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THE ELIZABETH HOSPICE FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
THE ELIZABETH HOSPICE FOUNDATION (EIN 82-0549103)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201141339349305804
Schema version
2009v1.7
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)
Timestamp2011-05-13T18:52:43-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AKT LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1312 S Juniper Street Suite 100AddressLine1
CityEscondidoCity
StateCAState
ZIP Code92025ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN820549103EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE ELIZABETH HOSPICE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELIZNameControl
Phone7607372050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 W CREST STREETAddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code92025ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIPRIAN SKAVINSKIName
TitleCFOTitle
Phone7607372050Phone
Date Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameElsa A RomeroName
Phone7607461560Phone
Date Prepared2011-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAURA MILLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 W CREST STREETAddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code92025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4196196GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ELIZABETHHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSUPPORT PROMOTE & STRENGTHEN THE DELIVERY OF CARE & SERVICES PROVIDED BY THE ELIZABETH HOSPICE,INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2273892ContributionsGrantsPriorYear
Contributions Grants Current Year2860992ContributionsGrantsCurrentYear
Program Service Revenue CY3468ProgramServiceRevenueCY
Investment Income Prior Year291224InvestmentIncomePriorYear
Investment Income Current Year12596InvestmentIncomeCurrentYear
Other Revenue Prior Year-77521OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2487595TotalRevenuePriorYear
Total Revenue Current Year2877056TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year139391GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY344758GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year522646TotalFundrsngExpCurrentYear
Other Expense Prior Year631985OtherExpensePriorYear
Other Expenses Current Year770861OtherExpensesCurrentYear
Total Expenses Prior Year771376TotalExpensesPriorYear
Total Expenses Current Year1115619TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1716219RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1761437RevenuesLessExpensesCY
Total Assets BOY6970610TotalAssetsBOY
Total Assets EOY9506056TotalAssetsEOY
Total Liabilities BOY3175303TotalLiabilitiesBOY
Total Liabilities EOY3527523TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3795307NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5978533NetAssetsOrFundBalancesEOY
Mission DescriptionSUPPORT, PROMOTE, AND STRENGTHEN THE DELIVERY OF CARE AND SERVICES PROVIDED BY THE ELIZABETH HOSPICE, INC TO THE TERMINALLY ILL AND THEIR FAMILIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense431106Expense
Grants344758Grants
Revenue3468Revenue
DescriptionOBTAIN AND PROVIDE FUNDS AND FUNDING RESOURCES IN SUPPORT OF THE ELIZABETH HOSPICE'S PROGRAMS AND SERVICES.Description
Total Program Service Expense431106TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STACY MAXABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7607372050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 W CREST STAddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code92025ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BETTE FINEGAN
BOARD MEMBER1.00X000
FAYE HINES
BOARD MEMBER1.00X000
RON KLINGENSMITH
BOARD MEMBER1.00X000
ERIC MENEES
CHAIRMAN1.00X000X
SUSIE SNOW
BOARD MEMBER1.00X000
JOHN FORST
BOARD MEMBER1.00X000
RICHARD SEGARRA
BOARD MEMBER1.00X000
DAN LAFRAMBOISE
BOARD MEMBER1.00X000
LAURA MILLER
CEO1.00014649732652X
KIPRIAN SKAVINSKI
CFO1.0009963923618X
CHERYL FARST
Corporate Secretary1.000161382321X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs262274TotalReportableCompFrmRltdOrgs
Total Other Compensation58591TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions2860992AllOtherContributions
Noncash Contributions16548NoncashContributions
Total Contributions2860992TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Total Revenue Column3468TotalRevenueColumn
Related Or Exempt Function Income3468RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3468TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column113408TotalRevenueColumn
Exclusion$113,408ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1218328Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1319140Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-100812Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-100812TotalRevenueColumn
Exclusion-$100,812ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2877056TotalRevenueColumn
Related Or Exempt Function Income3468RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$12,596ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total344758Total
Program Services344758ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total398057Total
Management And General38362ManagementAndGeneral
Fundraising359695Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71263Total
Fundraising71263Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2700Total
Program Services1350ProgramServices
Management And General1350ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total37160Total
Management And General37160ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total80Total
Fundraising80Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26064Total
Program Services10001ProgramServices
Management And General9998ManagementAndGeneral
Fundraising6065Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12150Total
Program Services5871ProgramServices
Management And General5871ManagementAndGeneral
Fundraising408Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20688Total
Program Services10344ProgramServices
Management And General10344ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1511Total
Fundraising1511Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total126Total
Fundraising126Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total62206Total
Program Services31103ProgramServices
Management And General31103ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38710Total
Program Services19355ProgramServices
Management And General19355ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIRECT MAIL EXPENSE5269452694
COMPUTER1598114595693693
DONOR RELATIONS97839783
PRINTING974268245304530
MINOR EQUIPMENT620231013101

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5744Total
Fundraising5744Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1115619Total
Program Services431106ProgramServices
Management And General161867ManagementAndGeneral
Fundraising522646Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50722BOY
EOY10957EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY50382BOY
EOY75589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17486BOY
EOY12986EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2900681LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec91918LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2811027BOY
EOY2808763EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY458859BOY
EOY1573729EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3582134BOY
EOY5024032EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6970610BOY
EOY9506056EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1062891BOY
EOY1904368EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2112412BOY
EOY1623155EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3175303BOY
EOY3527523EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1700116BOY
EOY3177450EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY174864BOY
EOY220756EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1920327BOY
EOY2580327EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3795307BOY
EOY5978533EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6970610BOY
EOY9506056EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years3807963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1154128CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1236310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2273892CurrentTaxYearMinus1Year
Current Tax Year2860992CurrentTaxYear
Total11333285Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3807963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1154128CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1236310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2273892CurrentTaxYearMinus1Year
Current Tax Year2860992CurrentTaxYear
Total11333285Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3336860AmountsSubstContributorsTotal
Public Support Total1707996425PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years151412CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167864CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74919CurrentTaxYearMinus1Year
Current Tax Year113428CurrentTaxYear
Total575243Total
FieldValueIRS element (for citing)
Total Support11908528TotalSupport
Gross Receipts From Admissions Etc3468GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.67150PublicSupportPertcentage170
Public Support Pertcent Prior Year0.75080PublicSupportPertcentPriorYear
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1734578BeginningOfYearBalance
Contributions660000Contributions
Investment Earnings Or Losses268846InvestmentEarningsOrLosses
End Of Year Balance2663424EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance920327BeginningOfYearBalance
Contributions1000000Contributions
Investment Earnings Or Losses-185749InvestmentEarningsOrLosses
End Of Year Balance1734578EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.97000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis879235OtherCostOrOtherBasis
Book Value879235BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2010903OtherCostOrOtherBasis
Depreciation89442Depreciation
Book Value1921461BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10543OtherCostOrOtherBasis
Depreciation2476Depreciation
Book Value8067BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2808763TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS4262971F
MONEY MARKET FUNDS761061F
FieldValueIRS element (for citing)
Total Of Book Value Securities5024032TotalOfBookValueSecurities
Total Revenue2877056TotalRevenue
Total Expenses1115619TotalExpenses
Excess Or Deficit For Year1761437ExcessOrDeficitForYear
Net Unrealized GL On Investments421789NetUnrealizedGLOnInvestments
Total Adjustments421789TotalAdjustments
Excess Or Deficit Per FS2183226ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24688080TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments421789NetUnrealizedGainsInvestments
Other Revenues21479089OtherRevenues
Revenue Not Rptd F99021900878RevenueNotRptdF990
Revenue Subtotal2787202RevenueSubtotal
Investment Expenses Not Included37160InvestmentExpensesNotIncluded
Other Revenues Not Included52694OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt89854RevenueNotRptdOnFinStmt
Total Revenue Per Form9902877056TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20403275TotExpensesEtcAuditedFinclStmt
Other Expenses Included19377510OtherExpensesIncluded
Expenses Not Rptd F99019377510ExpensesNotRptdF990
Expenses Subtotal1025765ExpensesSubtotal
Investment Expenses Not Included237160InvestmentExpensesNotIncluded2
Other Expenses Not Included52694OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt89854ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901115619TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 2d - Other Adjustments:REVENUES FROM RELATED ORGANIZATION PER CONSOLIDATED GAAP STATEMENTS: 21951720. ELIMINATING ENTRIES PER CONSOLIDATED GAAP STATEMENTS: -472631.
Part XII, Line 4b - Other Adjustments:SPECIAL EVENT EXPENSE: 52694.
Part XIII, Line 2d - Other Adjustments:EXPENSES FROM RELATED ORGANIZATION PER CONSOLIDATED GAAP STATEMENTS: 19850141. ELIMINATING ENTRIES PER CONSOLIDATED GAAP STATEMENTS: -472631.
Part XIII, Line 4b - Other Adjustments:SPECIAL EVENT EXPENSE: 52694.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH HOSPICE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 W CREST STREETAddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code92025ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient953275679EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant344758AmountOfCashGrant
Purpose Of GrantSUPPORT OF ELIZABETH HOSPICE, INC TO PROVIDE HOSPICE CARE.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: GRANT IS TO RELATED ORGANIZATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LAURA MILLERBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs146497CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs20254DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs12398NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs179149TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs190248CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE BOARD OF DIRECTORS HAS DELEGATED ITS AUTHORITY TO THE AUDIT COMMITEE OF THE BOARD TO REVIEW, RECOMMEND, AND APPROVE THE 990 TAX RETURNS PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cBOARD MEMBERS, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS
Form 990, Part VI, Section B, line 15THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS, DIRECTORS OR KEY EMPLOYEES. ALL EMPLOYEES ARE REPORTED AND PAID BY ELIZABETH HOSPICE, INC. A RELATED ORGANIZATION.
Form 990, Part VI, Section C, line 18DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT 150 W. CREST STREET, ESCONDIDO, CA 92025.
Form 990, Part VI, Section C, line 19DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT 150 W. CREST STREET, ESCONDIDO, CA 92025.
FORM 990, PART XI, LINE 2CNO CHANGE FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH HOSPICE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 W CREST STREETAddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code92025ZIPCode
FieldValueIRS element (for citing)
EIN953275679EIN
Primary ActivitiesHOSPICE SERVICESPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(a)(2)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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 Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg