THE SARAH ROBERTS FRENCH HOME: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE SARAH ROBERTS FRENCH HOME (EIN 74-1175881)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-06
IRS object ID
202202799349300430
Schema version
2021v4.2
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)
Return2022-10-06T09:50:26-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742606559PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ADKF PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19601 MCALLISTER FREEWAY SUITE 800AddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78216ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741175881EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SARAH ROBERTS FRENCH HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSARABusinessNameControlTxt
Phone2107364238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 TEXAS AVENUEAddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782015944ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMONA LISA RUDDPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone2107364238PhoneNum
Signature2022-08-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMONAPersonFirstNm
Person LastLISA RUDDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH A HERNANDEZPreparerPersonNm
PTINP00950841PTIN
Phone2108291300PhoneNum
Preparation2022-08-31PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMONA LISA RUDDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 TEXAS AVENUEAddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782015944ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,911,180GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SARAHROBERTS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionPROVIDE A LOVING & CARING QUALITY HEALTHCARE TO THE INFIRM/ELDERLY OF OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee160TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,189,169PYContributionsGrantsAmt
CY Contributions Grants$1,101,197CYContributionsGrantsAmt
PY Program Service Revenue$2,681,496PYProgramServiceRevenueAmt
CY Program Service Revenue$2,809,749CYProgramServiceRevenueAmt
PY Investment Income$528PYInvestmentIncomeAmt
CY Investment Income$234CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,871,193PYTotalRevenueAmt
CY Total Revenue$3,911,180CYTotalRevenueAmt
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$2,308,472PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,555,691CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$164,150CYTotalFundraisingExpenseAmt
PY Other Expenses$1,480,285PYOtherExpensesAmt
CY Other Expenses$1,369,522CYOtherExpensesAmt
PY Total Expenses$3,788,757PYTotalExpensesAmt
CY Total Expenses$3,925,213CYTotalExpensesAmt
PY Revenues Less Expenses$82,436PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,033CYRevenuesLessExpensesAmt
Total Assets BOY$1,282,951TotalAssetsBOYAmt
Total Assets EOY$1,363,458TotalAssetsEOYAmt
Total Liabilities BOY$260,010TotalLiabilitiesBOYAmt
Total Liabilities EOY$354,550TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,022,941NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,008,908NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE QUALITY HEALTH CARE TO THE INFIRM AND ELDERLY OF OUR COMMUNITY IN A LOVING AND CARING ENVIRONMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,344,839ExpenseAmt
Revenue$2,809,749RevenueAmt
DescNURSING AND RESIDENTIAL CARE. AVERAGE NUMBER OF RESIDENTS THROUGHOUT THE YEAR WAS 52.Desc
Total Program Service Expenses$3,344,839TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee160EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTXStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2107364238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 TEXAS AVENUEAddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782015944ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JERRY G DUTERROIL
PRESIDENT2.00Yes (X)$0$0$0
DR CELESTE ACOSTA-WADE
SECRETARY2.00Yes (X)$0$0$0
MARTHA TOSCANO
MEMBER2.00Yes (X)$0$0$0
LINDA GAIDA
TREASURER2.00Yes (X)$0$0$0
DR CHARLENE HAYNES
MEMBER2.00Yes (X)$0$0$0
XONIA KARGL
VICE PRESIDENT2.00Yes (X)$0$0$0
MONA LISA RUDD
ADMINISTRATOR40.00$131,262$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$131,262TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LEE ASSOCIATES
16302 PLEASANTVILLE RD SUITE 211SAN ANTONIOTX78233ORGANIZATIONAL DEVELOPMENT$115,500
BEN E KEITH
16302 PLEASANTVILLE RD SUITE 211SAN ANTONIOTX78233FOOD/BEVERAGE DISTRIBUTOR$114,970
EAGLE HEATING & AC
16302 PLEASANTVILLE RD SUITE 211SAN ANTONIOTX78233HVAC$104,498
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$550,496GovernmentGrantsAmt
All Other Contributions$550,701AllOtherContributionsAmt
Total Contributions$1,101,197TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID623000$2,524,138$2,524,138
PATIENT/RESIDENT FEES623000$285,611$285,611
FieldValueIRS element (for citing)
Total Program Service Revenue$2,809,749TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$234TotalRevenueColumnAmt
Exclusion$234ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,911,180TotalRevenueColumnAmt
Related Or Exempt Func Income$2,809,749RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$234ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$131,262TotalAmt
Management And General$131,262ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,190,942TotalAmt
Program Services$2,097,985ProgramServicesAmt
Management And General$92,957ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,465TotalAmt
Program Services$17,175ProgramServicesAmt
Management And General$3,290ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$213,022TotalAmt
Program Services$157,173ProgramServicesAmt
Management And General$55,849ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$618,714TotalAmt
Program Services$415,304ProgramServicesAmt
Management And General$39,260ManagementAndGeneralAmt
Fundraising$164,150FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$691TotalAmt
Management And General$691ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$84,521TotalAmt
Program Services$71,843ProgramServicesAmt
Management And General$12,678ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$183,243TotalAmt
