OPEN ARMS FREE CLINIC INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- OPEN ARMS FREE CLINIC INC (EIN 45-4475625)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202433199349304723
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T10:17:26-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390747409 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REILLY PENNER & BENTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 NORTH MAYFAIR RD SUITE 302 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532263255 | 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 | 454475625 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN ARMS FREE CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OPEN | BusinessNameControlTxt |
| Phone | 2623791401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 678 | AddressLine1Txt |
| City | ELKHORN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53121 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY BAHR | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2623791401 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| 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 | BRANDON PANKA | PreparerPersonNm |
| PTIN | P01596345 | PTIN |
| Phone | 4142717800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY BAHR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 678 | AddressLine1Txt |
| City | ELKHORN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,216,690 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | OPENARMSFREECLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO BETTER UNDERSTAND AND SERVE WITH COMPASSION THE HEALTH AND WELLNESS NEEDS OF LOW-INCOME, UNINSURED RESIDENTS OF WALWORTH COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 40 | TotalEmployeeCnt |
| Total Volunteers | 285 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,877,050 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,393,591 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28,523 | PYInvestmentIncomeAmt |
| CY Investment Income | $54,026 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$48,123 | PYOtherRevenueAmt |
| CY Other Revenue | -$78,400 | CYOtherRevenueAmt |
| PY Total Revenue | $1,857,450 | PYTotalRevenueAmt |
| CY Total Revenue | $2,369,217 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $822,500 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,256,068 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $101,934 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $789,356 | PYOtherExpensesAmt |
| CY Other Expenses | $994,249 | CYOtherExpensesAmt |
| PY Total Expenses | $1,611,856 | PYTotalExpensesAmt |
| CY Total Expenses | $2,250,317 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $245,594 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $118,900 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,800,599 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,966,510 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $75,010 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $82,122 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,725,589 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,884,388 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BETTER UNDERSTAND AND SERVE WITH COMPASSION THE HEALTH AND WELLNESS NEEDS OF LOW-INCOME, UNINSURED RESIDENTS OF WALWORTH COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,424,526 | ExpenseAmt |
| Revenue | $1,997 | RevenueAmt |
| Desc | MEDICAL SERVICES - VOLUNTEER DOCTORS, NURSES, PHARMACISTS, LAB TECHS, AND INTERPRETERS PROVIDE DIRECT PRIMARY AND SPECIALTY MEDICAL CARE FOR QUALIFIED PATIENTS. MEDICAL SERVICES ARE OFFERED AN AVERAGE OF 4+ DAYS A WEEK, 40 HOURS A WEEK. SERVICES INCLUDE PRIMARY CARE, SPECIALTY CARE, LAB, AND MEDICATIONS. THERE WERE 6763 PATIENT VISITS, THAT INCLUDED 9801 MEDICATIONS DISPENSED, 2,688 LAB TESTS FOR 1,153 UNIQUE INDIVIDUALS (1214 NEW PATIENT INTERVIEWS COMPLETED). WHILE WE CARE FOR ALL AGES, THE MAJORITY (80%) ARE ADULTS AGED 19-64 WITH CHRONIC DISEASES (DIABETES, HEART DISEASE, ASTHMA, MENTAL HEALTH). ALL SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $470,685 | ExpenseAmt |
| Revenue | $660 | RevenueAmt |
| Desc | DENTAL SERVICES - ORAL HEALTH CARE IS PROVIDED BY VOLUNTEER AND PAID DENTISTS, ASSISTANTS, AND HYGIENISTS. IN 2023, THERE WERE OVER 4,399 DENTAL PROCEDURES COMPLETED, AND 2295 DENTAL VISITS FOR 909 UNIQUE PATIENTS. 66% OF THE PATIENTS HAVE NO INSURANCE, AND 34% HAVE MEDICAID INSURANCE. OAFC IS THE ONLY MEDICAID GENERAL DENTIST IN WALWORTH COUNTY. EACH PATIENT IS GIVEN AN INITIAL EXAM, THAT INCLUDES X-RAY, BASIC RESTORATIVE TREATMENT, EXTRACTIONS WHEN NEEDED, AND A CLEANING. ALL SERVICES WERE PROVIDED FREE AT NO COST TO PATIENTS, EXCEPT THOSE WHO HAD A MINIMAL CO-PAY WITH THEIR MEDICAID. OAFC IS CONTINUING THE PARTNERSHIP WITH MARQUETTE UNIVERSITY DENTAL SCHOOL AND HAS HOSTED 252 DENTAL STUDENTS TO DATE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $137,265 | ExpenseAmt |
| Revenue | $192 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH SERVICES PATIENTS CAN RECEIVE BOTH MEDICATION AND COUNSELING THERAPEUTIC CARE WITHIN THE CLINIC. IN 2023, OAFC RETAINED TWO BILINGUAL BEHAVIORAL HEALTH COUNSELORS TO PROVIDE 1226 COUNSELING VISITS FOR 251 INDIVIDUALS, COUPLES, AND FAMILIES. MEDICATIONS ARE PRESCRIBED BY THE OAFC MEDICAL PROVIDERS, AND A VOLUNTEER PSYCHIATRIST PROVIDED MEDICATION MANAGEMENT AND REVIEW. OAFC INITIATED A STATE-WIDE TELE-BEHAVIORAL HEALTH NETWORK (VIRTUAL THERAPY) TO PROVIDE COUNSELING ACCESS FOR AN ADDITIONAL 15 FREE CLINICS IN WISCONSIN. OAFC HAS BEEN ABLE TO TREAT GENERAL ANXIETY, DEPRESSION, AND MOOD DISORDERS WITH THE AVAILABLE MEDICATIONS IN THE OPEN ARMS DISPENSARY. ALL SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,032,476 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 40 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARA NICHOLS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2623791401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 678 | AddressLine1Txt |
