ROSS-WEST VIEW EMERGENCY MEDICAL SERVICES AUTHORITY: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ROSS-WEST VIEW EMERGENCY MEDICAL SERVICES AUTHORITY (EIN 25-1340417)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-09-18
- IRS object ID
- 202022629349300412
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-09-18T08:56:15-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 262728289 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCCALL SCANLON & TICE LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5500 CORPORATE DR 240 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251340417 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSS WEST VIEW EMERGENCY MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES AUTHORITY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROSS | BusinessNameControlTxt |
| Phone | 4129318200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 PERRYSVILLE AVENUE | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 152292198 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRYAN KIRCHER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4129318200 | PhoneNum |
| Signature | 2020-09-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KAREN N LEONARD | PreparerPersonNm |
| PTIN | P00239135 | PTIN |
| Phone | 4126359314 | PhoneNum |
| Preparation | 2020-09-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.83.164.209 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-09 | IPDt |
| IP Tm | 15:44:11 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EEB940834499177BF9F6D69A92AB26AD9D192566 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EEB940834499177BF9F6D69A92AB26AD9D192566 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRYAN KIRCHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 PERRYSVILLE AVENUE | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 152292198 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,118,802 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RVWEMS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF ROSS/WEST VIEW EMERGENCY MEDICAL SERVICES AUTHORITY IS TO DELIVER THE HIGHEST LEVEL OF QUALITY PRE-HOSPITAL CARE, INCLUDING ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT, RESCUE, AND WHEELCHAIR VAN SERVICES; TO PROMOTE THE EMERGENCY MEDICAL SERVICE SYSTEM THROUGH INCREASED PUBLIC AWARENESS; TO PROVIDE THE PUBLIC WITH LIFESAVING EDUCATION COURSES; AND TO PROMOTE THE CONCEPT OF RELIABLE PRE-HOSPITAL CARE TO THE MUNICIPALITIES OF ROSS TOWNSHIP, WEST VIEW BOROUGH, MILLVALE BOROUGH, RESERVE TOWNSHIP, AND OHIO TOWNSHIP. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 72 | TotalEmployeeCnt |
| Total Volunteers | 23 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $570,009 | PYContributionsGrantsAmt |
| CY Contributions Grants | $593,773 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,510,586 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,460,634 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,674 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,800 | CYInvestmentIncomeAmt |
| PY Other Revenue | $37,721 | PYOtherRevenueAmt |
| CY Other Revenue | $13,911 | CYOtherRevenueAmt |
| PY Total Revenue | $3,123,990 | PYTotalRevenueAmt |
| CY Total Revenue | $3,075,118 | 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 | $2,290,276 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,367,787 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $16,540 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $961,106 | PYOtherExpensesAmt |
| CY Other Expenses | $971,914 | CYOtherExpensesAmt |
| PY Total Expenses | $3,251,382 | PYTotalExpensesAmt |
| CY Total Expenses | $3,339,701 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$127,392 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$264,583 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,362,944 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,322,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $574,654 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $798,370 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,788,290 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,523,707 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO DELIVER THE HIGHEST QUALITY PRE-HOSPITAL CARE; TO PROMOTE THE EMERGENCY MEDICAL SERVICE SYSTEM THROUGH INCREASED PUBLIC AWARENESS; TO PROVIDE THE PUBLIC WITH LIFESAVING EDUCATION COURSES; AND TO PROMOTE THE CONCEPT OF RELIABLE PRE-HOSPITAL CARE TO THE MUNICIPALITIES OF ROSS TOWNSHIP, WEST VIEW BOROUGH, MILLVALE BOROUGH, RESERVE TOWNSHIP, AND OHIO TOWNSHIP. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,823,104 | ExpenseAmt |
| Revenue | $2,493,600 | RevenueAmt |
| Desc | EMERGENCY MEDICAL SERVICES FOR ANY PERSON IN THE COMMUNITY REQUIRING TREATMENT. SERVICES RANGE FROM PATIENT TRANSPORT TO ADVANCED LIFE SUPPORT TREATMENT. | Desc |
| Total Program Service Expenses | $2,823,104 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 72 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA VALKAVITCH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4129318200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 PERRYSVILLE AVENUE | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 152292198 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARK B DEVLIN | ||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOSEPH A DINKEL | ||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAMES C MILLER | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVE BARKOVICH | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GARY PUNZAK | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DARCI FAIELLO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CLAYTON MATHIS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICK HODGE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SARAH POWESKA | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRYAN S KIRCHER | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $112,942 | $0 | $15,057 | |
| GREGORY PORTER | ||||||
| ASST. DIRECTOR | 40.00 | Yes (X) | $94,719 | $0 | $14,441 | |
| PATRICIA VALKAVITCH | ||||||
| OFFICE MANAGER | 40.00 | Yes (X) | $76,413 | $0 | $13,727 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $284,074 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $43,225 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $1,949 | FederatedCampaignsAmt |
| Membership Dues | $299,534 | MembershipDuesAmt |
| Government Grants | $130,254 | GovernmentGrantsAmt |
| All Other Contributions | $162,036 | AllOtherContributionsAmt |
| Total Contributions | $593,773 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE-AMBULA | 621910 | $2,284,153 | $2,284,153 |
| PATIENT SERVICE-WHEELC | 621910 | $176,481 | $176,481 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,460,634 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,249 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,249 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,551 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,551 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,551 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,551 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $31,429 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $43,684 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,255 | TotalRevenueColumnAmt |