Program Services$169,005ProgramServicesAmt
Management And General$14,238ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,259TotalAmt
Program Services$745ProgramServicesAmt
Management And General$1,514ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$79,995TotalAmt
Program Services$70,396ProgramServicesAmt
Management And General$9,599ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,501TotalAmt
Program Services$13,573ProgramServicesAmt
Management And General$928ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS AND SUPPLIES$128,864$128,864
RAW FOOD AND NUTRIENTS$128,076$128,076
MISCELLANEOUS AND OTHER$78,981$30,487$48,494
RESIDENT ASSISTANCE$35,758$31,473$4,285

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,919TotalAmt
Program Services$12,740ProgramServicesAmt
Management And General$1,179ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,925,213TotalAmt
Program Services$3,344,839ProgramServicesAmt
Management And General$416,224ManagementAndGeneralAmt
Fundraising$164,150FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$255BOYAmt
EOY$255EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$321,853BOYAmt
EOY$348,723EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$234,465BOYAmt
EOY$186,494EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,521,462LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,694,568LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$725,165BOYAmt
EOY$826,894EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,213BOYAmt
EOY$1,092EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,282,951BOYAmt
EOY$1,363,458EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$260,010BOYAmt
EOY$154,550EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$200,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$260,010BOYAmt
EOY$354,550EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$964,866BOYAmt
EOY$893,490EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$58,075BOYAmt
EOY$115,418EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,022,941BOYAmt
EOY$1,008,908EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,282,951BOYAmt
EOY$1,363,458EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$14,033ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$468,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$491,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,189,169CurrentTaxYearMinus1YearAmt
Current Tax Year$1,101,197CurrentTaxYearAmt
Total$3,336,965TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$468,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$491,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,189,169CurrentTaxYearMinus1YearAmt
Current Tax Year$1,101,197CurrentTaxYearAmt
Total$3,336,965TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,336,965PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$541CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$970CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$528CurrentTaxYearMinus1YearAmt
Current Tax Year$234CurrentTaxYearAmt
Total$4,298TotalAmt
FieldValueIRS element (for citing)
Total Support$3,341,263TotalSupportAmt
Public Support CY1700.99870PublicSupportCY170Pct
Public Support PY1700.99720PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,213BeginningYearBalanceAmt
Administrative Expenses$121AdministrativeExpensesAmt
End Year Balance$1,092EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,253BeginningYearBalanceAmt
Administrative Expenses$40AdministrativeExpensesAmt
End Year Balance$1,213EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,251BeginningYearBalanceAmt
Investment Earnings Or Losses$2InvestmentEarningsOrLossesAmt
End Year Balance$1,253EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$1,250ContributionsAmt
Investment Earnings Or Losses$1InvestmentEarningsOrLossesAmt
End Year Balance$1,251EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,002OtherCostOrOtherBasisAmt
Book Value$39,002BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,189,653OtherCostOrOtherBasisAmt
Depreciation$721,578DepreciationAmt
Book Value$468,075BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,055OtherCostOrOtherBasisAmt
Depreciation$203,211DepreciationAmt
Book Value$26,844BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$227,846OtherCostOrOtherBasisAmt
Depreciation$132,533DepreciationAmt
Book Value$95,313BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$834,906OtherCostOrOtherBasisAmt
Depreciation$637,246DepreciationAmt
Book Value$197,660BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$826,894TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$3,911,180TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,911,180RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,911,180TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,925,213TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,925,213ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,925,213TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAFTER THE ACCOUNTING FIRM COMPLETES THE FORM 990, IT IS REVIEWED BY THE ADMINISTRATOR AND SENIOR ACCOUNTANT, ALONG WITH THE FACILITY'S BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS EVALUATE THE ADMINISTRATOR'S PERFORMANCE AND/OR WAGE CHANGES USING AN ACHIEVEMENT LETTER WRITTEN BY THE ADMINISTRATOR AND SUBMITTED TO THE BOARD. THIS LETTER INCLUDES OUTCOMES OF PRODUCTIVITY IN AREAS OF INTEREST IN THE INDUSTRY AND IN KEEPING WITH FEDERAL AND STATE REGULATORY COMPLIANCE. THE BOARD REVIEWS WAGE AND BENEFIT CHANGES IN CONJUNCTION WITH THE EVALUATION DURING AN EXECUTIVE SESSION OF A BOARD MEETING WHICH EXCLUDES THE PRESENCE OF THE ADMINISTRATOR. THE PRESIDENT OF THE BOARD THEN INFORMS THE ADMINISTRATOR OF THE OUTCOME AND THIS IS DOCUMENTED IN THE MINUTES OF THE MEETING. IT WAS LAST PERFORMED IN SEPTEMBER 2020.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER: PROGRAM SERVICE EXPENSES 415,304. MANAGEMENT AND GENERAL EXPENSES 39,260. FUNDRAISING EXPENSES 164,150. TOTAL EXPENSES 618,714.
FORM 990, PART XII, LINE 2CTHE BOARD MAINTAINS OVERSIGHT OF THE ANNUAL AUDIT AND THE PREPARATION OF FORM 990. NO CHANGES FROM PRIOR YEAR.

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