STELLA MARIS INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- STELLA MARIS INC (EIN 34-0896181)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-03-31
- IRS object ID
- 201630919349301103
- Schema version
- 2014v6.0
- 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 | 2016-03-31T19:15:29-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341297961 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KILBANE & WISE CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21851 CENTER RIDGE RD 207 | AddressLine1Txt |
| City | ROCKY RIVER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340896181 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STELLA MARIS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STEL | BusinessNameControlTxt |
| Phone | 1216781055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WASHINGTON AVE | AddressLine1Txt |
| City | CLEVELAND | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44113 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS MADDEN | PersonNm |
| Person Title | INTERIM EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2167810550 | PhoneNum |
| Signature | 2016-03-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES A WISE CPA | PreparerPersonNm |
| PTIN | P00269854 | PTIN |
| Phone | 4403562020 | PhoneNum |
| Preparation | 2016-02-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIM HAGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WASHINGTON | AddressLine1Txt |
| City | CLEVELAND | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44113 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,221,717 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STELLAMARISCLEVELAND.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | STELLA MARIS' MISSION IS TO PROVIDE QUALITY CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES TO OUR COMMUNITY REGARDLESS OF RACE, SEX, RELIGION, OR ABILITY TO PAY. STELLA MARIS WILL STRIVE TO MAKE SERVICES AVAILABLE TO ALL THOSE SEEKING TREATMENT BASED ON PRESENTING NEED AND AVAILABLE TREATMENT CAPACITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,836,201 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,661,536 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $891,075 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,541,910 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,385 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,271 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,759,661 | PYTotalRevenueAmt |
| CY Total Revenue | $3,221,717 | 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 | $1,655,779 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,842,677 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $21,965 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,042,637 | PYOtherExpensesAmt |
| CY Other Expenses | $1,295,785 | CYOtherExpensesAmt |
| PY Total Expenses | $2,698,416 | PYTotalExpensesAmt |
| CY Total Expenses | $3,138,462 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,245 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $83,255 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,752,712 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,964,828 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $47,927 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $175,682 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,704,785 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,789,146 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | STELLA MARIS' MISSION IS TO PROVIDE QUALITY CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES TO OUR COMMUNITY REGARDLESS OF RACE, SEX, RELIGION, OR ABILITY TO PAY. STELLA MARIS WILL STRIVE TO MAKE SERVICES AVAILABLE TO ALL THOSE SEEKING TREATMENT BASED ON PRESENTING NEED AND AVAILABLE TREATMENT CAPACITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,330,074 | ExpenseAmt |
| Revenue | $735,582 | RevenueAmt |
| Desc | MEDICAL DETOXIFICATION IS THE FIRST STEP TO MEDICALLY STABILIZE A PATIENT IN ACTIVE WITHDRAWAL FROM ALCOHOL AND OTHER CHEMICALS. 16 SUB ACUTE BEDS UNDER THE DIRECTION OF PHYSICIANS, 24 HOUR NURSING STAFF, COUNSELORS, AND A DIETICIAN PROVIDE INPATIENT CARE INCLUDING A HISTORY AND PHYSICAL, BIOPSYCHOSOCIAL ASSESSMENT, MEDICATIONS, LABORATORY SERVICES AND AN INDIVIDUAL TREATMENT PLAN INCLUDING DISCHARGE PLANNING TO THE NEXT LEVEL OF CARE FOR ONGOING TREATMENT FOR RECOVERY FROM ADDICTION. THE POPULATION IS PRIMARILY MEDICALLY INDIGENT AND/OR HOMELESS MEN AND WOMEN 18 YEARS OR OLDER WITH NO ACCESS TO HOSPITAL BASED CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $622,421 | ExpenseAmt |
| Revenue | $228,716 | RevenueAmt |
| Desc | SUPPORTIVE HOUSING IS PROVIDED FOR CLIENTS REFERRED FROM DETOX AND OTHER AGENCIES WHO ARE HOMELESS AND NEED RESIDENTIAL SUPPORT. 40 BEDS ARE UTILIZED IN A THERAPEUTIC COMMUNITY WHICH PROVIDES CASE MANAGEMENT, INTENSIVE DAY TREATMENT, MENTAL HEALTH SERVICES, VOCATIONAL TRAINING, AND EDUCATION REGARDING ADDICTION AND RELAPSE PREVENTION. DISCHARGE CRITERIA REQUIRE STABLE SOBER HOUSING AND EMPLOYMENT BEFORE RETURNING TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $538,968 | ExpenseAmt |
| Revenue | $564,724 | RevenueAmt |
| Desc | OUTPATIENT TREATMENT SERVICES INCLUDE DAY AND/OR EVENING CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES FOR CLIENTS NOT REQUIRING RESIDENTIAL SUPPORT. AFTERCARE AND FAMILY SUPPORT EDUCATION AND TREATMENT SERVICES ARE ALSO PROVIDED. STELLA MARIS ALSO HOSTS 12 STEP MEETINGS 2 TIMES DAILY SEVEN DAYS PER WEEK FOR THE RECOVERY COMMUNITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $295,042 | ExpenseAmt |
| Revenue | $31,159 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICE ALLOCATION | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $295,042 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $31,159 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,786,505 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIM HAGAN-INTERIM EXECUTIVE DIRECTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2167810550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WASHINGTON | AddressLine1Txt |
| City | CLEVELAND | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44113 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| RICHARD G BIALOSKY CCIM | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| SUSAN GRAGEL | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| ALBERT SCHNEIDER | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| MICHAEL BLUMENTHAL | |||||
| ADVISORY BOARD | 0.00 | Yes (X) | $0 | $0 | $0 |
| MICHAEL GALLAGHER | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| THOMAS GERSON | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| DENNIS MADDEN | |||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $94,124 | $0 | $0 |
| ROBERT BRANDON | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| PATRICK QUINN | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| TIMOTHY L MCERLEAN | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| RICK DOODY | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| RANDY HORVAT | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| KEITH KARAKUL | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| JOHN F O'BRIEN | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| CHERYL HAGAN O'MALLEY | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| DIANE M MEKKER | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| DAVID M GLEASON | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| SUSAN DEMPSEY | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| GERALD CONWAY | |||||
| BOARD MEMBER/EMERITUS | 0.00 | Yes (X) | $0 | $0 | $0 |
| EARLE HORTON | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| ROZ CIULLA | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| BRIAN KELLON | |||||
| BOARD MEMBER/TRUSTEE | 0.00 | Yes (X) | $0 | $0 | $0 |
| KEN LURIE | |||||
| BOARD MEMBER/EMERITUS | 0.00 | Yes (X) | $0 | $0 | $0 |
| DEBORAH A BRIDWELL | |||||
| BOARD MEMBER/EMERITUS | 0.00 | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $94,124 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | 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 | $1,400,885 | GovernmentGrantsAmt |
| All Other Contributions | $260,651 | AllOtherContributionsAmt |
| Total Contributions | $1,661,536 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE FEES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $1,541,910 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,541,910 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,541,910 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,971 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,971 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,300 | 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 | $2,300 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,300 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,300 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,221,717 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,560,181 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,124 | TotalAmt |
| Management And General | $94,124 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499,778 | TotalAmt |
| Program Services | $1,388,508 | ProgramServicesAmt |
| Management And General | $111,270 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,990 | TotalAmt |
| Program Services | $86,696 | ProgramServicesAmt |
| Management And General | $16,294 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,785 | TotalAmt |
| Program Services | $125,246 | ProgramServicesAmt |
| Management And General | $20,539 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,000 | TotalAmt |
| Program Services | $120,000 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,939 | TotalAmt |
| Program Services | $3,939 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,350 | TotalAmt |
| Management And General | $64,350 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,871 | TotalAmt |
| Program Services | $108,491 | ProgramServicesAmt |
| Management And General | $23,415 | ManagementAndGeneralAmt |
| Fundraising | $21,965 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,541 | TotalAmt |
| Program Services | $25,541 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,912 | TotalAmt |
| Program Services | $24,912 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,425 | TotalAmt |
| Program Services | $190,425 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,415 | TotalAmt |
| Program Services | $157,415 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,221 | TotalAmt |
| Program Services | $34,221 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| FOOD & SUPPLIES | $312,662 | $312,662 |
| LAB FEES & MEDICINES | $124,897 | $124,897 |
| MISCELLANEOUS | $39,637 | $39,637 |
| TELEPHONE | $14,035 | $14,035 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,880 | TotalAmt |
| Program Services | $29,880 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,138,462 | TotalAmt |
| Program Services | $2,786,505 | ProgramServicesAmt |
| Management And General | $329,992 | ManagementAndGeneralAmt |
| Fundraising | $21,965 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,792 | BOYAmt |
| EOY | $594,415 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,110 | BOYAmt |
| EOY | $346,765 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,079 | BOYAmt |
| EOY | $43,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,610,448 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,962,931 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,592,764 | BOYAmt |
| EOY | $2,647,517 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,967 | BOYAmt |
| EOY | $331,612 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,752,712 | BOYAmt |
| EOY | $3,964,828 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,927 | BOYAmt |
| EOY | $175,682 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,927 | BOYAmt |
| EOY | $175,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,536,285 | BOYAmt |
| EOY | $3,679,146 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,500 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,000 | BOYAmt |
| EOY | $110,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,704,785 | BOYAmt |
| EOY | $3,789,146 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,752,712 | BOYAmt |
| EOY | $3,964,828 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $83,255 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,106 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $267,205 | OtherCostOrOtherBasisAmt |
| Book Value | $267,205 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,343,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,962,931 | DepreciationAmt |
| Book Value | $2,380,312 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,647,517 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $3,222,823 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,106 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,106 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,221,717 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,221,717 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $0 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | CPA PREPARED FORM 990 PRESENTED AND REVIEWED BY EXECTIVE DIRECTOR AND DISCUSSED WITH BOARD MEMBERS REGARDING APPROVAL AND FILING ACKNOWLEGEMENT |
| FORM 990, PART VI, SECTION B, LINE 12C | CONSISTENT REVIEW, DISCUSSION AND AWARENESS OF THE SIGNIFICANCE AND EXISTENCE |
| FORM 990, PART VI, SECTION B, LINE 15 | APPROVAL BY BOARD AFTER CONSIDERATION OF WRITTEN REPORT DETAILING UP TO SIX SIMILAR ORGANIZATIONS COMPENSATION LEVELS |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS AVAILABLE UPON REQUEST |