ST MARYS HOME FOR DISABLED CHILDREN INC: Form 990, tax year 2022
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- Organization
- ST MARYS HOME FOR DISABLED CHILDREN INC (EIN 54-0505952)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202343199349300949
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T06:09:32-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540737372 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PBMARES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 BOUSH STREET SUITE 400 | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540505952 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOME FOR DISABLED CHILDREN | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 7576222208 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6171 KEMPSVILLE CIRCLE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON EDSALL | PersonNm |
| Person Title | CURRENT CEO | PersonTitleTxt |
| Phone | 7576222208 | PhoneNum |
| Signature | 2023-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHANNON | PersonFirstNm |
| Person Last | EDSALL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER N FRENCH CPA | PreparerPersonNm |
| PTIN | P00659678 | PTIN |
| Phone | 7576274644 | PhoneNum |
| Preparation | 2023-10-30 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHANNON EDSALL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6171 KEMPSVILLE CIRCLE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,404,968 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SAINTMARYSHOME.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1901 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CARE AS AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AS A RESIDENTIAL FACILITY WITH 100 LICENSED BEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 415 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,556,122 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,444,977 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,975,682 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,959,991 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$27,010 | PYInvestmentIncomeAmt |
| CY Investment Income | -$874 | CYInvestmentIncomeAmt |
| PY Other Revenue | $51,512 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $25,556,306 | PYTotalRevenueAmt |
| CY Total Revenue | $27,404,094 | 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 | $14,719,022 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,842,877 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $229,404 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,088,739 | PYOtherExpensesAmt |
| CY Other Expenses | $7,505,925 | CYOtherExpensesAmt |
| PY Total Expenses | $21,807,761 | PYTotalExpensesAmt |
| CY Total Expenses | $27,348,802 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,748,545 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $55,292 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,262,085 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,386,377 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,368,751 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,585,642 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$106,666 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,800,735 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CARE AS AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AS A RESIDENTIAL FACILITY WITH 100 LICENSED BEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,674,347 | ExpenseAmt |
| Revenue | $25,959,117 | RevenueAmt |
| Desc | INTERMEDIATE HEALTH CARE FOR INDIVIDUALS WITH SEVERE MENTAL AND PHYSICAL DISABILITIES WITH 88 LICENSED PEDIATRIC BEDS AND 12 LICENSED ADULT BEDS. | Desc |
| Total Program Service Expenses | $23,674,347 | 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 | Yes (1) | 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 415 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBYN JONES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7576222208 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6171 KEMPSVILLE CIRCLE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD KNAPP | ||||||||
| PRESIDENT | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RANDALL CRUTCHFIELD | ||||||||
| VICE PRESIDENT | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR ALLEN WHITE III | ||||||||
| SECRETARY | 0.50 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHAWN FISCHER | ||||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GREGORY KILDUFF | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS D'SURNEY | ||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL COTTER | ||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| EMILY GRIMSLEY | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRAD MASON | ||||||||
| TRUSTEE | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DR JUANITA SMITH | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DR SHELDON VIOLA | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY WILCOX | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GAELA NORMILE | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS LAGOW | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JANETTE CRUMLEY | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| QUETTA RUFFIN | ||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| H WAYNE JONES | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $253,443 | $0 | $17,468 | ||
| ELIZABETH MCCUEAN | ||||||||
| CHIEF OF NURSING AND CLINI | 40.00 | 0.00 | $146,801 | $0 | $14,080 | Yes (X) | ||
| SHANNON EDSALL | ||||||||
