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MIRASOL HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MIRASOL HEALTH INC (EIN 57-0774530)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349303243
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

FieldValueIRS element (for citing)
Timestamp2012-11-15T11:28:57-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560574444EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT & HOLLAND LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1999AddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570774530EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE CARE OF THE LOWCOUNTRY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone8437062296Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMIKE HAGENName
TitleTREASURERTitle
Phone8437062296Phone
Date Signed2012-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRAYMOND E WARCOName
PTINP00045528PTIN
Phone8437068440Phone
Date Prepared2012-11-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJENNY BRASINGTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1119 PALMETTO WAYAddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2779689GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICECARELC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SUPPORT AND HOME CARE FOR TERMINALLY ILL PATIENTS OF BEAUFORT CO.,SCActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-29995TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year352722ContributionsGrantsPriorYear
Contributions Grants Current Year209019ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1997182ProgramServiceRevenuePriorYear
Program Service Revenue CY2315646ProgramServiceRevenueCY
Investment Income Prior Year72911InvestmentIncomePriorYear
Investment Income Current Year-28966InvestmentIncomeCurrentYear
Other Revenue Prior Year162005OtherRevenuePriorYear
Other Revenue Current Year205145OtherRevenueCurrentYear
Total Revenue Prior Year2584820TotalRevenuePriorYear
Total Revenue Current Year2700844TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1594719SalariesEtcPriorYear
Salaries Etc Current Year1592273SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year117372TotalFundrsngExpCurrentYear
Other Expense Prior Year932834OtherExpensePriorYear
Other Expenses Current Year979958OtherExpensesCurrentYear
Total Expenses Prior Year2527553TotalExpensesPriorYear
Total Expenses Current Year2572231TotalExpensesCurrentYear
Revenues Less Expenses Prior Year57267RevenuesLessExpensesPriorYear
Revenues Less Expenses CY128613RevenuesLessExpensesCY
Total Assets BOY1442123TotalAssetsBOY
Total Assets EOY1575060TotalAssetsEOY
Total Liabilities BOY160567TotalLiabilitiesBOY
Total Liabilities EOY164891TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1281556NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1410169NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE VOLUNTEER SUPPORTING SERVICES AND HOME CARE FOR THE TERMINALLY ILL AND OTHER ILLNESSES WHERE HOSPICE CARE IS DEEMED APPROPRIATE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1835198Expense
Revenue2319414Revenue
DescriptionHOSPICE CARE/HOME HEALTH CARE - SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense81453Expense
DescriptionBEREAVEMENT - SUPPORT FOR FAMILIES OF TERMINALLY ILL PATIENTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense119511Expense
DescriptionEDUCATION - PROVIDING TRAINING AND SEMINARS FOR COMMUNITY AND OTHER HEALTH CARE GROUPS, TO EDUCATE THEM ON CARING FOR TERMINALLY ILL PATIENTSDescription
FieldValueIRS element (for citing)
Total Program Service Expense2036162TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREG BENNETT CPA PABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8436892624TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line120 PALMETTO PKWYAddressLine1
CityHILTON HEAD ISLANDCity
StateSCState
ZIP Code29926ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BILL SAWTELL
PRESIDENT5.00XX000
BOB GREGORY
VICE PRESIDENT5.00XX000
MIKE HAGEN
TREASURER5.00XX000
BOB MCCOY
SECRETARY5.00XX000
CHARLIE DURKEE
DIRECTOR1.00X000
JAN GERAGHTY
DIRECTOR1.00X000
LOUIS E HATHAWAY III
DIRECTOR1.00X000
SUE KERR
DIRECTOR1.00X000
KAREN KIRBY
DIRECTOR1.00X000
RAY OLESON
DIRECTOR1.00X000
KAMAL PATEL
DIRECTOR1.00X000
MAXENE ROGERS
DIRECTOR1.00X000
RICK SMITH
DIRECTOR1.00X000
MARC STUCKART
DIRECTOR1.00X000
HEATHER WITHERSPOON
DIRECTOR1.00X000
JENNY BRASINGTON
EXECUTIVE DIRECTOR40.00X8516200XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org85162TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions209019AllOtherContributions
Total Contributions209019TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionINSURANCE PAYMENTSDescription
Business Code900099BusinessCode
Total Revenue Column2315646TotalRevenueColumn
Related Or Exempt Function Income2315646RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2315646TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1029TotalRevenueColumn
Exclusion$1,029ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities29995Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-29995Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-29995TotalRevenueColumn
Unrelated Business Revenue-29995UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Gross Income Fundraising Events250227GrossIncomeFundraisingEvents
Fundraising Direct Expenses48850FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column201377TotalRevenueColumn
Exclusion$201,377ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column3768TotalRevenueColumn
Related Or Exempt Function Income3768RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3768TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2700844TotalRevenueColumn
Related Or Exempt Function Income2319414RelatedOrExemptFunctionIncome
Unrelated Business Revenue-29995UnrelatedBusinessRevenue
Exclusion$202,406ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1270921Total
Program Services994301ProgramServices
Management And General201845ManagementAndGeneral
Fundraising74775Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total210069Total
Program Services164347ProgramServices
Management And General33363ManagementAndGeneral
Fundraising12359Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total111283Total
Program Services86622ProgramServices
Management And General17959ManagementAndGeneral
Fundraising6702Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total53300Total
Program Services53300ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2957Total
Management And General2957ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total91059Total
