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MIRASOL HEALTH INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MIRASOL HEALTH INC (EIN 57-0774530)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-09
IRS object ID
201411299349300506
Schema version
2013v3.0
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

FieldValueIRS element (for citing)
Return2014-05-09T07:55:37-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570776381PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEBSTERROGERS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1999AddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570774530EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE CARE OF THE LOWCOUNTRY INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone8437062296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 PALMETTO WAYAddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICH JOHNSTONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8437062296PhoneNum
Signature2014-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND E WARCOPreparerPersonNm
PTINP00045528PTIN
Phone8437068440PhoneNum
Preparation2014-05-08PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNY BRASINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 PALMETTO WAYAddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,058,608GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOSPICECARELC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionPROVIDE SUPPORT AND HOME CARE FOR TERMINALLY ILL PATIENTS OF BEAUFORT CO.,SCActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$336,327PYContributionsGrantsAmt
CY Contributions Grants$292,507CYContributionsGrantsAmt
PY Program Service Revenue$2,507,806PYProgramServiceRevenueAmt
CY Program Service Revenue$2,391,975CYProgramServiceRevenueAmt
PY Investment Income-$25,275PYInvestmentIncomeAmt
CY Investment Income$949CYInvestmentIncomeAmt
PY Other Revenue$248,278PYOtherRevenueAmt
CY Other Revenue$337,502CYOtherRevenueAmt
PY Total Revenue$3,067,136PYTotalRevenueAmt
CY Total Revenue$3,022,933CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,701,399PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,901,833CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$264,457CYTotalFundraisingExpenseAmt
PY Other Expenses$965,568PYOtherExpensesAmt
CY Other Expenses$958,559CYOtherExpensesAmt
PY Total Expenses$2,666,967PYTotalExpensesAmt
CY Total Expenses$2,860,392CYTotalExpensesAmt
PY Revenues Less Expenses$400,169PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$162,541CYRevenuesLessExpensesAmt
Total Assets BOY$1,686,469TotalAssetsBOYAmt
Total Assets EOY$1,822,354TotalAssetsEOYAmt
Total Liabilities BOY$175,513TotalLiabilitiesBOYAmt
Total Liabilities EOY$148,857TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,510,956NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,673,497NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROMOTE VOLUNTEER SUPPORTING SERVICES AND HOME CARE FOR THE TERMINALLY ILL AND OTHER ILLNESSES WHERE HOSPICE CARE IS DEEMED APPROPRIATE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,127,643ExpenseAmt
Revenue$2,391,975RevenueAmt
DescHOSPICE CARE/HOME HEALTH CARE - SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIESDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$108,689ExpenseAmt
DescBEREAVEMENT - SUPPORT FOR FAMILIES OF TERMINALLY ILL PATIENTSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$109,766ExpenseAmt
Revenue$232RevenueAmt
DescEDUCATION - PROVIDING TRAINING AND SEMINARS FOR COMMUNITY AND OTHER HEALTH CARE GROUPS, TO EDUCATE THEM ON CARING FOR TERMINALLY ILL PATIENTSDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescOTHER MISCELLANEOUS REVENUEDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,346,098TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICH JOHNSTONBusinessNameLine1
FieldValueIRS element (for citing)
Phone8437062296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 PALMETTO WAYAddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT MCCOY
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
MIKE KRISTOFF
VICE PRESIDENT5.00Yes (X)Yes (X)$0$0$0
RICHARD JOHNSON
TREASURER5.00Yes (X)Yes (X)$0$0$0
JAN GERAGHTY
SECRETARY5.00Yes (X)Yes (X)$0$0$0
CHARLIE DURKEE
DIRECTOR1.00Yes (X)$0$0$0
SHARON BEASLEY
DIRECTOR1.00Yes (X)$0$0$0
ROBERT GREGORY
DIRECTOR1.00Yes (X)$0$0$0
ARNO DIMMLING
DIRECTOR1.00Yes (X)$0$0$0
TIM BURKE
DIRECTOR1.00Yes (X)$0$0$0
RAY OLESON
DIRECTOR1.00Yes (X)$0$0$0
JACK WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
MAXENE ROGERS
DIRECTOR1.00Yes (X)$0$0$0
MARC STUCKART
DIRECTOR1.00Yes (X)$0$0$0
HEATHER WITHERSPOON
DIRECTOR1.00Yes (X)$0$0$0
JENNY BRASINGTON
EXECUTIVE DIRECTOR40.00Yes (X)$106,825$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$106,825TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$292,507AllOtherContributionsAmt
Total Contributions$292,507TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINSURANCE PAYMENTSDesc
Business900099BusinessCd
Total Revenue Column$2,391,975TotalRevenueColumnAmt
Related Or Exempt Func Income$2,391,975RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,391,975TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$717TotalRevenueColumnAmt
Exclusion$717ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,050OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,818OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$232OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$232TotalRevenueColumnAmt
Related Or Exempt Func Income$232RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$229,002FundraisingGrossIncomeAmt
Fundraising Direct Expenses$33,857FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$195,145TotalRevenueColumnAmt
Exclusion$195,145ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
ENDOWMENT REVENUE900099$141,750$141,750
MISCELLANEOUS REVENUE900099$607$607
FieldValueIRS element (for citing)
Other Revenue Total$142,357OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,022,933TotalRevenueColumnAmt
Related Or Exempt Func Income$2,392,207RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$338,219ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,521,761TotalAmt
Program Services$1,218,093ProgramServicesAmt
Management And General$154,200ManagementAndGeneralAmt
Fundraising$149,468FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,805TotalAmt
Program Services$18,180ProgramServicesAmt
Management And General$3,097ManagementAndGeneralAmt
Fundraising$1,528FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$203,938TotalAmt
Program Services$169,704ProgramServicesAmt
Management And General$22,787ManagementAndGeneralAmt
Fundraising$11,447FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$153,329TotalAmt
Program Services$126,180ProgramServicesAmt
Management And General$13,615ManagementAndGeneralAmt
Fundraising$13,534FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$133,484TotalAmt
Program Services$120,986ProgramServicesAmt
Management And General$7,153ManagementAndGeneralAmt
Fundraising$5,345FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$32,475TotalAmt
Program Services$10,111ProgramServicesAmt
Fundraising$22,364FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,456TotalAmt
Program Services$20,421ProgramServicesAmt
Management And General$8,819ManagementAndGeneralAmt
Fundraising$12,216FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,869TotalAmt
Program Services$4,629ProgramServicesAmt
Management And General$2,999ManagementAndGeneralAmt
Fundraising$2,241FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$84,628TotalAmt
Program Services$39,692ProgramServicesAmt
Management And General$25,718ManagementAndGeneralAmt
Fundraising$19,218FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$121,826TotalAmt
Program Services$116,345ProgramServicesAmt
Fundraising$5,481FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$864TotalAmt
Program Services$405ProgramServicesAmt
Management And General$263ManagementAndGeneralAmt
Fundraising$196FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,641TotalAmt
Program Services$12,495ProgramServicesAmt
Management And General$8,096ManagementAndGeneralAmt
Fundraising$6,050FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,553TotalAmt
Program Services$10,934ProgramServicesAmt
Management And General$1,424ManagementAndGeneralAmt
Fundraising$1,195FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHARMACEUTICAL$139,887$139,887
HOSPITAL AND LAB WORK$132,173$132,173
MEDICAL EQUIPMENT AND S$122,269$122,269
BAS DEBTS$52,276$52,276

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$47,158TotalAmt
Program Services$31,318ProgramServicesAmt
Management And General$1,666ManagementAndGeneralAmt
Fundraising$14,174FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,860,392TotalAmt
Program Services$2,346,098ProgramServicesAmt
Management And General$249,837ManagementAndGeneralAmt
Fundraising$264,457FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$694,841BOYAmt
EOY$193,311EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,119BOYAmt
EOY$67,926EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$243,218BOYAmt
EOY$391,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,869BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$228,523LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$208,945LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,040BOYAmt
EOY$19,578EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$635,382BOYAmt
EOY$1,144,053EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY$6,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,686,469BOYAmt
EOY$1,822,354EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$165,526BOYAmt
EOY$148,857EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,987BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$175,513BOYAmt
EOY$148,857EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,433,226BOYAmt
EOY$1,596,864EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,730BOYAmt
EOY$76,633EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,510,956BOYAmt
EOY$1,673,497EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,686,469BOYAmt
EOY$1,822,354EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$162,541ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,057,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$352,722CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$209,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$336,327CurrentTaxYearMinus1YearAmt
Current Tax Year$292,507CurrentTaxYearAmt
Total$2,247,623TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,057,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$352,722CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$209,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$336,327CurrentTaxYearMinus1YearAmt
Current Tax Year$292,507CurrentTaxYearAmt
Total$2,247,623TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,247,623PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$122,764CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,911CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$28,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$25,275CurrentTaxYearMinus1YearAmt
Current Tax Year$337,844CurrentTaxYearAmt
Total$479,278TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,118CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$254CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,768CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164CurrentTaxYearMinus1YearAmt
Current Tax Year$607CurrentTaxYearAmt
Total$7,911TotalAmt
FieldValueIRS element (for citing)
Total Support$2,734,812TotalSupportAmt
Gross Receipts Rltd Activities$11,166,217GrossReceiptsRltdActivitiesAmt
Public Support CY1700.82190PublicSupportCY170Pct
Public Support PY1700.92540PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$376,015BeginningYearBalanceAmt
Investment Earnings Or Losses$58,929InvestmentEarningsOrLossesAmt
Administrative Expenses$4,016AdministrativeExpensesAmt
End Year Balance$430,928EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$334,105ContributionsAmt
Investment Earnings Or Losses$47,634InvestmentEarningsOrLossesAmt
Administrative Expenses$5,724AdministrativeExpensesAmt
End Year Balance$376,015EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$166,615OtherCostOrOtherBasisAmt
Depreciation$154,611DepreciationAmt
Book Value$12,004BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,908OtherCostOrOtherBasisAmt
Depreciation$54,334DepreciationAmt
Book Value$7,574BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,578TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,022,933TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,022,933RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,022,933TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,860,392TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,860,392ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,860,392TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO PROVIDE SUPPORTING SERVICES TO THOSE INDIVIDUALS WHO ARE UNABLE TO PROVIDE THEIR OWN SUPPORT OR WHO DO NOT QUALIFY FOR THIRD PARTY REIMBURSEMENT.
PART X, LINE 2:THERE WERE NONE.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1YACHT HOPNameOfEvent1Amt
Gross Receipts Event1$117,453GrossReceiptsEvent1Amt
Gross Revenue Event1$117,453GrossRevenueEvent1Amt
Other Direct Expenses Event1$20,643OtherDirectExpensesEvent1Amt
Name Of Event2FALL APPEALNameOfEvent2Amt
Gross Receipts Event2$110,399GrossReceiptsEvent2Amt
Gross Revenue Event2$110,399GrossRevenueEvent2Amt
Other Direct Expenses Event2$13,027OtherDirectExpensesEvent2Amt
Other Events Total6OtherEventsTotalCnt
Gross Receipts Other Events$1,150GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$1,150GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$187OthDirectExpnssOtherEventsAmt
Gross Receipts Total$229,002GrossReceiptsTotalAmt
Gross Revenue Total Events$229,002GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$33,857OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,857DirectExpenseSummaryEventsAmt
Net Income Summary$195,145NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonTIM BURKEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionTIM BURKE IS A MEMBER OF THE BOARD AND PART OWNER OF A PHARMACYRelationshipDescriptionTxt
Transaction$78,713TransactionAmt
TransactionTHE PHARMACY PROVIDES MEDICINES AND MEDICAL SUPPLIES TO THE ORGANIZATION THROUGHOUT THE YEAR.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE TREASURER DISTRIBUTES THE TAX RETURN AND AUDITED FINANCIAL REPORT TO ALL BOARD MEMBERS FOR THEIR REVIEW, WHICH IS FOLLOWED BY A BOARD MEETING FOR QUESTONS AND ANSWERS, AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE ORGANIZATION NOTIFIES ALL OFFICERS AND DIRECTORS THAT A CONFLICT OF INTEREST POLICY IS IN EXISTENCE, AND REMINDS EACH PARTY THAT ANY CONFLICT IS REQUIRED TO BE DISCLOSED TO ALL OF THOSE IN CHARGE OF GOVERNANCE.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL INFORMATION IS PROVIDED UPON REQUEST FROM ANY OUTSIDE PARTY.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN THE PROCESS SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR HOSPICE CARE INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 PALMETTO WAYAddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode
FieldValueIRS element (for citing)
EIN202167107EIN
Primary ActivitiesPROMOTE FUNDING OF HOSPICE CAREPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Exempt Code Section501 (C) 3ExemptCodeSectionTxt
Public Charity StatusSEC170(B)(1)(A)(VI)PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd