Inland Hospice Association in Claremont, California (CA)

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Inland Hospice Association
Employer Identification Number (EIN)953371151
Name of OrganizationInland Hospice Association
Address233 Harrison Ave, Claremont, CA 91711-4324
ActivitiesCommunity service organization, Other youth organization or activities, Preservation of natural resources (conservation)
SubsectionCharitable Organization
Ruling Date06/1979
DeductibilityContributions are deductible
FoundationOrganization which receives a substantial part of its support from a governmental unit or the general public
OrganizationCorporation
Tax Period06/2012
Assets$1 to $9,999
Income$100,000 to $499,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$2,723
Amount of Income$147,776
Form 990 Revenue Amount$126,582
National Taxonomy of Exempt Entities (NTEE)Human Services - Multipurpose and Other: Hospice


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Amount of income in 2012: $147,776
This organization: 

 $147,776
Other organizations performing similar types of work: 

 $11,871,141

Assets in 2012: $2,723
This organization: 

 $2,723
Other organizations performing similar types of work: 

 $13,942,959

Expenses in 2012: $153,616
Inland Hospice Association: 

 $153,616
Other organizations performing similar types of work: 

 $9,359,766

Income to expenses ratio in 2012: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 80.1%
Inland Hospice Association: 

 80.1%
Other organizations performing similar types of work: 

 80.2%

Number of employees in 2012: 5
Inland Hospice Association: 

 5
Other organizations performing similar types of work: 

 157

Grants share in income in 2012: 56.6%
This organization: 

 56.6%
Other organizations performing similar types of work: 

 3.9%

Financial snapshot ($)