Program Services3695ProgramServices
Management And General87364ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19100Total
Program Services12530ProgramServices
Management And General6570ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15719Total
Program Services6114ProgramServices
Fundraising9605Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total43589Total
Program Services30867ProgramServices
Management And General11736ManagementAndGeneral
Fundraising986Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total57899Total
Program Services45297ProgramServices
Management And General9195ManagementAndGeneral
Fundraising3407Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total95006Total
Program Services91290ProgramServices
Management And General582ManagementAndGeneral
Fundraising3134Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1173Total
Program Services400ProgramServices
Management And General773ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1687Total
Management And General1687ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total33784Total
Program Services33784ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HOSPITAL AND LAB WORK298354298354
PHARMACEUTICAL7866278662
INSURANCE520144069382613060
MEDICAL EQUIPMENT AND S5031250312

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85343Total
Program Services45594ProgramServices
Management And General36405ManagementAndGeneral
Fundraising3344Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2572231Total
Program Services2036162ProgramServices
Management And General418697ManagementAndGeneral
Fundraising117372Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY245706BOY
EOY339714EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY16000BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY203146BOY
EOY214007EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7647BOY
EOY6453EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis350482LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec239495LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY132032BOY
EOY110987EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY831592BOY
EOY897899EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6000BOY
EOY6000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1442123BOY
EOY1575060EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY135882BOY
EOY147365EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY24685BOY
EOY17526EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY160567BOY
EOY164891EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY851154BOY
EOY1010606EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY430402BOY
EOY399563EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1281556BOY
EOY1410169EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1442123BOY
EOY1575060EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses128613ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years257455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years361500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1057048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year352722CurrentTaxYearMinus1Year
Current Tax Year209019CurrentTaxYear
Total2237744Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years257455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years361500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1057048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year352722CurrentTaxYearMinus1Year
Current Tax Year209019CurrentTaxYear
Total2237744Total
FieldValueIRS element (for citing)
Public Support Total1702237744PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years122764CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year72911CurrentTaxYearMinus1Year
Current Tax Year-28966CurrentTaxYear
Total186221Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3118CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year254CurrentTaxYearMinus1Year
Current Tax Year3768CurrentTaxYear
Total29691Total
FieldValueIRS element (for citing)
Total Support2453656TotalSupport
Gross Receipts From Admissions Etc10653291GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.91200PublicSupportPertcentage170
Public Support Pertcent Prior Year0.88050PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis236644OtherCostOrOtherBasis
Depreciation162750Depreciation
Book Value73894BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis113838OtherCostOrOtherBasis
Depreciation76745Depreciation
Book Value37093BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110987TotalOfBookValueLandBuildings
Total Revenue2700844TotalRevenue
Total Expenses2572231TotalExpenses
Excess Or Deficit For Year128613ExcessOrDeficitForYear
Excess Or Deficit Per FS128613ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2700844TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal2700844RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902700844TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2572231TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2572231ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902572231TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHERE WERE NONE.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SOCIAL WITH AUCTIONNameOfEvent1
Gross Receipts Event1121392GrossReceiptsEvent1
Gross Revenue Event1121392GrossRevenueEvent1
Other Direct Expenses Event116380OtherDirectExpensesEvent1
Name Of Event2SOCIALNameOfEvent2
Gross Receipts Event290465GrossReceiptsEvent2
Gross Revenue Event290465GrossRevenueEvent2
Other Direct Expenses Event210577OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events38370GrossReceiptsOtherEvents
Gross Revenue Other Events38370GrossRevenueOtherEvents
Other Direct Expenses Other Events21893OtherDirectExpensesOtherEvents
Gross Receipts Total250227GrossReceiptsTotal
Gross Revenue Total Events250227GrossRevenueTotalEvents
Other Direct Expenses Total Events48850OtherDirectExpensesTotalEvents
Direct Expense Summary Events48850DirectExpenseSummaryEvents
Net Income Summary201377NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 C, LINE 19FINANCIAL INFORMATION IS PROVIDED UPON REQUEST FROM ANY OUTSIDE PARTY.
THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1119 PALMETTO WAYAddressLine1
CityBLUFFTONCity
StateSCState
ZIP Code29910ZIPCode
FieldValueIRS element (for citing)
EIN202167107EIN
Primary ActivitiesPROMOTE FUNDING OF HOSPICE CAREPrimaryActivities
Legal Domicile StateSCLegalDomicileState
Exempt Code Section501 (C) 3ExemptCodeSection
Public Charity StatusSEC170(B)(1)(A)(VI)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg