PEMI-BAKER HOSPICE & HOME HEALTH: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PEMI-BAKER HOSPICE & HOME HEALTH (EIN 02-0273178)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-02
- IRS object ID
- 201712149349300246
- Schema version
- 2016v3.0
- 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 | 2017-08-02T13:35:05-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERRY DUNN MCNEIL & PARKER LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 ELM STREET 15TH FLOOR | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | 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 | 020273178 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEMI-BAKER COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEMI | BusinessNameControlTxt |
| Phone | 6035362232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 BOULDER POINT DRIVE NO 3 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHANDRA ENGELBERT | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6035362232 | PhoneNum |
| Signature | 2017-07-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIMITRIOS PANACOPOULOS CPA | PreparerPersonNm |
| PTIN | P01603705 | PTIN |
| Phone | 6036697337 | PhoneNum |
| Preparation | 2017-07-21 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.49.157.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-07-21 | IPDt |
| IP Tm | 13:25:31 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 195DD2390B87809A4F2C1BC02D65E16960466FA1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5294F564B00A52513F48CE399B525CEF5AD90A46 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHANDRA ENGELBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 BOULDER POINT DRIVE NO 3 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,022,737 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PEMIBAKERHOMEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | PEMI-BAKER COMMUNITY HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITIES BY PROVIDING EXCELLENCE IN HEALTH CARE SERVICES THROUGH OUTREACH, IN-HOME, AND FACILITY-BASED PROGRAMMING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 43 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $161,651 | PYContributionsGrantsAmt |
| CY Contributions Grants | $202,048 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,346,273 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,755,938 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,012 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,031 | CYInvestmentIncomeAmt |
| PY Other Revenue | $30,317 | PYOtherRevenueAmt |
| CY Other Revenue | $32,885 | CYOtherRevenueAmt |
| PY Total Revenue | $2,542,253 | PYTotalRevenueAmt |
| CY Total Revenue | $3,021,902 | 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 | $1,842,170 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,054,437 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $9,220 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $532,947 | PYOtherExpensesAmt |
| CY Other Expenses | $641,686 | CYOtherExpensesAmt |
| PY Total Expenses | $2,375,117 | PYTotalExpensesAmt |
| CY Total Expenses | $2,696,123 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $167,136 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $325,779 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,667,068 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,005,218 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,137,636 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,141,603 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,529,432 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,863,615 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PEMI-BAKER COMMUNITY HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY PROVIDING EXCELLENCE IN HEALTH CARE SERVICES THROUGH OUTREACH, IN-HOME, AND FACILITY-BASED PROGRAMMING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,359,402 | ExpenseAmt |
| Revenue | $2,755,938 | RevenueAmt |
| Desc | HEALTH CARE - PROVIDES ACUTE AND PALLIATIVE SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME OR IN A CLINIC SETTING AND PROVIDES AND MAINTAINS COMMUNITY HEALTH THROUGH COUNSELING, DISEASE DETECTION AND HEALTH EDUCATION. | Desc |
| Total Program Service Expenses | $2,359,402 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 43 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHANDRA ENGELBERT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035362232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PEMI-BAKER COMMUNITY HEALTH | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SUZANNE SMITH | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CYNTHIA CRANE FISHER | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARTHA HUMPHREY | ||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LESLIE NELSON | ||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BRUCE GLASS | ||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE FARRELL | ||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REBECCA SAYRE | ||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KELLI KEMERY | ||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE REYNOLDS | ||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHANDRA ENGELBERT | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $90,166 | $0 | $11,654 | |
| BARBARA HOWCROFT | ||||||
| FINANCE DIRECTOR | 40.00 | Yes (X) | $73,514 | $0 | $3,070 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $163,680 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $14,724 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 |
| Government Grants | $115,321 | GovernmentGrantsAmt |
| All Other Contributions | $86,727 | AllOtherContributionsAmt |
| Total Contributions | $202,048 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH CARE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $2,755,938 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,755,938 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,755,938 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,845 | TotalRevenueColumnAmt |
| Exclusion | $9,845 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,888 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,888 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,888 | TotalRevenueColumnAmt |
| Exclusion | $9,888 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,186 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,186 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,186 | TotalRevenueColumnAmt |
| Exclusion | $21,186 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,832 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $835 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,997 | TotalRevenueColumnAmt |
| Exclusion | $22,997 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,021,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,755,938 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $63,916 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,404 | TotalAmt |
| Program Services | $11,488 | ProgramServicesAmt |
| Management And General | $166,916 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,593,985 | TotalAmt |
| Program Services | $1,556,020 | ProgramServicesAmt |
| Management And General | $37,965 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,435 | TotalAmt |
| Program Services | $126,103 | ProgramServicesAmt |
| Management And General | $15,332 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,613 | TotalAmt |
| Program Services | $125,371 | ProgramServicesAmt |
| Management And General | $15,242 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,000 | TotalAmt |
| Management And General | $29,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,071 | TotalAmt |
| Program Services | $35,043 | ProgramServicesAmt |
| Management And General | $16,028 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,387 | TotalAmt |
| Program Services | $11,936 | ProgramServicesAmt |
| Management And General | $1,451 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,519 | TotalAmt |
| Program Services | $31,669 | ProgramServicesAmt |
| Management And General | $3,850 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,546 | TotalAmt |
| Program Services | $99,454 | ProgramServicesAmt |
| Management And General | $12,092 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,073 | TotalAmt |
| Program Services | $63,179 | ProgramServicesAmt |
| Management And General | $3,894 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,065 | TotalAmt |
| Program Services | $43,746 | ProgramServicesAmt |
| Management And General | $5,319 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,982 | TotalAmt |
| Program Services | $51,697 | ProgramServicesAmt |
| Management And General | $6,285 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,085 | TotalAmt |
| Program Services | $13,450 | ProgramServicesAmt |
| Management And General | $1,635 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM SUPPLIES | $87,499 | $87,499 | |
| EQUIPMENT RENTAL/REPAIR | $45,459 | $40,531 | $4,928 |
| PRINTING AND PUBLICATIO | $29,304 | $26,127 | $3,177 |
| OTHER EXPENSES | $25,601 | $22,826 | $2,775 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,095 | TotalAmt |
| Program Services | $13,263 | ProgramServicesAmt |
| Management And General | $1,612 | ManagementAndGeneralAmt |
| Fundraising | $9,220 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,696,123 | TotalAmt |
| Program Services | $2,359,402 | ProgramServicesAmt |
| Management And General | $327,501 | ManagementAndGeneralAmt |
| Fundraising | $9,220 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,403 | BOYAmt |
| EOY | $452,072 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,875 | BOYAmt |
| EOY | $7,875 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $438,118 | BOYAmt |
| EOY | $665,278 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,934 | BOYAmt |
| EOY | $31,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,945,976 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $717,847 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,248,360 | BOYAmt |
| EOY | $1,228,129 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,659 | BOYAmt |
| EOY | $373,657 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,719 | BOYAmt |
| EOY | $247,129 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,667,068 | BOYAmt |
| EOY | $3,005,218 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,667 | BOYAmt |
| EOY | $205,866 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,460 | BOYAmt |
| EOY | $17,460 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $971,509 | BOYAmt |
| EOY | $918,277 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,137,636 | BOYAmt |
| EOY | $1,141,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,318,261 | BOYAmt |
| EOY | $1,644,040 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,171 | BOYAmt |
| EOY | $219,575 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,529,432 | BOYAmt |
| EOY | $1,863,615 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,667,068 | BOYAmt |
| EOY | $3,005,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $325,779 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $8,404 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $182,719 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,523 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $132,994 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $202,048 | CurrentTaxYearAmt |
| Total | $810,935 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,144,640 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,471,409 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,195,047 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,346,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,755,938 | CurrentTaxYearAmt |
| Total | $11,913,307 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,327,359 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,602,932 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,328,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,507,924 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,957,986 | CurrentTaxYearAmt |
| Total | $12,724,242 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $12,724,242 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,161 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,067 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,845 | CurrentTaxYearAmt |
| Total | $62,746 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,161 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,067 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,845 | CurrentTaxYearAmt |
| Total | $62,746 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,810 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,761 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,981 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,832 | CurrentTaxYearAmt |
| Total | $128,346 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,380,482 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,633,970 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,367,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,541,350 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,991,663 | CurrentTaxYearAmt |
| Total | $12,915,334 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98520 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99420 | PublicSupportPY509Pct |
| Investment Income CY | 0.00490 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00580 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $297,143 | OtherCostOrOtherBasisAmt |
| Book Value | $297,143 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,389,650 | OtherCostOrOtherBasisAmt |
| Depreciation | $471,872 | DepreciationAmt |
| Book Value | $917,778 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $259,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $245,975 | DepreciationAmt |
| Book Value | $13,208 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,228,129 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN PERPETUAL TRUST | $219,575 |
| ASSETS LIMITED AS TO USE | $27,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $247,129 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,021,902 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,021,902 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,021,902 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,696,123 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,696,123 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,696,123 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BRUNCH/AUCTION | Event1Nm |
| Gross Receipts Event1 | $23,832 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $23,832 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $835 | RentFacilityCostsEvent1Amt |
| Gross Receipts Total | $23,832 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $23,832 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $835 | RentFcltyCostsTotalEventsAmt |
| Direct Expense Summary Events | $835 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $22,997 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR AND FINANCE MANAGER REVIEW THE 990 PRIOR TO GOING TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER IS ASKED TO SIGN AN AFFIDAVIT ACKNOWLEDGING THEY HAVE READ THE POLICY, UNDERSTAND THE POLICY, AND ARE IN COMPLIANCE WITH THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY BOARD OTHER OFFICERS AND KEY EMPLOYEES REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
| FORM 990, PART XI, LINE 9: | CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 8,404. |