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Nonprofiteer
← BREATH OF LIFE ADULT DAY SERVICE

Form 990 for tax year 2022

Filed by BREATH OF LIFE ADULT DAY SERVICE.

Totals

Total revenue
$344,968
Total expenses
$286,771
Contributions and grants received
$60,202
Grants paid
$0
Program service revenue
$277,792
Investment income
$6,974
Other revenue
$0
Total assets, end of year
$375,839
Total liabilities, end of year
$2,825
Net assets or fund balances, end of year
$373,014
Program services expenses (Part IX)
$260,931
Management and general expenses
$25,840
Fundraising expenses
$0
Program service expenses (Part III)
$260,931

Program services were 91.0% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $60,202

  • 1g · Noncash contributions included above

    $0

  • 2f · All other program service revenue

    total $277,792 · related or exempt $277,792 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $6,974 · related or exempt $6,974 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $55,438 · program services $49,894 · management and general $5,544

  • 7 · Other salaries and wages

    total $131,709 · program services $118,538 · management and general $13,171

  • 9 · Other employee benefits

    total $5,951 · program services $5,356 · management and general $595

  • 10 · Payroll taxes

    total $8,046 · program services $7,241 · management and general $805

  • 11g · Fees: other

    total $4,626 · program services $4,626

  • 12 · Advertising and promotion

    total $1,234 · management and general $1,234

  • 13 · Office expenses

    total $1,005 · program services $840 · management and general $165

  • 14 · Information technology

    total $3,517 · program services $3,517

  • 16 · Occupancy

    total $33,900 · program services $32,205 · management and general $1,695

  • 19 · Conferences, conventions and meetings

    total $370 · program services $333 · management and general $37

  • 22 · Depreciation, depletion and amortization

    total $4,870 · program services $4,383 · management and general $487

  • 23 · Insurance

    total $1,450 · program services $1,305 · management and general $145

  • 24a · Other expenses: Miscellaneous

    total $19,261 · program services $17,893 · management and general $1,368 · fundraising $0

  • 24b · Other expenses: Food expense for participants

    total $10,782 · program services $10,782 · management and general $0 · fundraising $0

  • 24c · Other expenses: Participant activities

    total $1,199 · program services $1,199 · management and general $0 · fundraising $0

  • 24d · Other expenses: Equipment maintenance and repairs

    total $3,413 · program services $2,819 · management and general $594 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $80,595 · end of year $162,440

  • 4 · Accounts receivable

    beginning of year $22,278 · end of year $20,726

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,533 · end of year $5,523

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

    $65,747

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

    $61,441

  • 10c · Land, buildings and equipment, net

    beginning of year $9,176 · end of year $4,306

  • 11 · Investments: publicly traded securities

    beginning of year $208,215 · end of year $182,844

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,433 · end of year $2,825

  • 27 · Net assets without donor restrictions

    beginning of year $251,913 · end of year $277,946

  • 28 · Net assets with donor restrictions

    beginning of year $69,451 · end of year $95,068

Mission and programs · 2022

Mission

To provide respite care and activities for about 45 adults including activities, games, singing and special events. To provide meals and snacks to participants to enhance the physical and social needs of the participants. To provide bathing services as requested by the participants. To provide transportation to/from the facility to enable participants to be involved more often.

Activities or mission (Part I)

To provide care and activities for approximately 45 adults. some of these participants come daily, some several times a week and some only once a week.

  • To provide transportation to and from the facility. Many participants have no other means to come to the facility so by providing this transportation we are able to help the participants to be involved more often. Some are able to be involved solely because we provide their transportation.

    Expenses $8,264 · Revenue $32

  • To provide daily lunch to all participants who are involved with the program over the lunch period. This is an integral part of the program as it meets the physical needs of the participants as well as being a great avenue for interaction between the participants. This expense also includes am/pm snacks provided to the participants

    Expenses $10,782

  • To provide programming and staffing for a full-time, five days a week adult day service. This allows for very personal interaction with the participants, playing of games, crafts, music and many other daily activities.

    Expenses $241,885

As filed on the 2022 return.

Listed in Part VII

  • Paul Welch

    executive director

    Total calculated
    $55,438
    From this org
    $55,438
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Karen Bruce

    Board Secretary

    Total calculated
    $3,903
    From this org
    $3,903
    From related orgs
    $0
    Other
    $0
    Hours/week
    5

  • Robert Schricker

    Board Chairman

    Total calculated
    $0
    Hours/week
    1

  • John Nielsen

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Jeanne Larson

    board member

    Total calculated
    $0
    Hours/week
    1

  • Barb Christensen

    Board member

    Total calculated
    $0
    Hours/week
    1

  • Pat Ronnei

    Board member

    Total calculated
    $0
    Hours/week
    1

  • Ken Martin

    Board member

    Total calculated
    $0
    Hours/week
    1

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

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
13 March 2023
IRS schema version
2022v4.0
Source object
202310729349300416

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