CENTRAL VERMONT HOME HEALTH & HOSPICE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VERMONT HOME HEALTH & HOSPICE INC (EIN 03-0186089)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-12
- IRS object ID
- 201601339349304300
- Schema version
- 2015v2.1
- 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 | 2016-05-12T14:31:54-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020400296 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRAD BORBIDGE PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 197 LOUDON ROAD | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030186089 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL VERMONT HOME HEALTH & | BusinessNameLine1Txt |
| Business Name Line2 | HOSPICE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 8022231878 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANGER RD | AddressLine1Txt |
| City | BARRE | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 056415369 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANDRA ROUSSE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8022231878 | PhoneNum |
| Signature | 2016-05-09 | 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 | 6032240849 | PhoneNum |
| Preparation | 2016-05-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SANDRA ROUSSE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANGER ROAD | AddressLine1Txt |
| City | BARRE | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05641 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,167,811 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CVHHH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE COMPREHENSIVE, HIGH QUALITY HOME HEALTH AND HOSPICE CARE TO ALL CENTRAL VERMONTERS, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THE AGENCY PROMOTES THE GENERAL WELFARE OF THE CITIZENS OF CENTRAL VERMONT WITH HEALTH PROMOTION AND LONG TERM CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 282 | TotalEmployeeCnt |
| Total Volunteers | 190 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $735,413 | PYContributionsGrantsAmt |
| CY Contributions Grants | $703,732 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,738,277 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,907,183 | CYProgramServiceRevenueAmt |
| PY Investment Income | $685,277 | PYInvestmentIncomeAmt |
| CY Investment Income | -$106,585 | CYInvestmentIncomeAmt |
| PY Other Revenue | $57,598 | PYOtherRevenueAmt |
| CY Other Revenue | $53,191 | CYOtherRevenueAmt |
| PY Total Revenue | $12,216,565 | PYTotalRevenueAmt |
| CY Total Revenue | $11,557,521 | 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 | $8,888,993 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,667,645 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $13,793 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,488,631 | PYOtherExpensesAmt |
| CY Other Expenses | $2,513,147 | CYOtherExpensesAmt |
| PY Total Expenses | $11,377,624 | PYTotalExpensesAmt |
| CY Total Expenses | $12,180,792 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $838,941 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$623,271 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,483,103 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,935,068 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,527,690 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,602,926 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,955,413 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,332,142 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE COMPREHENSIVE, HIGH QUALITY HOME HEALTH AND HOSPICE CARE TO ALL CENTRAL VERMONTERS, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THE AGENCY PROMOTES THE GENERAL WELFARE OF THE CITIZENS OF CENTRAL VERMONT WITH HEALTH PROMOTION AND LONG TERM CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,450,789 | ExpenseAmt |
| Revenue | $10,907,183 | RevenueAmt |
| Desc | HOMECARE SERVICES-PROVIDES HOME HEALTH CARE, HOSPICE AND COMMUNITY HEALTH SERVICES TO COMMUNITIES IN CENTRAL VERMONT. | Desc |
| Total Program Service Expenses | $10,450,789 | 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 | Yes (1) | 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 | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 282 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | 0 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANDRA ROUSSE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8022231878 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANGER ROAD | AddressLine1Txt |
| City | BARRE | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05641 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SANDRA ROUSSE | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | Yes (X) | $132,864 | $0 | $15,685 | |
| MEGAN CICIO | |||||||
| CHAIRMAN | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SEAN STARR | |||||||
| VICE CHAIRMAN | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY CLARK | |||||||
| TREASURER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES MARTEL | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN JOSLIN | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARTY MILLER | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GLORIA RICE | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALISON WHITE | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID ZAHN | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN CHICOINE | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ED FLANAGAN | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN AITCHISON | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THERESA LEVER | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL PATNO | |||||||
| BOARD MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KELLY THOMPSON | |||||||
| CFO | 40.00 | Yes (X) | $99,722 | $0 | $8,453 | ||
| KIM LAGUE | |||||||
