NOVA COUNSELING SERVICES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: NOVA COUNSELING SERVICES INC (EIN 39-1172266)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-05-10
IRS object ID: 202421319349301317
Schema version: 2023v5.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-10T07:52:08-05:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8215 GREENWAY BOULEVARD SUITE 600	AddressLine1Txt
City	MIDDLETON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	53562	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391172266	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NOVA COUNSELING SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NOVA	BusinessNameControlTxt
Phone	9202310143	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3240 JACKSON ST	AddressLine1Txt
City	OSHKOSH	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JODY WILLEFORD	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	9202310143	PhoneNum
Signature	2024-05-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JODY	PersonFirstNm
Person Last	WILLEFORD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KIMBERLY ANDERSON	PreparerPersonNm
PTIN	P00188889	PTIN
Phone	6086628600	PhoneNum
Preparation	2024-05-07	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JODY WILLEFORD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3240 JACKSON ST	AddressLine1Txt
City	OSHKOSH	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54901	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,430,046	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NOVAOSHKOSH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	HELPING PEOPLE HEAL FROM SUBSTANCE USE DISORDERS.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	28	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$48,834	PYContributionsGrantsAmt
CY Contributions Grants	$555,943	CYContributionsGrantsAmt
PY Program Service Revenue	$1,673,474	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,852,562	CYProgramServiceRevenueAmt
PY Investment Income	$644	PYInvestmentIncomeAmt
CY Investment Income	$9,023	CYInvestmentIncomeAmt
PY Other Revenue	$12,336	PYOtherRevenueAmt
CY Other Revenue	$12,518	CYOtherRevenueAmt
PY Total Revenue	$1,735,288	PYTotalRevenueAmt
CY Total Revenue	$2,430,046	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$17,829	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,322,254	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,587,564	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$12,828	CYTotalFundraisingExpenseAmt
PY Other Expenses	$576,559	PYOtherExpensesAmt
CY Other Expenses	$652,310	CYOtherExpensesAmt
PY Total Expenses	$1,898,813	PYTotalExpensesAmt
CY Total Expenses	$2,257,703	CYTotalExpensesAmt
PY Revenues Less Expenses	-$163,525	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$172,343	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,387,897	TotalAssetsBOYAmt
Total Assets EOY	$2,649,095	TotalAssetsEOYAmt
Total Liabilities BOY	$660,217	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$674,387	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,727,680	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,974,708	NetAssetsOrFundBalancesEOYAmt
Mission	HELPING PEOPLE HEAL FROM ALCOHOLISM AND OTHER SUBSTANCE USE DISORDERS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,616,877	ExpenseAmt
Grant	$17,829	GrantAmt
Revenue	$1,852,562	RevenueAmt
Desc	NOVA/TERRA - REHABILITATION FOR AODA CLIENTSNOVA CONTINUES WITH ITS MISSION TO PROVIDE THE HIGHEST QUALITY OF CARE AT THE MOST AFFORDABLE COST FOR OUR CLIENTS AND THEIR FAMILIES. IN 2023, 70% OF CLIENTS WERE MEDICAID FUNDED AND OVER $17,000 IN AID WAS APPLIED TO CLIENTS WHO COULD NOT AFFORD THEIR ROOM AND BOARD COST.	Desc
Total Program Service Expenses	$1,616,877	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	8	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	28	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JODY WILLEFORD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9202310143	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3240 JACKSON STREET	AddressLine1Txt
City	OSHKOSH	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54901	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JODY WILLEFORD
EXECUTIVE DIRECTOR	40.00	Yes (X)	$133,458	$0	$37,037
SABRINA JOHNSON
DIRECTOR	1.00		$0	$0	$0	Yes (X)
DENNIS DAVEY
PRESIDENT	1.00	Yes (X)	$0	$0	$0	Yes (X)
ANDREW PHILLIPS
VICE PRESIDENT	1.00	Yes (X)	$0	$0	$0	Yes (X)
RICHARD PANSKE
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
CATHERINE LUTHER
DIRECTOR	1.00		$0	$0	$0	Yes (X)
CHRISTOPHER TARMANN
DIRECTOR	1.00		$0	$0	$0	Yes (X)
JOAQUIN LIRA
DIRECTOR	1.00		$0	$0	$0	Yes (X)
MARCIA LARSON
DIRECTOR	1.00		$0	$0	$0	Yes (X)
AMANDA CAVES
DIRECTOR	1.00		$0	$0	$0	Yes (X)
SARAH HOLETS MD
DIRECTOR	1.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$133,458	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$37,037	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$403,945	GovernmentGrantsAmt
All Other Contributions	$151,998	AllOtherContributionsAmt
Total Contributions	$555,943	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID CONTRACTS	624100	$1,215,633	$1,215,633
THIRD PARTY PROCEEDS	624100	$489,742	$489,742
COUNTY CONTRACTS	624100	$147,187	$147,187

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,852,562	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,023	TotalRevenueColumnAmt
Exclusion	$9,023	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,518	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,518	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,518	TotalRevenueColumnAmt
