WOMENS HEALTH CENTER OF WEST VIRGINIA INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WOMENS HEALTH CENTER OF WEST VIRGINIA INC (EIN 55-0559874)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-01-06
IRS object ID
202040069349300354
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-01-06T13:47:30-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARNETT CARBIS TOOTHMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 908AddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26330ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550559874EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOMEN'S HEALTH CENTER OF WEST VIRGINIABusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlWOMEBusinessNameControlTxt
Phone3043449834PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 20580AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25362ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHARON LEWISPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3043449834PhoneNum
Signature2019-12-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM J BEHRENS CPAPreparerPersonNm
PTINP00089711PTIN
Phone3046245471PhoneNum
Preparation2019-12-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-12-19IPDt
IP Tm10:47:43IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id64A748FA905C3EE4B552CC0D6E7D7109809C51A8AtSubmissionCreationDeviceId
At Submission Filing Device Id53D8E4F6E5BB11F3D8496267A7C760AFABCCE964AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHARON LEWISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1510 WASHINGTON STREET WESTAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25302ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,006,085GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WHCWVA.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE WOMEN'S HEALTH CENTER IS TO PROVIDE AND TO ADVOCATE FOR ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES, ADDRESSING THE SPECIAL NEEDS OF WOMEN IN A MANNER THAT RESPECTS THEIR DIGNITY, RIGHT OF REPRODUCTIVE CHOICE, PERSONAL VALUES AND CONFIDENTIALITY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee31TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$500,106PYContributionsGrantsAmt
CY Contributions Grants$1,113,221CYContributionsGrantsAmt
PY Program Service Revenue$928,408PYProgramServiceRevenueAmt
CY Program Service Revenue$888,589CYProgramServiceRevenueAmt
PY Investment Income$4,893PYInvestmentIncomeAmt
CY Investment Income$4,275CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,433,407PYTotalRevenueAmt
CY Total Revenue$2,006,085CYTotalRevenueAmt
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$888,034PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$912,530CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,180CYTotalFundraisingExpenseAmt
PY Other Expenses$473,646PYOtherExpensesAmt
CY Other Expenses$724,898CYOtherExpensesAmt
PY Total Expenses$1,361,680PYTotalExpensesAmt
CY Total Expenses$1,637,428CYTotalExpensesAmt
PY Revenues Less Expenses$71,727PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$368,657CYRevenuesLessExpensesAmt
Total Assets BOY$1,074,450TotalAssetsBOYAmt
Total Assets EOY$1,518,277TotalAssetsEOYAmt
Total Liabilities BOY$256,717TotalLiabilitiesBOYAmt
Total Liabilities EOY$331,887TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$817,733NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,186,390NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE WOMEN'S HEALTH CENTER IS TO PROVIDE AND TO ADVOCATE FOR ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES, ADDRESSING THE SPECIAL NEEDS OF WOMEN IN A MANNER THAT RESPECTS THEIR DIGNITY, RIGHT OF REPRODUCTIVE CHOICE, PERSONAL VALUES AND CONFIDENTIALITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,309,178ExpenseAmt
Revenue$888,589RevenueAmt
DescFAMILY PLANNING SERVICES PROVIDE BIRTH CONTROL COUNSELING AND SUPPLIES; PAP SMEARS AND PELVIC EXAMINATIONS TO LOW INCOME WOMEN. CANCER SCREENING SERVICES INCLUDE PAP SMEARS, PELVIC AND BREAST EXAMS, AND MAMMOGRAPHY AND COLONSCOPY REFERRALS. BOTH PROGRAMS SERVICE RESIDENTS OF THE KANAWHA COUNTY AND CONTIGUOUS COUNTIES. GYNECOLOGICAL SERVICES WERE PROVIDED PRIMARILY TO LOW INCOME AND UNINSURED WOMEN IN KANAWHA COUNTY AND CONTIGUOUS COUNTIES. RIGHT FROM THE START PROVIDES PREGNANCY SUPPORT CASE MANAGEMENT SERVICES TO HIGH-RISK, MEDICAID-ELIGIBLE PREGNANT WOMEN AND INFANTS IN KANAWHA COUNTY.Desc
Total Program Service Expenses$1,309,178TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee31EmployeeCnt
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
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HERMAN & CORMANY CPASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3043452320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11031 QUARRIER STREETAddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
AMY ATKINS
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER JORDAN
DIRECTOR1.00Yes (X)$0$0$0
ELLIOTT BIRCKHEAD
TREASURER4.00Yes (X)$0$0$0Yes (X)
KAREN L HANNAH
DIRECTOR1.00Yes (X)$0$0$0
MARTIN KOMMOR
DIRECTOR1.00Yes (X)$0$0$0
RACHEL DASH
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
ELIZABETH WEHNER
SECRETARY4.00Yes (X)$0$0$0Yes (X)
ROSEMARY WINLAND
