JACKSON COUNTY HEALTH FACILITIES: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
JACKSON COUNTY HEALTH FACILITIES (EIN 31-0802091)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202333179349309078
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T14:52:28-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HW&COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line128601 Chagrin Blvd 210AddressLine1Txt
CityWoodmereCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310802091EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jackson County Health Facilities IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID NICHOLSInCareOfNm
Business Name ControlJACKBusinessNameControlTxt
Phone7403842119PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1Txt
CityWELLSTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45692ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid NicholsPersonNm
Person TitleCFOPersonTitleTxt
Phone7403842119PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDavidPersonFirstNm
Person LastNicholsPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid M Reape CPAPreparerPersonNm
PTINP00068117PTIN
Phone2168311200PhoneNum
Preparation2023-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM POTTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1Txt
CityWELLSTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45692ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,239,480GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee134TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$630PYContributionsGrantsAmt
CY Contributions Grants$1,696,111CYContributionsGrantsAmt
PY Program Service Revenue$5,252,084PYProgramServiceRevenueAmt
CY Program Service Revenue$5,508,352CYProgramServiceRevenueAmt
PY Investment Income$25,678PYInvestmentIncomeAmt
CY Investment Income$12,343CYInvestmentIncomeAmt
PY Other Revenue$17,511PYOtherRevenueAmt
CY Other Revenue$22,674CYOtherRevenueAmt
PY Total Revenue$5,295,903PYTotalRevenueAmt
CY Total Revenue$7,239,480CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,147,343PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,440,757CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,018,635PYOtherExpensesAmt
CY Other Expenses$2,275,125CYOtherExpensesAmt
PY Total Expenses$5,165,978PYTotalExpensesAmt
CY Total Expenses$5,715,882CYTotalExpensesAmt
PY Revenues Less Expenses$129,925PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,523,598CYRevenuesLessExpensesAmt
Total Assets BOY$8,981,372TotalAssetsBOYAmt
Total Assets EOY$10,282,356TotalAssetsEOYAmt
Total Liabilities BOY$586,997TotalLiabilitiesBOYAmt
Total Liabilities EOY$364,383TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,394,375NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,917,973NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,028,605ExpenseAmt
Revenue$7,226,367RevenueAmt
DescHOME FOR AGED 59 BED NURSING FACILITY AND 50 BED ASSISTED LIVING FACILITY ALSO OFFERING THE FOLLOWING SERVICES: ONSITE THERAPY SERVICES (PT,OT & ST), ONSITE BEAUTY SHOP, TRANSPORTATION SERVICES, AND MEDICAID ASSISTED LIVING WAIVER PARTICIPATION.Desc
Total Program Service Expenses$5,028,605TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee134EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID NICHOLSPersonNm
Phone7403842119PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1Txt
CityWELLSTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45692ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DAVID NICHOLS
CFO40.00.0Yes (X)$113,225$0$34,800
BILL POTTER
ADMINISTRATOR40.00.0Yes (X)$118,885$0$13,419
GREG ERVIN
PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
MARTHA MASSIE
SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
JEFF PLUMMER
BOARD MEMBER1.00.0$0$0$0Yes (X)
RON HAYES
TREASURER1.00.0Yes (X)$0$0$0Yes (X)
BONNIE HOLZAPFEL
BOARD MEMBER1.00.0$0$0$0Yes (X)
JEFFERY SIMMONS
VICE PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
MICHELE FURBEE
BOARD MEMBER1.00.0$0$0$0Yes (X)
DOUG JONES
BOARD MEMBER1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$232,110TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$48,219TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
POWERBACK REHABILITATION
PO BOX 7247-6524PHILADELPHIAPA19170THERAPY SERVICES$369,380
SYNERGI PARTNERS
PO BOX 5599FLORENCESC29502ERC TAX CREDIT PREP$220,394
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$1,695,341GovernmentGrantsAmt
All Other Contributions$770AllOtherContributionsAmt
Total Contributions$1,696,111TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$3,443,861$3,443,861
RESIDENT REVENUE623000$1,748,752$1,748,752
STIMULUS GRANTS623000$315,739$315,739
FieldValueIRS element (for citing)
Total Program Service Revenue$5,508,352TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,343TotalRevenueColumnAmt
Exclusion$12,343ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business623000BusinessCd
Total Revenue Column$22,674TotalRevenueColumnAmt
Related Or Exempt Func Income$22,674RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$22,674OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,239,480TotalRevenueColumnAmt
Related Or Exempt Func Income$5,531,026RelatedOrExemptFuncIncomeAmt
Exclusion$12,343ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$280,328TotalAmt
Management And General$280,328ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,517,473TotalAmt
Program Services$2,276,558ProgramServicesAmt
Management And General$240,915ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,505TotalAmt
Program Services$23,538ProgramServicesAmt
Management And General$967ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$401,912TotalAmt
Program Services$385,279ProgramServicesAmt
Management And General$16,633ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$216,539TotalAmt
Program Services$207,411ProgramServicesAmt
Management And General$9,128ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$722,057TotalAmt
Program Services$623,411ProgramServicesAmt
Management And General$98,646ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,013TotalAmt
Program Services$20,144ProgramServicesAmt
Management And General$869ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,459TotalAmt
Program Services$33,061ProgramServicesAmt
Management And General$1,398ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$159,825TotalAmt
Program Services$153,742ProgramServicesAmt
Management And General$6,083ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,997TotalAmt
Program Services$2,883ProgramServicesAmt
Management And General$114ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$364,739TotalAmt
Program Services$350,255ProgramServicesAmt
Management And General$14,484ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,234TotalAmt
Program Services$82,957ProgramServicesAmt
Management And General$3,277ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$367,174$361,379$5,795
FRANCHISE TAX$289,096$289,096
FOOD EXPENSE$227,531$218,891$8,640

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,715,882TotalAmt
Program Services$5,028,605ProgramServicesAmt
Management And General$687,277ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$400BOYAmt
EOY$400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,715,798BOYAmt
EOY$3,723,899EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$615,293BOYAmt
EOY$2,131,125EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$51,871BOYAmt
EOY$46,938EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,252BOYAmt
EOY$30,953EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,284,108LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,935,067LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,565,758BOYAmt
EOY$4,349,041EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,981,372BOYAmt
EOY$10,282,356EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$431,777BOYAmt
EOY$347,383EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$107,406BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,814BOYAmt
EOY$17,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$586,997BOYAmt
EOY$364,383EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,394,375BOYAmt
EOY$9,917,973EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,394,375BOYAmt
EOY$9,917,973EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,981,372BOYAmt
EOY$10,282,356EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,523,598ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
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$7,420CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,207CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$520,268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$630CurrentTaxYearMinus1YearAmt
Current Tax Year$1,696,111CurrentTaxYearAmt
Total$2,226,636TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,179,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,475,309CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,603,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,252,084CurrentTaxYearMinus1YearAmt
Current Tax Year$5,508,352CurrentTaxYearAmt
Total$27,019,498TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,187,358CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,477,516CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,124,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,252,714CurrentTaxYearMinus1YearAmt
Current Tax Year$7,204,463CurrentTaxYearAmt
Total$29,246,134TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$99,658CurrentTaxYearMinus1YearAmt
Current Tax Year$101,814CurrentTaxYearAmt
Total$201,472TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$492,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$481,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$439,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,027,495CurrentTaxYearMinus1YearAmt
Current Tax Year$567,673CurrentTaxYearAmt
Total$3,008,322TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$492,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$481,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$439,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,127,153CurrentTaxYearMinus1YearAmt
Current Tax Year$669,487CurrentTaxYearAmt
Total$3,209,794TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$26,036,340PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,253CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,678CurrentTaxYearMinus1YearAmt
Current Tax Year$12,343CurrentTaxYearAmt
Total$178,393TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,253CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,678CurrentTaxYearMinus1YearAmt
Current Tax Year$12,343CurrentTaxYearAmt
Total$178,393TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$114,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,184CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$249,786CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,511CurrentTaxYearMinus1YearAmt
Current Tax Year$22,674CurrentTaxYearAmt
Total$506,141TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,335,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,636,953CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,423,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,295,903CurrentTaxYearMinus1YearAmt
Current Tax Year$7,239,480CurrentTaxYearAmt
Total$29,930,668TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.86989PublicSupportCY509Pct
Public Support PY5090.85138PublicSupportPY509Pct
Investment Income CY0.00596InvestmentIncomeCYPct
Investment Income PY0.00680InvestmentIncomePYPct
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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,965OtherCostOrOtherBasisAmt
Book Value$26,965BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,673,859OtherCostOrOtherBasisAmt
Depreciation$3,013,117DepreciationAmt
Book Value$2,660,742BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,797,140OtherCostOrOtherBasisAmt
Depreciation$1,929,865DepreciationAmt
Book Value$867,275BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,786,144OtherCostOrOtherBasisAmt
Depreciation$1,992,085DepreciationAmt
Book Value$794,059BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,349,041TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT DEPOSITSDesc
Amt$17,000Amt
FieldValueIRS element (for citing)
Total Liability$17,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,239,480TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$7,239,480RevenueSubtotalAmt
Total Revenue Per Form990$7,239,480TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,715,882TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$5,715,882ExpensesSubtotalAmt
Total Expenses Per Form990$5,715,882TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11ATHE CFO REVIEWS FORM 990 THEN PROVIDES THE FINAL COPY TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, LINE 12CTHE POLICY PROVIDED REQUIRES ALL STAFF (INCLUDING THE BOARD OF TRUSTEES) TO REPORT ANY POSSIBLE CONFLICTS TO MANAGEMENT WHICH ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. IF A POTENTIAL CONFLICT OF INTEREST IS DISCOVERED IT IS DISCUSSED INITIALLY AMONG MANAGEMENT. IF IT MERITS FURTHER DISCUSSION IT IS DISCUSSED WITH THE FULL BOARD OF DIRECTORS. DURING THE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST PROCESS, A BOARD MEMBER MAY BE ASKED TO EXCUSE HIM/HERSELF FROM ANY AND ALL VOTES THAT THE BOARD DEEMS APPROPRIATE.
FORM 990, PART VI, LINE 15A & 15BCOMPARABILITY DATA IS USED FROM WAGE STUDIES AND THE COST REPORT FOR ANY NEW HIRES OR SIGNIFICANT WAGE ADJUSTMENTS, ALL DATA IS PROVIDED TO THE BOARD OF DIRECTORS FOR ALL WAGE CHANGES FOR FINAL APPROVAL. COPIES OF ALL WAGE STUDY DOCUMENTS AND ALL WAGE DECISIONS ARE DISCUSSED AND DOCUMENTED IN THE BOARD MINUTES WHICH ARE ALSO RETAINED.
FORM 990, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

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