| City | ELKHORN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53121 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JEFFREY BAHR MD | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DONNA NESHEK RN | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NICK VORPAGEL | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GERARD MAKOVEC | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| THOMAS HARTZ | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEVEN JENSEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN LITTIG | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES LOVELL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT YOUNGQUIST DDS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REV DANIEL SANDERS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROSEMARY DOLATOWSKI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL MAUS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN MURPHY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PASTOR LILLANNET ROSARIO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SARA NICHOLS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $84,000 | $0 | $3,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $84,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,000 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $332,527 | FundraisingAmt |
| Government Grants | $352,507 | GovernmentGrantsAmt |
| All Other Contributions | $1,708,557 | AllOtherContributionsAmt |
| Noncash Contributions | $654,610 | NoncashContributionsAmt |
| Total Contributions | $2,393,591 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,933 | TotalRevenueColumnAmt |
| Exclusion | $51,933 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $705,172 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $703,079 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,093 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,093 | TotalRevenueColumnAmt |
| Exclusion | $2,093 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $47,400 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $332,527 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $138,262 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$90,862 | TotalRevenueColumnAmt |
| Exclusion | -$90,862 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $15,745 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $6,132 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,613 | TotalRevenueColumnAmt |
| Exclusion | $9,613 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,849 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,849 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,849 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,369,217 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,849 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$27,223 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,000 | TotalAmt |
| Program Services | $76,067 | ProgramServicesAmt |
| Management And General | $6,582 | ManagementAndGeneralAmt |
| Fundraising | $4,351 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,026,306 | TotalAmt |
| Program Services | $897,516 | ProgramServicesAmt |
| Management And General | $78,615 | ManagementAndGeneralAmt |
| Fundraising | $50,175 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,756 | TotalAmt |
| Program Services | $13,840 | ProgramServicesAmt |
| Management And General | $1,598 | ManagementAndGeneralAmt |
| Fundraising | $318 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,956 | TotalAmt |
| Program Services | $36,908 | ProgramServicesAmt |
| Management And General | $1,256 | ManagementAndGeneralAmt |
| Fundraising | $4,792 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,050 | TotalAmt |
| Program Services | $73,594 | ProgramServicesAmt |
| Management And General | $6,361 | ManagementAndGeneralAmt |
| Fundraising | $4,095 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,500 | TotalAmt |
| Management And General | $11,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,556 | TotalAmt |
| Management And General | $2,556 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,930 | TotalAmt |
| Program Services | $1,930 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,844 | TotalAmt |
| Program Services | $279 | ProgramServicesAmt |
| Fundraising | $11,565 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,617 | TotalAmt |
| Program Services | $24,971 | ProgramServicesAmt |
| Management And General | $1,395 | ManagementAndGeneralAmt |
| Fundraising | $15,251 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,563 | TotalAmt |
| Program Services | $14,963 | ProgramServicesAmt |
| Management And General | $1,386 | ManagementAndGeneralAmt |
| Fundraising | $9,214 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,857 | TotalAmt |
| Program Services | $32,820 | ProgramServicesAmt |
| Management And General | $37 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,348 | TotalAmt |
| Program Services | $2,770 | ProgramServicesAmt |
| Management And General | $2,396 | ManagementAndGeneralAmt |
| Fundraising | $182 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,398 | TotalAmt |
| Program Services | $39,374 | ProgramServicesAmt |
| Management And General | $810 | ManagementAndGeneralAmt |
| Fundraising | $214 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,743 | TotalAmt |
| Program Services | $17,372 | ProgramServicesAmt |
| Management And General | $981 | ManagementAndGeneralAmt |
| Fundraising | $390 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DONATED MEDICATIONS | $585,039 | $585,039 |
| PATIENT CARE | $160,742 | $160,742 |
| REPAIRS AND MAINTENANCE | $30,815 | $30,815 |
| COMMUNITY OUTREACH | $15,060 | $15,060 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,237 | TotalAmt |
| Program Services | $8,416 | ProgramServicesAmt |
| Management And General | $434 | ManagementAndGeneralAmt |
| Fundraising | $1,387 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,250,317 | TotalAmt |
| Program Services | $2,032,476 | ProgramServicesAmt |
| Management And General | $115,907 | ManagementAndGeneralAmt |
| Fundraising | $101,934 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,307 | BOYAmt |
| EOY | $254,149 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,300 | BOYAmt |
| EOY | $247,418 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,395 | BOYAmt |
| EOY | $105,697 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,675 | BOYAmt |
| EOY | $5,400 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,544 | BOYAmt |
| EOY | $23,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,001,009 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $293,989 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,132 | BOYAmt |
| EOY | $707,020 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,707 | BOYAmt |
| EOY | $1,587,588 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,539 | BOYAmt |
| EOY | $35,628 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,800,599 | BOYAmt |
| EOY | $2,966,510 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,670 | BOYAmt |
| EOY | $46,891 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,340 | BOYAmt |
| EOY | $35,231 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,010 | BOYAmt |
| EOY | $82,122 | 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 | $2,616,627 | BOYAmt |
| EOY | $2,850,843 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,962 | BOYAmt |
| EOY | $33,545 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,725,589 | BOYAmt |
| EOY | $2,884,388 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,800,599 | BOYAmt |
| EOY | $2,966,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $118,900 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $39,899 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $124,828 | OtherCostOrOtherBasisAmt |
| Book Value | $124,828 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $550,505 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,462 | DepreciationAmt |
| Book Value | $489,043 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $294,703 | OtherCostOrOtherBasisAmt |
| Depreciation | $227,325 | DepreciationAmt |
| Book Value | $67,378 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,973 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,202 | DepreciationAmt |
| Book Value | $25,771 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $707,020 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $35,231 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,231 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,373,757 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $39,899 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $938,537 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $978,436 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,395,321 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $2,556 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$28,660 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$26,104 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,369,217 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,214,958 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $938,537 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $28,660 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $967,197 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,247,761 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $2,556 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $2,556 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,250,317 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NONPROFIT ORGANIZATION WHICH IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS IMPLEMENTED ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH U.S.GAAP. THIS STANDARD DESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTABLE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNIZING, INTEREST, PENALTIES AND DISCLOSURE REQUIRED. MANAGEMENT OF THE ORGANIZATION EVALUATES THE UNCERTAIN TAX POSITIONS TAKEN, IF ANY, AND CONSULTS WITH OUTSIDE COUNSEL AS DEEMED NECESSARY. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX LIABILITIES IN INCOME TAX EXPENSE. IN MANAGEMENT'S OPINION, THE ORGANIZATION HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT REPORTED A CORRESPONDING LIABILITY IN THE ORGANIZATION'S FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES -28,660. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 28,660. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BIRTHDAY DINNER GALA | Event1Nm |
| Gross Receipts Event1 | $334,367 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $305,967 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,400 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $38,675 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $8,730 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $59,696 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $6,800 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $9,428 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $45,560 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $26,560 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $19,000 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $954 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $10,926 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $1,266 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,787 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $379,927 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $332,527 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $47,400 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $39,629 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $19,656 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $60,962 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $6,800 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,215 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $138,262 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$90,862 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $15,745 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $3,005 | CashPrizesOtherGamingAmt |
| Non Cash Prizes Other Gaming | $2,365 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $762 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $15,745 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $3,005 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $2,365 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $762 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $6,132 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $9,613 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | WI | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI HARTZ | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MARRIED TO A BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $74,154 | TransactionAmt |
| Transaction | COMPENSATED AS AN EMPLOYEE OF THE ORGANIZATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $25,526 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | MEDICATIONS | 0 | $585,039 | FAIR MARKET VALUE |
| Yes (X) | AUCTION PRIZES | 84 | $38,675 | FAIR MARKET VALUE |
| Yes (X) | RAFFLE PRIZES | 103 | $5,370 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED, SIGNED, AND FILED BY THE PRESIDENT WHO THEN PRESENTS A COPY TO EACH MEMBER OF THE BOARD OF DIRECTORS. SHOULD ANY MATERIAL REASON BE FOUND, AMENDMENTS TO THE RETURN WOULD BE MADE UNDER BOARD DIRECTION AND APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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