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH BRUNELLO
PRESIDENT4.00Yes (X)$0$0$0Yes (X)
MARY HUNTLEY
DIRECTOR1.00Yes (X)$0$0$0
ANN GOLDBERG
DIRECTOR1.00Yes (X)$0$0$0
PAMELA MURRAY
DIRECTOR1.00Yes (X)$0$0$0
MELISSA HOLSTINE
DIRECTOR1.00Yes (X)$0$0$0
SHARON LEWIS
EXECUTIVE DIRECTOR40.00$109,974$0$13,740Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$109,974TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,740TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$80,081GovernmentGrantsAmt
All Other Contributions$1,033,140AllOtherContributionsAmt
Total Contributions$1,113,221TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621110BusinessCd
Total Revenue Column$888,589TotalRevenueColumnAmt
Related Or Exempt Func Income$888,589RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$888,589TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,275TotalRevenueColumnAmt
Exclusion$4,275ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,006,085TotalRevenueColumnAmt
Related Or Exempt Func Income$888,589RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,275ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$769,288TotalAmt
Program Services$595,969ProgramServicesAmt
Management And General$173,319ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,106TotalAmt
Program Services$8,155ProgramServicesAmt
Management And General$2,951ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$69,190TotalAmt
Program Services$45,834ProgramServicesAmt
Management And General$23,356ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$62,946TotalAmt
Program Services$42,361ProgramServicesAmt
Management And General$20,585ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,252TotalAmt
Management And General$54,252ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$72,132TotalAmt
Program Services$72,132ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$217,651TotalAmt
Program Services$217,010ProgramServicesAmt
Management And General$641ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$128,417TotalAmt
Program Services$128,417ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$37,860TotalAmt
Program Services$32,181ProgramServicesAmt
Management And General$5,679ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,249TotalAmt
Program Services$6,577ProgramServicesAmt
Management And General$1,672ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,251TotalAmt
Program Services$2,725ProgramServicesAmt
Management And General$3,526ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,121TotalAmt
Program Services$47,809ProgramServicesAmt
Management And General$5,312ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,283TotalAmt
Program Services$12,346ProgramServicesAmt
Management And General$1,937ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OFFICE EXPENSES$95,710$66,044$19,486$10,180
UTILITIES$36,972$31,618$5,354

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,637,428TotalAmt
Program Services$1,309,178ProgramServicesAmt
Management And General$318,070ManagementAndGeneralAmt
Fundraising$10,180FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$275,975BOYAmt
EOY$743,827EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$75,848BOYAmt
EOY$43,747EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,899BOYAmt
EOY$17,910EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,193BOYAmt
EOY$33,757EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,535,271LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$903,221LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$624,529BOYAmt
EOY$632,050EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$42,006BOYAmt
EOY$46,986EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,074,450BOYAmt
EOY$1,518,277EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$131,003BOYAmt
EOY$252,410EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$125,714BOYAmt
EOY$79,477EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$256,717BOYAmt
EOY$331,887EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$817,733BOYAmt
EOY$1,186,390EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$817,733BOYAmt
EOY$1,186,390EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,074,450BOYAmt
EOY$1,518,277EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$368,657ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,507OtherCostOrOtherBasisAmt
Book Value$199,507BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$807,823OtherCostOrOtherBasisAmt
Depreciation$488,019DepreciationAmt
Book Value$319,804BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$527,941OtherCostOrOtherBasisAmt
Depreciation$415,202DepreciationAmt
Book Value$112,739BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$632,050TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,006,085TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,006,085RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,006,085TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,637,428TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,637,428ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,637,428TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PRIOR YEAR ADJUSTMENT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST.

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