PAROCHIAL MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PAROCHIAL MEDICAL CENTER (EIN 23-2300834)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-03-08
IRS object ID
202300679349300925
Schema version
2022v4.1
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

FieldValueIRS element (for citing)
Return2023-03-08T11:48:37-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN251822544PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SNIEGOCKI & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 606AddressLine1Txt
CityPALMYRACityNm
State AbbreviationPAStateAbbreviationCd
ZIP17078ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232300834EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAROCHIAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPAROBusinessNameControlTxt
Phone7175560702PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 WEST MAIN STREETAddressLine1Txt
CityNEW HOLLANDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17557ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELVIN HOOVERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7175560702PhoneNum
Signature2023-02-26SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMELVINPersonFirstNm
Person LastHOOVERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUE A HARVEYPreparerPersonNm
PTINP00284946PTIN
Phone7178382682PhoneNum
Preparation2023-02-26PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL LAPPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 MADISONBURG PIKEAddressLine1Txt
CityMADISONBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16852ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,555,654GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee30TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$76,500PYContributionsGrantsAmt
CY Contributions Grants$31,596CYContributionsGrantsAmt
PY Program Service Revenue$3,029,552PYProgramServiceRevenueAmt
CY Program Service Revenue$3,522,060CYProgramServiceRevenueAmt
PY Investment Income$634PYInvestmentIncomeAmt
CY Investment Income$1,998CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,106,686PYTotalRevenueAmt
CY Total Revenue$3,555,654CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,612,112PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,965,179CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,180,155PYOtherExpensesAmt
CY Other Expenses$1,378,554CYOtherExpensesAmt
PY Total Expenses$2,792,267PYTotalExpensesAmt
CY Total Expenses$3,343,733CYTotalExpensesAmt
PY Revenues Less Expenses$314,419PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$211,921CYRevenuesLessExpensesAmt
Total Assets BOY$752,996TotalAssetsBOYAmt
Total Assets EOY$994,717TotalAssetsEOYAmt
Total Liabilities BOY$36,700TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,500TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$716,296NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$928,217NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,929,255ExpenseAmt
Revenue$3,522,060RevenueAmt
DescAPPROXIMATELY 7,300 PATIENTS OF THE PLAIN AND UNINSURED COMMUNITY RECEIVED HEALTH CARE SERVICES.Desc
Total Program Service Expenses$2,929,255TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee30EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMELVIN HOOVERPersonNm
Phone7175560702PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 WEST MAIN STREETAddressLine1Txt
CityNEW HOLLANDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17557ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ALLEN HOOVER
DIRECTOR1.00Yes (X)$17,948$0$0
PAUL BURKHOLDER
DIRECTOR1.00Yes (X)$0$0$0
SAMUEL HERSCHBERGER
DIRECTOR1.00Yes (X)$0$0$0
HENRY M HOOVER
DIRECTOR1.00Yes (X)$0$0$0
STEVE HUYARD
DIRECTOR1.00Yes (X)$0$0$0
SAM KINSINGER
DIRECTOR1.00Yes (X)$0$0$0
MERVIN M MARTIN
DIRECTOR1.00Yes (X)$0$0$0
ELVIN ZIMMERMAN
DIRECTOR1.00Yes (X)$0$0$0
BEN BEILER
VICE-CHAIRMA1.00$0$0$0Yes (X)
MELVIN HOOVER
TREASURER1.00$0$0$0Yes (X)
DANIEL LAPP
CHAIRMAN2.00$0$0$0Yes (X)
ELAM STOLTZFUS
SECRETARY1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$17,948TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$31,596AllOtherContributionsAmt
Total Contributions$31,596TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OFFICE VISITS$1,511,561$1,511,561
PROCEDURES/SUPPLIES$752,983$752,983
OFFICE VISITS$339,795$339,795
LAB WORK/E-RAY$339,479$339,479
MEDICATIONS$263,414$263,414

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,828TotalRevenueColumnAmt
Related Or Exempt Func Income$314,828RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,522,060TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$535TotalRevenueColumnAmt
Exclusion$535ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,463OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,463OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,463TotalRevenueColumnAmt
Related Or Exempt Func Income$1,463RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,555,654TotalRevenueColumnAmt
Related Or Exempt Func Income$3,523,523RelatedOrExemptFuncIncomeAmt
Exclusion$535ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,841,391TotalAmt
Program Services$1,686,213ProgramServicesAmt
Management And General$155,178ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$123,788TotalAmt
Program Services$123,788ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$523TotalAmt
Management And General$523ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,478TotalAmt
Management And General$8,478ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,120TotalAmt
Program Services$8,120ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$57,857TotalAmt
Management And General$57,857ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$52,972TotalAmt
Program Services$52,972ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,355TotalAmt
Management And General$3,355ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2TotalAmt
Program Services$2ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,630TotalAmt
Program Services$31,630ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE PROFESSIONAL SERV$495,801$495,801
LAB FEES & SUPPLIES$159,927$159,927
MEDICINES & SUPPLIES$133,150$133,150
OPERATING SUPPLIES$121,602$121,602

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$305,137TotalAmt
Program Services$237,652ProgramServicesAmt
Management And General$67,485ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,343,733TotalAmt
Program Services$2,929,255ProgramServicesAmt
Management And General$414,478ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$342,365BOYAmt
EOY$65,279EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,900BOYAmt
EOY$31,238EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,661,401LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$769,041LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$399,891BOYAmt
EOY$892,360EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,840BOYAmt
EOY$5,840EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$752,996BOYAmt
EOY$994,717EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,700BOYAmt
EOY$66,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,700BOYAmt
EOY$66,500EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$716,296BOYAmt
EOY$928,217EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$716,296BOYAmt
EOY$928,217EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$752,996BOYAmt
EOY$994,717EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$211,921ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,298CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,500CurrentTaxYearMinus1YearAmt
Current Tax Year$31,596CurrentTaxYearAmt
Total$244,380TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,036,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,256,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,357,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,029,552CurrentTaxYearMinus1YearAmt
Current Tax Year$3,522,060CurrentTaxYearAmt
Total$13,202,013TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,123,480CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,299,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,363,636CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,106,052CurrentTaxYearMinus1YearAmt
Current Tax Year$3,553,656CurrentTaxYearAmt
Total$13,446,393TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$13,446,393PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,092CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,051CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$634CurrentTaxYearMinus1YearAmt
Current Tax Year$535CurrentTaxYearAmt
Total$7,049TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,092CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,051CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$634CurrentTaxYearMinus1YearAmt
Current Tax Year$535CurrentTaxYearAmt
Total$7,049TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,125,572CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,301,620CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,365,373CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,106,686CurrentTaxYearMinus1YearAmt
Current Tax Year$3,554,191CurrentTaxYearAmt
Total$13,453,442TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99930PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,000OtherCostOrOtherBasisAmt
Book Value$85,000BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,278,407OtherCostOrOtherBasisAmt
Depreciation$506,234DepreciationAmt
Book Value$772,173BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$297,994OtherCostOrOtherBasisAmt
Depreciation$262,807DepreciationAmt
Book Value$35,187BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$892,360TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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