| Exclusion | -$12,255 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $26,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,166 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,166 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,075,118 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,493,600 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$12,255 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,299 | TotalAmt |
| Management And General | $327,299 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,630,448 | TotalAmt |
| Program Services | $1,630,448 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,580 | TotalAmt |
| Program Services | $19,580 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,913 | TotalAmt |
| Program Services | $231,913 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,547 | TotalAmt |
| Program Services | $136,350 | ProgramServicesAmt |
| Management And General | $22,197 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,329 | TotalAmt |
| Management And General | $5,329 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,300 | TotalAmt |
| Management And General | $13,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,691 | TotalAmt |
| Management And General | $55,691 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,236 | TotalAmt |
| Management And General | $1,236 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,456 | TotalAmt |
| Management And General | $34,456 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,488 | TotalAmt |
| Management And General | $5,488 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,102 | TotalAmt |
| Program Services | $46,102 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,041 | TotalAmt |
| Management And General | $5,041 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,594 | TotalAmt |
| Program Services | $10,594 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,096 | TotalAmt |
| Program Services | $169,096 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,564 | TotalAmt |
| Program Services | $92,564 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBTS | $201,432 | $201,432 |
| EQUIPMENT REPAIR AND MA | $167,381 | $167,381 |
| OXYGEN AND SUPPLIES | $30,608 | $30,608 |
| LEASED EQUIPMENT | $27,406 | $27,406 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,190 | TotalAmt |
| Program Services | $59,630 | ProgramServicesAmt |
| Management And General | $30,020 | ManagementAndGeneralAmt |
| Fundraising | $16,540 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,339,701 | TotalAmt |
| Program Services | $2,823,104 | ProgramServicesAmt |
| Management And General | $500,057 | ManagementAndGeneralAmt |
| Fundraising | $16,540 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,000 | BOYAmt |
| EOY | $47,653 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,505 | BOYAmt |
| EOY | $150,230 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,699 | BOYAmt |
| EOY | $479,374 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,835 | BOYAmt |
| EOY | $67,665 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,851,288 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,274,133 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,642,905 | BOYAmt |
| EOY | $1,577,155 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,362,944 | BOYAmt |
| EOY | $2,322,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,998 | BOYAmt |
| EOY | $240,227 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,403 | BOYAmt |
| EOY | $81,905 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,253 | BOYAmt |
| EOY | $476,238 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $574,654 | BOYAmt |
| EOY | $798,370 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,788,290 | BOYAmt |
| EOY | $1,523,707 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,788,290 | BOYAmt |
| EOY | $1,523,707 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,362,944 | BOYAmt |
| EOY | $2,322,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$264,583 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Governmental Unit | Yes (X) | GovernmentalUnitInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,000 | OtherCostOrOtherBasisAmt |
| Book Value | $191,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,219,406 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,073,981 | DepreciationAmt |
| Book Value | $1,145,425 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,623 | OtherCostOrOtherBasisAmt |
| Depreciation | $943,012 | DepreciationAmt |
| Book Value | $97,611 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,400,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,257,140 | DepreciationAmt |
| Book Value | $143,119 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,577,155 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,917,370 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $43,684 | OtherRevenueAmt |
| Revenue Not Reported | $43,684 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,873,686 | RevenueSubtotalAmt |
| Other Revenues Not Included | $201,432 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $201,432 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,075,118 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,181,953 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $43,684 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $43,684 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,138,269 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $201,432 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $201,432 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,339,701 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES OFFSET AGAINST FUNDRAISING INCOME 43,684. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 201,432. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES OFFSET AGAINST FUNDRAISING INCOME 43,684. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 201,432. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $29,846 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $29,846 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $12,100 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $12,428 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,333 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $15,823 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Other Events | $1,583 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $1,583 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $31,429 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $31,429 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $12,100 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $12,428 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,333 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $15,823 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $43,684 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$12,255 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPANY WILL PRESENT FORM 990 AT THE NEXT MEETING FOR THE BOARD'S INSPECTION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES BOARD MEMBERS AND CERTAIN EMPLOYEES TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT REGARDING ANY POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | PART VI-SECTION B-LINE 15A-THE BOARD OF DIRECTORS ANNUALLY REVIEW AND DETERMINE TOP MANAGEMENT COMPENSATION. PART VI-SECTION B-LINE 15B-THE BOARD OF DIRECTORS ANNUALLY REVIEW AND DETERMINE COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE COMPANY MAINTAINS GOVERNING DOCUMENTS AND THEIR FINANCIAL STATEMENTS IN THEIR OFFICE FOR PUBLIC INSPECTION UPON REQUEST. |
Comments