| CHIEF OF RESIDENTIAL SERVICES | 40.00 | 0.00 | $140,675 | $0 | $5,300 | Yes (X) | ||
| MICHELLE DEPELTEAU | ||||||||
| DIRECTOR OF HUMAN RESOURCE | 40.00 | 0.00 | $119,249 | $0 | $27,392 | Yes (X) | ||
| ROBYN JONES | ||||||||
| CONTROLLER | 40.00 | 0.00 | $110,655 | $0 | $14,887 | Yes (X) | ||
| DAWN TEETS | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $138,524 | $0 | $18,504 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $909,347 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $97,631 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| METRO MECHANICAL CORP | |||||
| 6017 PROVIDENCE ROAD | VIRGINIA BEACH | VA | 23464 | HEATING AND COOLING SERVICES | $246,779 |
| PBMARES LLP | |||||
| 150 BOUSH STREET | NORFOLK | VA | 23510 | ASSURANCE AND TAX SERVICES | $153,348 |
| CHILDREN'S HOSPITAL OF THE KING'S DAUGHT | |||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | LABORATORY SERVICES | $137,911 |
| THOMPSON SIEGEL AND WALMSLEY LLC (TSW) | |||||
| 6641 WEST BROAD STREET SUITE 600 | RICHMOND | VA | 23230 | PENSION ADVISORY SERVICES | $116,436 |
| MERCO BIOMEDICAL | |||||
| 1612 VIRGINIA BEACH BLVD SUITE 20 | VIRGINIA BEACH | VA | 23454 | OXYGEN/BIOMEDICAL SERVICES | $116,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $45,265 | FederatedCampaignsAmt |
| Related Organizations | $900,000 | RelatedOrganizationsAmt |
| Government Grants | $178,926 | GovernmentGrantsAmt |
| All Other Contributions | $320,786 | AllOtherContributionsAmt |
| Noncash Contributions | $25,000 | NoncashContributionsAmt |
| Total Contributions | $1,444,977 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID PATIENT CARE | 623000 | $25,941,852 | $25,941,852 |
| MEDICAID PATIENT PAY | 623000 | $18,139 | $18,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,959,991 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $874 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$874 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$874 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$874 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,404,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,959,117 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,910 | TotalAmt |
| Management And General | $270,910 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,615,601 | TotalAmt |
| Program Services | $13,137,546 | ProgramServicesAmt |
| Management And General | $1,341,188 | ManagementAndGeneralAmt |
| Fundraising | $136,867 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,822 | TotalAmt |
| Program Services | $1,088,284 | ProgramServicesAmt |
| Management And General | $127,116 | ManagementAndGeneralAmt |
| Fundraising | $6,422 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,617,559 | TotalAmt |
| Program Services | $2,327,622 | ProgramServicesAmt |
| Management And General | $270,039 | ManagementAndGeneralAmt |
| Fundraising | $19,898 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,116,985 | TotalAmt |
| Program Services | $987,069 | ProgramServicesAmt |
| Management And General | $119,810 | ManagementAndGeneralAmt |
| Fundraising | $10,106 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,256 | TotalAmt |
| Management And General | $25,256 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,828 | TotalAmt |
| Management And General | $325,828 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,752,627 | TotalAmt |
| Program Services | $1,591,278 | ProgramServicesAmt |
| Management And General | $161,225 | ManagementAndGeneralAmt |
| Fundraising | $124 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,950 | TotalAmt |
| Program Services | $57,746 | ProgramServicesAmt |
| Management And General | $38,123 | ManagementAndGeneralAmt |
| Fundraising | $81 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,266,655 | TotalAmt |
| Program Services | $1,859,215 | ProgramServicesAmt |
| Management And General | $398,379 | ManagementAndGeneralAmt |
| Fundraising | $9,061 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,414 | TotalAmt |
| Program Services | $319,117 | ProgramServicesAmt |
| Management And General | $41,626 | ManagementAndGeneralAmt |
| Fundraising | $43,671 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,754 | TotalAmt |
| Program Services | $51,051 | ProgramServicesAmt |
| Management And General | $9,872 | ManagementAndGeneralAmt |
| Fundraising | $1,831 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,268 | TotalAmt |
| Program Services | $342,124 | ProgramServicesAmt |
| Management And General | $15,144 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,493 | TotalAmt |
| Program Services | $659,308 | ProgramServicesAmt |
| Management And General | $29,185 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,393 | TotalAmt |
| Program Services | $156,675 | ProgramServicesAmt |
| Management And General | $250,032 | ManagementAndGeneralAmt |
| Fundraising | $686 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| FOOD & DIETARY SUPPLIES | $672,379 | $672,379 | ||
| REPAIRS & MAINTENANCE | $433,188 | $421,745 | $11,435 | $8 |
| DUES | $13,680 | $3,148 | $9,883 | $649 |
| LICENSES | $40 | $40 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,348,802 | TotalAmt |
| Program Services | $23,674,347 | ProgramServicesAmt |
| Management And General | $3,445,051 | ManagementAndGeneralAmt |
| Fundraising | $229,404 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,075 | BOYAmt |
| EOY | $11,154 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,785 | BOYAmt |
| EOY | $71,953 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,470,339 | BOYAmt |