| COO | 40.00 | $109,012 | $0 | $15,180 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $341,598 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $39,318 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | 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 |
| Federated Campaigns | $8,072 | FederatedCampaignsAmt |
| Government Grants | $465,781 | GovernmentGrantsAmt |
| All Other Contributions | $229,879 | AllOtherContributionsAmt |
| Total Contributions | $703,732 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOMECARE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $10,907,183 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,907,183 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,907,183 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $471,727 | TotalRevenueColumnAmt |
| Exclusion | $471,727 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $578,312 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$578,312 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$578,312 | TotalRevenueColumnAmt |
| Exclusion | -$578,312 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $85,169 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $31,978 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,191 | TotalRevenueColumnAmt |
| Exclusion | $53,191 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,557,521 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,907,183 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$53,394 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,724 | TotalAmt |
| Management And General | $256,724 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,551,106 | TotalAmt |
| Program Services | $6,741,122 | ProgramServicesAmt |
| Management And General | $799,068 | ManagementAndGeneralAmt |
| Fundraising | $10,916 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,720 | TotalAmt |
| Program Services | $95,028 | ProgramServicesAmt |
| Management And General | $14,538 | ManagementAndGeneralAmt |
| Fundraising | $154 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,170,344 | TotalAmt |
| Program Services | $1,013,635 | ProgramServicesAmt |
| Management And General | $154,860 | ManagementAndGeneralAmt |
| Fundraising | $1,849 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $579,751 | TotalAmt |
| Program Services | $502,122 | ProgramServicesAmt |
| Management And General | $76,817 | ManagementAndGeneralAmt |
| Fundraising | $812 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,596 | TotalAmt |
| Management And General | $8,596 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,000 | TotalAmt |
| Management And General | $36,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,742 | TotalAmt |
| Program Services | $197,387 | ProgramServicesAmt |
| Management And General | $245,355 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,158 | TotalAmt |
| Program Services | $1,003 | ProgramServicesAmt |
| Management And General | $155 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,788 | TotalAmt |
| Program Services | $33,594 | ProgramServicesAmt |
| Management And General | $5,194 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,013 | TotalAmt |
| Program Services | $32,057 | ProgramServicesAmt |
| Management And General | $4,956 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,262 | TotalAmt |
| Program Services | $145,732 | ProgramServicesAmt |
| Management And General | $22,530 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,528 | TotalAmt |
| Program Services | $400,354 | ProgramServicesAmt |
| Management And General | $7,112 | ManagementAndGeneralAmt |
| Fundraising | $62 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,921 | TotalAmt |
| Program Services | $4,262 | ProgramServicesAmt |
| Management And General | $659 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,636 | TotalAmt |
| Program Services | $150,386 | ProgramServicesAmt |
| Management And General | $23,250 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,764 | TotalAmt |
| Program Services | $40,502 | ProgramServicesAmt |
| Management And General | $6,262 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAID TAX | $373,384 | $373,384 | |
| PROGRAM SUPPLIES | $370,065 | $370,065 | |
| OTHER EXPENSES | $195,047 | $168,930 | $26,117 |
| PRINTING AND PUBLICATIO | $111,698 | $96,742 | $14,956 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,545 | TotalAmt |
| Program Services | $84,484 | ProgramServicesAmt |
| Management And General | $13,061 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,180,792 | TotalAmt |
| Program Services | $10,450,789 | ProgramServicesAmt |
| Management And General | $1,716,210 | ManagementAndGeneralAmt |
| Fundraising | $13,793 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,187,373 | BOYAmt |
| EOY | $2,025,229 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,803,388 | BOYAmt |
| EOY | $1,641,649 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,687 | BOYAmt |
| EOY | $421,797 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,176,551 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,365,115 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,933,236 | BOYAmt |
| EOY | $1,811,436 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $952,824 | BOYAmt |
| EOY | $965,473 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,227,595 | BOYAmt |
| EOY | $11,069,484 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,483,103 | BOYAmt |
| EOY | $17,935,068 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,498 | BOYAmt |
| EOY | $1,171,377 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,192 | BOYAmt |
| EOY | $431,549 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,527,690 | BOYAmt |
| EOY | $1,602,926 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,902,535 | BOYAmt |
| EOY | $16,273,264 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $16,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,878 | BOYAmt |
| EOY | $42,878 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,955,413 | BOYAmt |
| EOY | $16,332,142 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,483,103 | BOYAmt |