Revenue for 2012

Functional expenses for 2012

Support schedule

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2012)
Total revenue$126,582
Contributions, Gifts, Grants and Other Similar Amounts$71,620
Program Service Revenue$3,113
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$0
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net loss from sales of assets other than inventory$-9
Gross amount from sales of assets other than inventory (Securities / Other)$942 / $0
Less: cost or other basis and sales expenses (Securities / Other)$951 / $0
Gain or (loss) (Securities / Other)$-9 / $0
Net income from fundraising events$51,858
Gross income from fundraising events$72,101
Less: direct expenses$20,243
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$0
Statement of Functional Expenses (for 2012)
Total functional expenses$153,616
Compensation of current officers, directors, trustees, and key employees$27,733
Other salaries and wages$70,143
Payroll taxes$9,162
Professional fundraising services$0
Other$46,578
Balance Sheet (for 2012)
Total assets$2,723
Total liabilities$6,073
Tax-exempt bond liabilities$0
Secured mortgages and notes payable to unrelated third parties$0
Unsecured notes and loans payable to unrelated third parties$0
Other$6,073
Total net assets or fund balances$-3,350
Retained earnings, endowment, accumulated income, or other funds$0
Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Support Schedule for Organizations Described in Section 509(a)(2) (for 2012)
2008 - 2012 Total
Total support$774,489
Gifts, grants, contributions, and membership fees received$509,860
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$10,617
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources and Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$5,100
Other$248,912
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$234,945$230,206$201,787$186,680$143,912$188,870$282,200$152,545
Contributions, gifts, grants, and similar amounts received$108,173$113,564$78,503$97,475$88,215$95,621$224,321$108,834
Contributions to donor advised funds$0$0
Direct public support$73,093$51,304$26,419$33,693$21,238$43,882$99,157$29,944
Indirect public support$35,080$57,955$50,084$62,782$64,477$51,739$123,914$78,890
Government contributions (grants)$0$4,305$2,000$1,000$2,500$0$1,250$0
Program service revenue including government fees and contracts$0$0$0$0$0$0$0$0
Membership dues and assessments$15,133$5,299$24,347$17,921$5,440$8,066$4,981$11,560
Interest on savings and temporary cash investments$0$0$0$0$4,951$0$3$2
Dividends and interest from securities$5,086$646$2,326$2,625$0$1,397$4,756$4,284
Net rental income or (loss)$0$0$0$0$0$0$0$0
Gross rents$0$0$0$0$0$0$0$0
Less: rental expenses$0$0$0$0$0$0$0$0
Other investment income$0$0$0$57$57$0$0$0
Gain or (loss) from sales of assets other than inventory$0$0$0$0$0$-27$-14$-4
Gross amount from sales of assets other than inventory$0$0$0$0$0$2,952$1,679$672
Less: cost or other basis and sales expenses$0$0$0$0$0$2,979$1,693$676
Net income or (loss) from special events and activities$90,860$93,289$96,611$68,602$45,249$83,813$48,153$27,869
Gross revenue$115,844$124,923$137,900$89,158$94,975$118,100$81,126$40,548
Less: direct expenses other than fundraising expenses$24,984$31,634$41,289$20,556$49,726$34,287$32,973$12,679
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0$0
Other revenue$15,693$17,408$0$0$0$0$0$0
Total expenses$197,347$220,163$216,380$225,385$192,902$195,943$212,361$212,210
Program services$152,145$169,343$155,649$181,282$156,738$157,426$171,726$169,885
Management and general$20,607$25,261$26,028$24,238$23,107$25,409$28,672$28,453
Fundraising$24,595$25,559$34,703$19,865$13,057$13,108$11,963$13,872
Payments to affiliates$0$0$0$0$0$0$0$0
Net assets or fund balances at end of year$175,105$185,148$170,555$137,521$88,531$81,458$151,297$91,632
Excess or (deficit) for the year$37,598$10,043$-14,593$-38,705$-48,990$-7,073$69,839$-59,665
Net assets or fund balances at beginning of year$137,507$175,105$185,148$170,555$137,521$88,531$81,458$151,297
Other changes in net assets or fund balances$0$0$0$5,671$0$0$0$0
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$212,210$169,885$28,453$13,872
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$50,920$45,828$5,092$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$61,263$43,193$9,035$9,035
Pension plan contributions not included above$4,752$3,771$598$383
Employee benefits not included above$21,404$16,985$2,695$1,724
Payroll taxes$11,394$9,041$1,435$918
Professional fundraising fees$0$0$0$0
Accounting fees$3,920$0$3,920$0
Legal fees$0$0$0$0
Supplies$3,520$2,816$352$352
Telephone$6,080$4,864$608$608
Postage and shipping$1,960$1,568$196$196
Occupancy$4,800$3,840$480$480
Equipment rental and maintenance$1,759$1,407$176$176
Printing and publications$4,620$4,620$0$0
Travel$360$360$0$0
Conferences, conventions, and meetings$2,336$2,336$0$0
Interest$0$0$0$0
Depreciation, depletion, etc.$514$514$0$0
Other expenses not covered above$32,608$28,742$3,866$0
Balance Sheets
20002001200220032004200520062007
Total assets$187,229$192,548$180,401$142,510$90,968$87,085$154,585$96,439
Cash - non-interest-bearing$24,004$29,609$31,968$46,558$30,667$38,991$10,847$13,358
Savings and temporary cash investments$153,983$154,897$25,494$9,489$50,411$46,702$139,409$79,315