| EOY | $4,132,449 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,511 | BOYAmt |
| EOY | $178,076 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,119 | BOYAmt |
| EOY | $169,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,621,071 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,991,057 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,871,318 | BOYAmt |
| EOY | $9,630,014 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,938 | BOYAmt |
| EOY | $3,193,115 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,262,085 | BOYAmt |
| EOY | $17,386,377 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,768,400 | BOYAmt |
| EOY | $1,917,586 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,539,783 | BOYAmt |
| EOY | $5,857,158 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,785 | BOYAmt |
| EOY | $71,953 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,432,368 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,958,783 | BOYAmt |
| EOY | $306,577 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,368,751 | BOYAmt |
| EOY | $9,585,642 | 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 | -$198,915 | BOYAmt |
| EOY | $7,640,590 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,249 | BOYAmt |
| EOY | $160,145 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$106,666 | BOYAmt |
| EOY | $7,800,735 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,262,085 | BOYAmt |
| EOY | $17,386,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $55,292 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $7,852,109 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,091,323 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,143,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,570,782 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,556,122 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,444,977 | CurrentTaxYearAmt |
| Total | $6,806,264 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,139,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,414,082 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,855,265 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,975,682 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,959,991 | CurrentTaxYearAmt |
| Total | $115,344,204 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,230,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,557,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,426,047 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,531,804 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,404,968 | CurrentTaxYearAmt |
| Total | $122,150,468 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $387,613 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $364,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $555,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $644,167 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $625,853 | CurrentTaxYearAmt |
| Total | $2,577,610 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $387,613 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $364,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $555,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $644,167 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $625,853 | CurrentTaxYearAmt |
| Total | $2,577,610 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $119,572,858 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $175 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $185 | CurrentTaxYearMinus3YearsAmt |
| Total | $360 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $175 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $185 | CurrentTaxYearMinus3YearsAmt |
| Total | $360 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,056 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$40 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,737 | CurrentTaxYearAmt |
| Total | $73,170 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,238,738 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,557,287 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,429,952 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,583,316 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,414,705 | CurrentTaxYearAmt |
| Total | $122,223,998 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97830 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97910 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,157,751 | OtherCostOrOtherBasisAmt |
| Book Value | $3,157,751 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,789,003 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,374,995 | DepreciationAmt |
| Book Value | $5,414,008 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,926,577 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,367,247 | DepreciationAmt |
| Book Value | $559,330 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,747,740 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,248,815 | DepreciationAmt |
| Book Value | $498,925 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,630,014 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED INCOME RECEIVABLE | $520,014 |
| ACCRUED PENSION ASSET | $2,673,101 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,193,115 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FAIR VALUE OF HEDGE | Desc |
| Amt | $306,577 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $306,577 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,996,412 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $592,318 | OtherRevenueAmt |
| Revenue Not Reported | $592,318 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,404,094 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,404,094 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,338,191 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $27,338,191 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,611 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,611 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $27,348,802 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE FACILITY DOES NOT REQUIRE THE INDIVIDUAL OR AUTHORIZED REPRESENTATIVE TO DEPOSIT PERSONAL FUNDS WITH THE FACILITY. THE FACILITY SHALL MAINTAIN AN INDIVIDUAL TRUST ACCOUNT FOR THOSE INDIVIDUALS WHO, OR WHOSE AUTHORIZED REPRESENTATIVE, DESIRE THAT THEIR PERSONAL FUNDS OR A PORTION THEREOF, BE DEPOSITED AND DISBURSED BY THE FACILITY. THE FUNDS SHALL BE MAINTAINED IN AN ACCOUNT SEPARATE FROM FACILITY FUNDS WHERE APPROPRIATE. INDIVIDUAL TRUST FUND ACCOUNT SHALL BE ESTABLISHED AS AN INTEREST BEARING ACCOUNT. THE FACILITY SHALL ISSUE WRITTEN STATEMENTS TO THE INDIVIDUAL OR AUTHORIZED REPRESENTATIVE QUARTERLY AND UPON REQUEST OF THE INDIVIDUAL OR AUTHORIZED REPRESENTATIVE. UPON DISCHARGE FROM THE FACILITY, INDIVIDUAL IS ENTITLED TO A REFUND OF THE BALANCE OF HIS OR HER INDIVIDUAL TRUST FUND ACCOUNT. IF THE INDIVIDUAL PASSES AWAY WITH AN INDIVIDUAL ACCOUNT BALANCE WHILE RESIDING AT THE FACILITY, THE REMAINDER WILL BE REIMBURSED TO THEIR ESTATE. THE FACILITY SHALL NOT IMPOSE A CHARGE AGAINST THE PERSONAL FUNDS OF THE INDIVIDUAL FOR ANY ITEM OR SERVICE FOR WHICH PAYMENT IS MADE UNDER MEDICAID OR OTHER PAYOR (EXCEPT FOR APPLICABLE DEDUCTIBLE OR CO-PAY AMOUNTS). |
| PART X, LINE 2: | ST. MARY'S AND THE FOUNDATION ARE EXEMPT FROM INCOME TAXES AS PROVIDED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). FASB ASC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS EVALUATED THE IMPACT OF THIS GUIDANCE TO ITS CONSOLIDATED FINANCIAL STATEMENTS. ST. MARY'S AND THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS FROM THE DATE THE RETURNS ARE FILED. INCOME TAX RELATED INTEREST AND PENALTIES, IF ANY, ARE CLASSIFIED IN INTEREST EXPENSE AND PENALTIES EXPENSE, RESPECTIVELY. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF HEDGE FUND 602,929. MEDICAID SETTLEMENT COSTS -10,611. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | MEDICAID SETTLEMENT COSTS 10,611. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| H WAYNE JONES | ||||||||||||||
| CEO | $253,443 | $0 | $0 | $0 | $0 | $0 | $4,980 | $0 | $12,488 | $0 | $270,911 | $0 | $0 | $0 |
| ELIZABETH MCCUEAN | ||||||||||||||
| CHIEF OF NURSING AND CLINI | $146,801 | $0 | $0 | $0 | $0 | $0 | $2,835 | $0 | $11,245 | $0 | $160,881 | $0 | $0 | $0 |
| DAWN TEETS | ||||||||||||||
| REGISTERED NURSE | $138,524 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,504 | $0 | $157,028 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION REIMBURSES THE CEO FOR YMCA DUES. |
| PART I, LINE 4 | CHANGE IN FAIR MARKET VALUE DEFINED BENEFIT PLAN: H. WAYNE JONES $-108,160 ELIZABETH MCCUEAN $-13,318 DAWN TEETS $-3,211 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORFOLK AIRPORT AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521375010 | BondIssuerEIN |
| Bond Issued | 2003-02-01 | BondIssuedDt |
| Issue Price | $4,000,000 | IssuePriceAmt |
| Purpose | ACQUISITION, CONSTRUCTION AND EQUIPPING OF A REPLACEMENT FACILITY | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,326,565 | RetiredAmt |
| Total Proceeds | $4,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $10,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,990,000 | CapitalExpendituresAmt |
| Substantial Completion | 2005 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANK OF AMERICA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 25.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V LINE 7G | THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTION OF QUALIFIED INTELLECTUAL PROPERTY. |
| FORM 990 PART V LINE 7H | THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS THAT REQUIRED IT TO FILE FORM 1098-C |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY WAS WRITTEN AND APPROVED IN 2008. TRANSACTIONS WITH POTENTIAL CONFLICTS ARE REVIEWED BY THE ENTIRE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | AN INDEPENDENT SUB-COMMITTEE PERFORMS AN EVALUATION OF THE CEO'S COMPENSATION. THE INDEPENDENT COMMITTEE THEN REPORTS TO THE BOARD FOR FURTHER EVALUATION. |
| FORM 990, PART VI, SECTION C, LINE 18 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. A SUMMARY OF FINANCIAL PERFORMANCE IS INCLUDED IN THE HOME'S ANNUAL REPORT. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF HEDGE 602,929. COMPONENTS OF NET PERIODIC PENSION COST 7,249,180. |
| FORM 990, PART XII, LINE 2C | THE ENTIRE BOARD OF DIRECTORS SERVES AS THE FINANCE/AUDIT COMMITTEE, WHICH MEETS ANNUALLY TO DISCUSS THE AUDIT AND ITS FINDINGS. THE BOARD ALSO DETERMINES ANNUALLY WHETHER OR NOT TO CHANGE INDEPENDENT ACCOUNTING FIRMS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT MARYS HOME FOR DISABLED CHILDREN FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6171 KEMPSVILLE CIRCLE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541868069 | EIN |
| Primary Activities | FINANCIAL SUPPORT TO ST. MARY'S HOME | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12 A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOME FOR DISABLED CHILDREN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT MARYS HOME FOR DISABLED CHILDREN FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $900,000 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
Comments