| EOY | $17,935,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$623,271 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $454,282 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $420,850 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $395,241 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $735,413 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $703,732 | CurrentTaxYearAmt |
| Total | $2,709,518 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,024,628 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,748,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,294,129 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,738,277 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,907,183 | CurrentTaxYearAmt |
| Total | $52,713,096 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,478,910 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,169,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,689,370 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,473,690 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,610,915 | CurrentTaxYearAmt |
| Total | $55,422,614 | 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 | $55,422,614 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $490,552 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $362,087 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $302,259 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $588,212 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $471,727 | CurrentTaxYearAmt |
| Total | $2,214,837 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $490,552 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $362,087 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $302,259 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $588,212 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $471,727 | CurrentTaxYearAmt |
| Total | $2,214,837 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,969,462 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,531,816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,991,629 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,061,902 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,082,642 | CurrentTaxYearAmt |
| Total | $57,637,451 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96160 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96280 | PublicSupportPY509Pct |
| Investment Income CY | 0.03840 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03720 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,878 | BeginningYearBalanceAmt |
| End Year Balance | $42,878 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,878 | BeginningYearBalanceAmt |
| End Year Balance | $42,878 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,878 | BeginningYearBalanceAmt |
| End Year Balance | $42,878 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,878 | BeginningYearBalanceAmt |
| End Year Balance | $42,878 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,878 | BeginningYearBalanceAmt |
| End Year Balance | $42,878 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $199,114 | OtherCostOrOtherBasisAmt |
| Book Value | $199,114 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,890,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,464,134 | DepreciationAmt |
| Book Value | $1,425,954 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,087,349 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,900,981 | DepreciationAmt |
| Book Value | $186,368 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,811,436 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS LIMITED AS TO USE | Desc |
| Book Value | $11,069,484 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,069,484 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,557,521 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,557,521 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,557,521 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,180,792 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,180,792 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,180,792 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY; THE INCOME IS EXPENDABLE TO SUPPORT HEALTHCARE SERVICES. |
| PART X, LINE 2: | THE AGENCY IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE AGENCY 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 AGENCY'S TAX POSITION AND CONCLUDED THAT THE AGENCY HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | COLORS OF AUTUMN FASHION SHOW | Event1Nm |
| Gross Receipts Event1 | $52,616 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $52,616 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $21,844 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $32,553 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $32,553 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $10,134 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $85,169 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $85,169 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $31,978 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $31,978 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $53,191 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO REVIEWS THE 990 AND GIVES TO THE CEO FOR REVIEW AND SIGNATURE. THE FORM 990 IS THEN E-MAILED TO THE BOARD OF DIRECTORS. |
| 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 | HR DIRECTOR MEETS WITH CEO AND CFO AND REVIEWS COMPARABLE SALARY DATA FOR MARKET SURVEY COMPLETED FOR BUDGET OR OTHER TIMES AS NECESSARY DURING THE YEAR. HR DIRECTOR AND CEO CONFER RE: CFO SALARY. HR DIRECTOR MEETS WITH PERSONNEL COMMITTEE CHAIR TO REVIEW RECOMMENDED SALARIES FOR BUDGET YEAR. FINANCE COMMITTEE RECEIVES A DETAILED LIST OF CHANGES BY POSITION OR DISCIPLINE OF ANY INCREASES/CHANGES TO SALARY, BUT NOT SPECIFIC SALARIES. FINANCE COMMITTEE RECOMMENDS TO THE BOARD. THE BOARD APPROVES THE CEO SALARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST. |