FAMILY HOSPICE FOUNDATION: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY HOSPICE FOUNDATION (EIN 55-0899332)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-08
- IRS object ID
- 201211299349200846
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-05-08T21:19:23-00:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mike Conroy CPA LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1885 Oak Avenue | AddressLine1 |
| City | Boulder | City |
| State | CO | State |
| ZIP Code | 803041224 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550899332 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Family Hospice Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FAMI | NameControl |
| Phone | 3035825664 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1790 30th Street Room No 305 | AddressLine1 |
| City | Boulder | City |
| State | CO | State |
| ZIP Code | 80301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Luther Stanton | Name |
| Title | Chairman | Title |
| Date Signed | 2012-05-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mike Conroy | Name |
| Phone | 3038629366 | Phone |
| Date Prepared | 2012-05-08 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 26119 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 26119 | ContributionsGiftsGrantsEtc |
| Total Revenue | 26119 | TotalRevenue |
| Occupancy Rent Utilities And Maint | 1859 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 1197 | PrintingPublicationsPostage |
| Other Expenses Total | 15493 | OtherExpensesTotal |
| Total Expenses | 18549 | TotalExpenses |
| Excess Or Deficit For Year | 7570 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 11375 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18945 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11375 | BOY |
| EOY | 18945 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11375 | BOY |
| EOY | 18945 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11375 | BOY |
| EOY | 18945 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Assistance to Hospice Care Patients | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | We provide assistance to Hospice Care Patients (terminally ill with life expectancy of six months or less) Increase Community Awareness of the needs of the terminally ill and the availability and options of hospice care | DescriptionProgramServiceAccom |
| Program Service Expenses | 11238 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 11238 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Valerie Volpe-Johnston | ||||||
| 24 Empire Place | Longmont | CO | 80504 | Director | 001.00 | 0 |
| Luther Stanton | ||||||
| 41 Betasso Road | Boulder | CO | 80302 | Director | 001.00 | 0 |
| Joseph Stanton | ||||||
| 5620 Fossil Creek Pkwy 2203 | Fort Collins | CO | 80525 | Director | 001.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Valerie Volpe-Johnston | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Empire Place | AddressLine1 |
| City | Longmont | City |
| State | CO | State |
| ZIP Code | 80504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3038273830 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12599 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10392 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21132 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26119 | CurrentTaxYear |
| Total | 82552 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12599 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10392 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21132 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26119 | CurrentTaxYear |
| Total | 82552 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 82552 | PublicSupportTotal170 |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 817 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 892 | CurrentTaxYearMinus3Years |
| Total | 1709 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 84261 | TotalSupport |
| Public Support Pertcentage170 | 0.97970 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97210 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Form 990-EZ, Part I, Line 16, Other Expenses Fundraising 904 Form 990-EZ, Part I, Line 16, Other Expenses Supplies 314 Form 990-EZ, Part I, Line 16, Other Expenses Patient Therapies 9,671 Form 990-EZ, Part I, Line 16, Other Expenses Patient Goodwill 1,567 Form 990-EZ, Part I, Line 16, Other Expenses Insurance 808 Form 990-EZ, Part I, Line 16, Other Expenses Reimbursement 471 Form 990-EZ, Part I, Line 16, Other Expenses Administration 1,758 | Explanation |