Accounts receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Inventories for sale or use$0$0$0$0$0$0$0$0
Prepaid expenses and deferred charges$0$0$985$1,389$6,066$942$4,075$1,644
Investments - publicly-traded securities$0$0
Investments - other securities$0$0$0$0$0$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$8,042$0$0$0$0$0$0
Investments - other$0$0$0$0$0$0$0$0
Land, buildings, and equipment less accumulated depreciation$9,242$0$6,842$6,484$3,824$450$254$2,122
Other assets, including program-related investments$0$0$115,112$78,590$0$0$0$0
Total liabilities$12,124$7,400$9,846$4,989$2,437$5,627$3,288$4,807
Accounts payable and accrued expenses$12,124$7,400$9,846$4,989$2,436$5,627$2,898$3,667
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$0$0$0$0$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0$0$0$0
Mortgages and other notes payable$0$0$0$0$0$0$0$0
Other liabilities$0$0$0$0$1$0$390$1,140
Total liabilities and net assets/fund balances$187,229$192,548$180,401$142,510$90,968$87,085$154,585$96,439
Total net assets or fund balances$175,105$185,148$170,555$137,521$88,531$81,458$151,297$91,632
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$234,945$230,206$201,787$186,680$0$0$0$0
Total revenue, gains, and other support per audited financial statements$234,945$279,810$201,787$206,676$0$0$0$0
Other expenses$0$49,604$0$19,996$0$0$0$0
Net unrealized gains on investments$0$0$0$5,671$0$0$0$0
Donated services and use of facilities$0$0$0$14,325$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$0$49,604$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$197,347$220,163$216,380$225,385$0$0$0$0
Total expenses and losses per audited financial statements$197,347$269,767$216,380$239,710$0$0$0$0
Other revenue$0$49,604$0$14,325$0$0$0$0
Donated services and use of facilities$0$0$0$14,325$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$0$49,604$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
40$50,920$7,129$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings15
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?No
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?No
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20065
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$0$43,711
Program service revenue
Program service revenue 1000000$000$0$0
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$11,560
Interest on savings and temporary cash investments000000$000$0$2
Dividends and interest from securities000000$000$0$4,284
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$-4
Net income or (loss) from special events000000$000$0$27,869
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
19992000200120022003200420052006
Total$168,872$234,945$230,206$201,787$186,680$143,912$188,870$282,197
Gifts, grants, and contributions received$98,074$108,173$113,564$78,503$97,475$88,215$95,621$224,321
Membership fees received$16,142$15,133$5,299$24,347$17,921$5,440$8,066$4,981
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$646$2,326$2,625$5,008$1,370$4,742
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$54,656$111,639$110,697$96,611$68,659$45,249$83,813$48,153
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Hospice Of The Valley1510 E Flower St, Phoenix, AZ 85014-5698AZ1978-02$187,077,611
2Hospice Of The Florida Suncoast Inc5771 Roosevelt Blvd, Clearwater, FL 33760-3407FL1978-03$131,735,442
3Tidewell Hospice Inc5955 Rand Blvd, Sarasota, FL 34238-5160FL1979-07$128,806,203
4Hospice Of The Western Reserve Inc17876 Saint Clair Ave, Cleveland, OH 44110-2602OH1978-11$93,576,177
5Covenant Hospice Inc5041 N 12th Ave, Pensacola, FL 32504-8916FL1982-10$76,587,391
6Citrus Valley Hospice IncPO BOX 6108, Covina, CA 91722-5108CA1981-08$10,668,853
7Hospice Service Of Lake County1862 Parallel Dr, Lakeport, CA 95453-9388CA1981-07$3,893,805
8Hospice Giving Foundation80 Garden Ct Ste 201, Monterey, CA 93940-5369CA1977-05$2,925,709
9Inland Hospice Association233 Harrison Ave, Claremont, CA 91711-4324CA1979-06$147,776
10Saint Lukes Health System Home Care And Hospice3100 Broadway Blvd Ste 100, Kansas City, MO 64111-2400MO1978-02$28,971,325
11Vna Care Hospice Inc120 Thomas St, Worcester, MA 01608-1223MA1995-08$14,752,631
12Sunshine Haven Inc7105 W Lakeside Blvd, Olmito, TX 78575-9767TX1999-12$541,746
13Seasons The Center Of Caring654 Brockenbraugh Ct, Metairie, LA 70005-2712LA1982-05$10,000
14Vale Hospice International Inc81 Glinka Road, Cabot, VT 05647VT2002-08$182
15Three Rivers Family Hospice Inc2500 Mosside Blvd, Monroeville, PA 15146-3511PA1994-07$1
16Cornerstone Hospice Foundation Inc3414 Se Kentucky, Bartlesville, OK 74006OK2003-07$0
17Good Shepherd Home Health And Hospice Inc165 Hwy 64 W Westgate Plaza Ste 6, Hayesville, NC 28904NC1946-03$0
18Guest House Inc8850 Ferguson Rd Apt 2128, Dallas, TX 75228-7952TX1999-10$0
19R E D ServicesNo, Charlotte, NC 28269NC2007-08$0
20Tonys Gang Foundation Inc4742 Outlook Way, Marietta, GA 30066GA1997-04$0
Number of organizations performing similar types of work
Alabama3
Arkansas1
Arizona3
California4
Connecticut3
Florida7
Georgia2
Hawaii1
Idaho1
Illinois3
Kentucky3
Louisiana1
Massachusetts1
Maryland2
Michigan1
Minnesota1
Missouri2
Mississippi1
North Carolina8
New Jersey2
New Mexico1
Nevada1
New York4
Ohio4
Oklahoma2
Oregon1
Pennsylvania5
Tennessee1
Texas4
Virginia2
Vermont2
Washington3
West Virginia1
Total81

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