Skip to content
Nonprofiteer
← COUNTRYSIDE HOSPICE SUPPORT AND MEMORY CENTER INC

Form 990 for tax year 2023

Filed by COUNTRYSIDE HOSPICE SUPPORT AND MEMORY CENTER INC.

Totals

Total revenue
$1,158,500
Total expenses
$1,236,931
Contributions and grants received
$1,072,922
Grants paid
$81,660
Program service revenue
$0
Investment income
$28,557
Other revenue
$57,021
Total assets, end of year
$2,368,213
Total liabilities, end of year
$5,730
Net assets or fund balances, end of year
$2,362,483
Program services expenses (Part IX)
$1,147,615
Management and general expenses
$73,076
Fundraising expenses
$16,240
Program service expenses (Part III)
$1,147,615

Program services were 92.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1b · Membership dues

    $2,675

  • 1f · All other contributions, gifts and grants

    $1,070,247

  • 1g · Noncash contributions included above

    $904,291

  • 3 · Investment income

    total $28,557 · related or exempt -$10,135 · excluded $38,692

  • 6a · Gross rents

    real property $24,000

  • 6b · Less rental expenses

    real property $3,722

  • 6c · Rental income or loss

    real property $20,278

  • 6d · Net rental income or loss

    total $20,278 · excluded $20,278

  • 8a · Fundraising events: gross income

    $31,404

  • 8b · Fundraising events: direct expenses

    $5,540

  • 8c · Net income from fundraising events

    total $25,864 · excluded $25,864

  • 10a · Gross sales of inventory

    $901,737

  • 10b · Cost of goods sold

    $892,291

  • 10c · Net income from sales of inventory

    total $9,446 · related or exempt $9,446

  • 11a · Other revenue: SALES TAX CREDIT

    total $810 · related or exempt $810

  • 11b · Other revenue: MISCELLANEOUS

    total $623 · related or exempt $623

  • 11e · Other revenue, total

    $1,433

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $81,660 · program services $81,660

  • 5 · Compensation of officers, directors and key employees

    total $79,785 · program services $60,500 · management and general $19,285

  • 7 · Other salaries and wages

    total $684,007 · program services $664,113 · management and general $9,947 · fundraising $9,947

  • 8 · Pension plan contributions

    total $6,687 · program services $5,997 · management and general $634 · fundraising $56

  • 10 · Payroll taxes

    total $62,146 · program services $59,016 · management and general $2,311 · fundraising $819

  • 11c · Fees: accounting

    total $10,860 · program services $8,145 · management and general $2,715

  • 11g · Fees: other

    total $9,943 · program services $9,943

  • 12 · Advertising and promotion

    total $6,213 · program services $5,736 · management and general $239 · fundraising $238

  • 13 · Office expenses

    total $1,592 · program services $702 · management and general $445 · fundraising $445

  • 16 · Occupancy

    total $77,735 · program services $64,853 · management and general $12,882

  • 22 · Depreciation, depletion and amortization

    total $21,094 · program services $21,094

  • 23 · Insurance

    total $27,682 · program services $20,828 · management and general $6,854

  • 24a · Other expenses: PATIENT CARE EXPENSES

    total $96,874 · program services $96,874

  • 24b · Other expenses: PRINTING & POSTAGE

    total $28,478 · program services $19,008 · management and general $4,735 · fundraising $4,735

  • 24c · Other expenses: BANK/OTHER FEES

    total $15,253 · program services $14,557 · management and general $696

  • 24d · Other expenses: SUPPLIES

    total $11,890 · program services $11,044 · management and general $846

  • 24e · All other expenses

    total $15,032 · program services $3,545 · management and general $11,487

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $46,173 · end of year $86,792

  • 8 · Inventories for sale or use

    beginning of year $184,000 · end of year $196,000

  • 10a · Land, buildings and equipment: cost or other basis

    $904,105

  • 10b · Land, buildings and equipment: accumulated depreciation

    $379,191

  • 10c · Land, buildings and equipment, net

    beginning of year $546,008 · end of year $524,914

  • 11 · Investments: publicly traded securities

    beginning of year $1,478,152 · end of year $1,560,324

  • 15 · Other assets

    end of year $183

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,750 · end of year $5,730

  • 29 · Capital stock, trust principal or current funds

    beginning of year $2,248,583 · end of year $2,248,583

  • 31 · Retained earnings, endowment or other funds

    end of year $113,900

Mission and programs · 2023

Mission

TO PROVIDE DIVERSE PROGRAMS FOR INDIVIDUALS IN THE COMMUNITY WHO ARE FACED WITH CANCER, MEMORY LOSS AND END OF LIFE ISSUES. ST. BENEDICT'S GUEST HOUSE WAS ESTABLISHED TO PROVIDE FREE LODGING FOR CANCER PATIENTS AND HOSPICE FAMILIES COMING TO OUR COMMUNITY.

  • PROVIDED FREE MEMORY SCREENING FOR PATIENTS WITH COGNITIVE IMPAIRMENT INCLUDING ALZHEIMER'S AND OTHER DEMENTIAS. COMMUNITY RESOURCE INFORMATION, EDUCATIONAL MATERIALS/PROGRAMS AND SUPPORT GROUPS PROVIDED FOR CAREGIVERS. EDUCATIONAL PROGRAMS FOR HEALTHCARE PROVIDERS AND THE GENERAL PUBLIC WILL RESUME POST COVID RESTRICTIONS.

    Expenses $200,477

  • OPERATES A THRIFT STORE SELLING DONATED ITEMS TO THE GENERAL PUBLIC. FUNDS GENERATED SUPPORT THE MEMORY CENTER, PROVIDE TRAVEL FUNDS AND/OR FREE LODGING FOR CANCER PATIENTS AND A MONTHLY STIPEND TO EXPAND HOSPICE CARE. THE STORE ALSO PROVIDES VOUCHERS FOR INDIVIDUALS AND FAMILIES IN NEED OF CLOTHING AND HOUSEHOLD ITEMS. BOOKS, SCHOOL SUPPLIES, BABY CLOTHING, CHILDREN'S CLOTHING, GAMES, ETC. ARE DONATED TO SCHOOLS, DAYCARE SETTINGS AND CHURCHES.

    Expenses $689,185

  • PROVIDES FREE LODGING (ST BENEDICT'S GUEST HOUSE) FOR CANCER PATIENTS COMING TO OUR COMMUNITY FOR CARE AND HOSPICE FAMILIES VISITING FROM OUT OF TOWN. FUNDS ARE PROVIDED FOR GAS AND LODGING FOR CANCER PATIENTS TRAVELING FOR CARE. A MONTHLY STIPEND IS PROVIDED TO AVERA ST MARY'S @ HOME HOSPICE TO EXPAND SERVICES AND SUPPLIES NEEDED FOR HOSPICE PATIENTS AND FAMILIES. ALL SERVICES CONTINUED - WITH MODIFICATION THROUGHOUT 2022.

    Expenses $257,953 · Grants $81,660

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • BECKI POTRZEBA

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • JESSE HORSLEY

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • MIKE SHAW

    SECRETARY/TR

    Total calculated
    $0
    Hours/week
    1

  • PAUL MARSO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NORM WEAVER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KARA HUGHES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MELISSA VANCE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHUCK SCHLUETER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MONICA HARDING

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • EMILY JOHNSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • COLLEEN WINTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KAREN POGANY

    DIRECTOR

    Total calculated
    $0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

Provenance

Return type
form_990
Tax year
2023
Filed
16 May 2024
IRS schema version
2023v5.0
Source object
202411389349300241

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.