THE SARAH ROBERTS FRENCH HOME: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
THE SARAH ROBERTS FRENCH HOME (EIN 74-1175881)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-06
IRS object ID
201903109349300005
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)
Return2019-11-06T09:17:24-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742606559PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AKIN DOHERTY KLEIN & FEUGE PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18610 N NEW BRAUNFELS SUITE 101AddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78217ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-10-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH A HERNANDEZPreparerPersonNm
PTINP00950841PTIN
Phone2108291300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.110.76.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-17IPDt
IP Tm14:14:10IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id92918FB2AAF5164F5FE792866616298ABC6D363BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

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$3,437,018GrossReceiptsAmt
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 Employee90TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$85,718PYContributionsGrantsAmt
CY Contributions Grants$468,944CYContributionsGrantsAmt
PY Program Service Revenue$2,730,629PYProgramServiceRevenueAmt
CY Program Service Revenue$2,954,818CYProgramServiceRevenueAmt
PY Investment Income-$7,240PYInvestmentIncomeAmt
CY Investment Income$970CYInvestmentIncomeAmt
PY Other Revenue$577PYOtherRevenueAmt
CY Other Revenue$6,132CYOtherRevenueAmt
PY Total Revenue$2,809,684PYTotalRevenueAmt
CY Total Revenue$3,430,864CYTotalRevenueAmt
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$2,190,124PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,243,605CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$66,047CYTotalFundraisingExpenseAmt
PY Other Expenses$787,856PYOtherExpensesAmt
CY Other Expenses$908,505CYOtherExpensesAmt
PY Total Expenses$2,977,980PYTotalExpensesAmt
CY Total Expenses$3,152,110CYTotalExpensesAmt
PY Revenues Less Expenses-$168,296PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$278,754CYRevenuesLessExpensesAmt
Total Assets BOY$720,034TotalAssetsBOYAmt
Total Assets EOY$949,399TotalAssetsEOYAmt
Total Liabilities BOY$366,350TotalLiabilitiesBOYAmt
Total Liabilities EOY$316,961TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$353,684NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$632,438NetAssetsOrFundBalancesEOYAmt
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$2,653,434ExpenseAmt
Revenue$2,954,818RevenueAmt
DescNURSING AND RESIDENTIAL CARE. AVERAGE NUMBER OF RESIDENTS THROUGHOUT THE YEAR WAS 58.Desc
Total Program Service Expenses$2,653,434TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 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 Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee90EmployeeCnt
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
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 (8 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
BARBARA DUELM
ADMINISTRATOR40.00$75,716$0$0Yes (X)
MONA LISA RUDD
ASSISTANT ADMINISTRATOR40.00$7,527$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$83,243TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BEN E KEITHBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2628AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76113ZIPCd
FieldValueIRS element (for citing)
ServicesFOOD SERVICEServicesDesc
Compensation$123,898CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$468,944AllOtherContributionsAmt
Total Contributions$468,944TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID623000$2,435,624$2,435,624
PATIENT/RESIDENT FEES623000$519,194$519,194
FieldValueIRS element (for citing)
Total Program Service Revenue$2,954,818TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$970TotalRevenueColumnAmt
Exclusion$970ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,286FundraisingGrossIncomeAmt
Fundraising Direct Expenses$6,154FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,132TotalRevenueColumnAmt
Exclusion$6,132ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,430,864TotalRevenueColumnAmt
Related Or Exempt Func Income$2,954,818RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,102ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$83,243TotalAmt
Management And General$83,243ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,955,067TotalAmt
Program Services$1,692,133ProgramServicesAmt
Management And General$216,548ManagementAndGeneralAmt
Fundraising$46,386FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$51,642TotalAmt
Program Services$36,354ProgramServicesAmt
Management And General$14,963ManagementAndGeneralAmt
Fundraising$325FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$153,653TotalAmt
Program Services$127,904ProgramServicesAmt
Management And General$22,160ManagementAndGeneralAmt
Fundraising$3,589FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$229,343TotalAmt
Program Services$192,269ProgramServicesAmt
Management And General$32,293ManagementAndGeneralAmt
Fundraising$4,781FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,871TotalAmt
Management And General$3,777ManagementAndGeneralAmt
Fundraising$2,094FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$102,407TotalAmt
Program Services$86,408ProgramServicesAmt
Management And General$15,249ManagementAndGeneralAmt
Fundraising$750FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$176,633TotalAmt
Program Services$158,885ProgramServicesAmt
Management And General$17,748ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,877TotalAmt
Program Services$820ProgramServicesAmt
Management And General$1,666ManagementAndGeneralAmt
Fundraising$3,391FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$48,801TotalAmt
Program Services$42,945ProgramServicesAmt
Management And General$5,856ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,029TotalAmt
Program Services$18,747ProgramServicesAmt
Management And General$1,282ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
RAW FOOD AND NUTRIENTS$144,489$144,489$0$0
DRUGS AND SUPPLIES$140,793$136,062$0$4,731
MISCELLANEOUS AND OTHER$27,184$10,493$16,691
TRAINING$6,784$5,631$1,153

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$294TotalAmt
Program Services$294ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,152,110TotalAmt
Program Services$2,653,434ProgramServicesAmt
Management And General$432,629ManagementAndGeneralAmt
Fundraising$66,047FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,201BOYAmt
EOY$71EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$103,479BOYAmt
EOY$367,992EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$205,495BOYAmt
EOY$194,850EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,093BOYAmt
EOY$1,755EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,873,422LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,489,942LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$407,766BOYAmt
EOY$383,480EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$1,251EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$720,034BOYAmt
EOY$949,399EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$306,350BOYAmt
EOY$316,961EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$366,350BOYAmt
EOY$316,961EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$335,684BOYAmt
EOY$572,612EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,000BOYAmt
EOY$59,826EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$353,684BOYAmt
EOY$632,438EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$720,034BOYAmt
EOY$949,399EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$278,754ReconcilationRevenueExpnssAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$123,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$141,096CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,904CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,718CurrentTaxYearMinus1YearAmt
Current Tax Year$468,944CurrentTaxYearAmt
Total$870,287TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$123,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$141,096CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,904CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,718CurrentTaxYearMinus1YearAmt
Current Tax Year$468,944CurrentTaxYearAmt
Total$870,287TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$870,287PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$826CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$541CurrentTaxYearMinus1YearAmt
Current Tax Year$970CurrentTaxYearAmt
Total$4,654TotalAmt
FieldValueIRS element (for citing)
Total Support$874,941TotalSupportAmt
Public Support CY1700.99470PublicSupportCY170Pct
Public Support PY1700.99180PublicSupportPY170Pct
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$0BeginningYearBalanceAmt
Contributions$1,250ContributionsAmt
Investment Earnings Or Losses$1InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,251EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
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$815,955OtherCostOrOtherBasisAmt
Depreciation$650,126DepreciationAmt
Book Value$165,829BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,055OtherCostOrOtherBasisAmt
Depreciation$188,564DepreciationAmt
Book Value$41,491BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,566OtherCostOrOtherBasisAmt
Depreciation$107,200DepreciationAmt
Book Value$12,366BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$668,844OtherCostOrOtherBasisAmt
Depreciation$544,052DepreciationAmt
Book Value$124,792BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$383,480TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$3,430,864TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,430,864RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,430,864TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,152,110TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,152,110ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,152,110TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 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 BUSINESS SERVICES DIRECTOR, ALONG WITH THE FACILITY'S BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15ATHE 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 NOVEMBER 2018.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

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