Exclusion	$12,518	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,430,046	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,852,562	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$21,541	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$17,829	TotalAmt
Program Services	$17,829	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$164,158	TotalAmt
Program Services	$16,416	ProgramServicesAmt
Management And General	$147,742	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,084,146	TotalAmt
Program Services	$849,136	ProgramServicesAmt
Management And General	$235,010	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$76,168	TotalAmt
Program Services	$58,789	ProgramServicesAmt
Management And General	$17,379	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$167,895	TotalAmt
Program Services	$129,083	ProgramServicesAmt
Management And General	$38,812	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$95,197	TotalAmt
Program Services	$66,156	ProgramServicesAmt
Management And General	$29,041	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$885	TotalAmt
Management And General	$885	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$42,027	TotalAmt
Management And General	$42,027	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,747	TotalAmt
Program Services	$20,335	ProgramServicesAmt
Management And General	$912	ManagementAndGeneralAmt
Fundraising	$12,500	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,835	TotalAmt
Management And General	$4,835	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,916	TotalAmt
Program Services	$20,624	ProgramServicesAmt
Management And General	$2,292	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,954	TotalAmt
Program Services	$18,859	ProgramServicesAmt
Management And General	$2,095	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$52,764	TotalAmt
Program Services	$47,488	ProgramServicesAmt
Management And General	$5,276	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,871	TotalAmt
Program Services	$5,284	ProgramServicesAmt
Management And General	$587	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$21,294	TotalAmt
Program Services	$19,165	ProgramServicesAmt
Management And General	$2,129	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$93,806	TotalAmt
Program Services	$84,425	ProgramServicesAmt
Management And General	$9,381	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$63,523	TotalAmt
Program Services	$63,523	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FOOD AND SUPPLIES	$142,689	$128,420	$14,269
BAD DEBT	$60,779		$60,779
REPAIRS	$52,447	$47,202	$5,245
PROFESSIONAL & EDUCATIO	$8,933	$8,040	$893

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,840	TotalAmt
Program Services	$16,103	ProgramServicesAmt
Management And General	$8,409	ManagementAndGeneralAmt
Fundraising	$328	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,257,703	TotalAmt
Program Services	$1,616,877	ProgramServicesAmt
Management And General	$627,998	ManagementAndGeneralAmt
Fundraising	$12,828	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$42,768	BOYAmt
EOY	$50,382	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$279,399	BOYAmt
EOY	$457,953	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$46,627	BOYAmt
EOY	$35,918	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,895,138	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,430,650	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,458,566	BOYAmt
EOY	$1,464,488	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$560,537	BOYAmt
EOY	$640,354	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,387,897	BOYAmt
EOY	$2,649,095	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$72,245	BOYAmt
EOY	$61,685	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$20,491	BOYAmt
EOY	$17,342	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$567,481	BOYAmt
EOY	$590,228	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,132	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$660,217	BOYAmt
EOY	$674,387	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,685,580	BOYAmt
EOY	$1,944,654	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,100	BOYAmt
EOY	$30,054	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,727,680	BOYAmt
EOY	$1,974,708	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,387,897	BOYAmt
EOY	$2,649,095	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$172,343	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$74,685	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$217,480	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$451,950	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$381,929	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,834	CurrentTaxYearMinus1YearAmt
Current Tax Year	$555,943	CurrentTaxYearAmt
Total	$1,656,136	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,259,307	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,523,337	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,678,094	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,673,474	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,852,562	CurrentTaxYearAmt
Total	$8,986,774	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,476,787	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,975,287	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,060,023	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,722,308	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,408,505	CurrentTaxYearAmt
Total	$10,642,910	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$190,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$110,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$55,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$35,000	CurrentTaxYearMinus1YearAmt
Current Tax Year	$85,000	CurrentTaxYearAmt
Total	$475,000	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$956,621	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$444,430	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$28,048	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,898	CurrentTaxYearMinus1YearAmt
Current Tax Year	$35,167	CurrentTaxYearAmt
Total	$1,476,164	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,146,621	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$554,430	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$83,048	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$46,898	CurrentTaxYearMinus1YearAmt
Current Tax Year	$120,167	CurrentTaxYearAmt
Total	$1,951,164	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$8,691,746	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,859	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$592	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$834	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,980	CurrentTaxYearMinus1YearAmt
Current Tax Year	$21,541	CurrentTaxYearAmt
Total	$47,806	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,859	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$592	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$834	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,980	CurrentTaxYearMinus1YearAmt
Current Tax Year	$21,541	CurrentTaxYearAmt
Total	$47,806	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,488,646	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,975,879	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,060,857	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,735,288	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,430,046	CurrentTaxYearAmt
Total	$10,690,716	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.81300	PublicSupportCY509Pct
Public Support PY509	0.73240	PublicSupportPY509Pct
Investment Income CY	0.00450	InvestmentIncomeCYPct
Investment Income PY	0.00310	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$96,893	OtherCostOrOtherBasisAmt
Book Value	$96,893	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,224,614	OtherCostOrOtherBasisAmt
Depreciation	$980,776	DepreciationAmt
Book Value	$1,243,838	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$463,655	OtherCostOrOtherBasisAmt
Depreciation	$344,979	DepreciationAmt
Book Value	$118,676	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$109,976	OtherCostOrOtherBasisAmt
Depreciation	$104,895	DepreciationAmt
Book Value	$5,081	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,464,488	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN COMMUNITY FOUNDATION	$635,222
RIGHT OF USE ASSET	$5,132

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$640,354	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	LEASE LIABILITY	Desc
Amt	$5,132	Amt

Field	Value	IRS element (for citing)
Total Liability	$5,132	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$2,504,731	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$74,685	OtherRevenueAmt
Revenue Not Reported	$74,685	RevenueNotReportedAmt
Revenue Subtotal	$2,430,046	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,430,046	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,257,703	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,257,703	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,257,703	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART XI, LINE 2D - OTHER ADJUSTMENTS:	FormAndLineReferenceDesc
Explanation	RETURN ON BENEFICIAL INTEREST 74,685.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	FINANCIAL AID	GrantTypeTxt
Recipient	32	RecipientCnt
Cash Grant	$17,829	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	FINANCIAL AID SCHOLARSHIPS ARE PROVIDED TO MEDICAID CLIENTS WHO ARE REQUIRED TO SELF-PAY THEIR ROOM AND BOARD COST AND OTHER SELF-PAY CLIENTS WITH FINANCIAL HARDSHIP.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	JODY WILLEFORD	PersonNm
Title	EXECUTIVE DIRECTOR	TitleTxt
Base Compensation Filing Org	$133,458	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$9,845	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$27,192	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$170,495	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE BOARD OF DIRECTORS MAY CREATE AN EXECUTIVE COMMITTEE CONSISTING OF THREE OR MORE DIRECTORS DESIGNATED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD OF DIRECTORS WILL REVIEW THE COMPLETE COPY OF FORM 990 BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS, STAFF, AND VOLUNTEERS WILL SIGN A CONFLICT-OF-INTEREST STATEMENT ANNUALLY. DURING MEETINGS WHEN A POTENTIAL CONFLICT EXISTS, THE INDIVIDUAL MUST DISCLOSE THE TRANSACTION. THE INDIVIDUAL MAY PARTICIPATE IN THE DISCUSSION BUT IS NOT PERMITTED TO VOTE ON THE ITEM WITH CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A	TO DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR, THE BOARD PERSONNEL COMMITTEE MAKES A RECOMMENDATION OF SALARY AND THE FULL BOARD THEN VOTES ON THAT RECOMMENDATION.
FORM 990, PART VI, SECTION C, LINE 19	THEY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	RETURN ON BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION 74,685.