BOARD OF DIRECTORS OR STAFF SHALL REFRAIN FROM OBTAINING ANY LIST OF HOSPICE OF THE VALLEY'S CLIENTS FOR PERSONAL OR PRIVATE SOLICITATION PURPOSES AT ANY TIME DURING THEIR TERM OF EMPLOYMENT OR BOARD SERVICE. IN THE EVENT A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF DIRECTORS WILL VOTE AS TO WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS. CONFLICT IS DEEMED TO EXIST BY 75% OF THE BOARD OF DIRECTORS, SUCH PERSON SHALL NOT VOTE ON, NOR USE THEIR PERSONAL INFLUENCE ON, NOR PARTICIPATE IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO THE RELATEd CONTRACT Or TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | REVIEW OF CEO COMPENSATION: THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS INFORMATION GATHERED BY THE HR DIRECTOR REGARDING SIMILAR POSITIONS IN THE REGION. THE COMMITTEE REVIEWS THIS INFORMATION ALONG WITH PERFORMANCE AND DETERMINES THE EXECUTIVE DIRECTOR'S SALARY. THE SALARY IS USED IN THE BUDGET PROCESS AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT OUR OFFICE AT 1901 GRAND AVENUE, SUITE 206, GLENWOOD SPRINGS, CO, 81601. |
| Form 990 Part VIII, Line 8 and Schedule G, Part II | ADDITIONAL INFORMATION REGARDING EVENTS The gross income of $7,500 on Form 990, Part VIII, Line 8a represents the value of services provided to participants at the Savour the Journey Event and excludes the contributions generated from the event. Combined contributions from both the Savour the Journey and HEarts of Remembrance events were $72,610 for total proceeds of $80,110, resulting in a net gain of $53,053 after expenses. |