PRAIRIE VIEW INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PRAIRIE VIEW INC (EIN 48-0642318)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201941359349303714
- Schema version
- 2017v2.3
- 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 | 2019-05-15T10:05:14-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 480764317 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNUDSEN MONROE & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 512 N MAIN ST | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 671142229 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480642318 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRAI | BusinessNameControlTxt |
| Phone | 3162832400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSIE KAYE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3162836400 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY B ELLIOTT | PreparerPersonNm |
| PTIN | P00503103 | PTIN |
| Phone | 3162835366 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.163.47.21 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 08:29:50 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E195DDE7A6DB62C3F120991EEF156534EB57E77E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E195DDE7A6DB62C3F120991EEF156534EB57E77E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JESSIE KAYE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,792,312 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PRAIRIEVIEW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | NON-PROFIT BEHAVIORAL AND MENTAL HEALTH CENTER | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 466 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $122,497 | PYContributionsGrantsAmt |
| CY Contributions Grants | $133,584 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,599,901 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,847,602 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,516 | PYInvestmentIncomeAmt |
| CY Investment Income | $238,832 | CYInvestmentIncomeAmt |
| PY Other Revenue | $230,029 | PYOtherRevenueAmt |
| CY Other Revenue | $239,503 | CYOtherRevenueAmt |
| PY Total Revenue | $20,001,943 | PYTotalRevenueAmt |
| CY Total Revenue | $19,459,521 | 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 | $15,780,701 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,052,205 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $86,507 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,680,998 | PYOtherExpensesAmt |
| CY Other Expenses | $4,703,978 | CYOtherExpensesAmt |
| PY Total Expenses | $20,461,699 | PYTotalExpensesAmt |
| CY Total Expenses | $19,756,183 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$459,756 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$296,662 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,885,596 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,571,335 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,012,907 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,908,407 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,872,689 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,662,928 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT OF CHRIST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,875,219 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $19,087,105 | RevenueAmt |
| Desc | A SPECTRUM OF SERVICES PROVIDED TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS - INPATIENT HOSPITALIZATION AND INTENSIVE OUTPATIENT, EMERGENCY ASSESSMENT SERVICES, PSYCHOLOGICAL TESTING, A SPECIAL RESIDENTIAL SCHOOL AND EXPERIENTIAL, ADVENTURE-BASED LEARNING. FOR THOSE WITH MORE SEVERE AND PERSISTENT MENTAL ILLNESS, SPECIAL SERVICES ARE PROVIDED WITH NURSING AND COMMUNITY-BASED SUPPORT. | Desc |
| Total Program Service Expenses | $14,875,219 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 466 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JESSIE KAYE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3162832400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST ST | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| GREGORY LINDHOLM | |||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LEROY WEDDLE | |||||||
| BOARD CHAIR ELECT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RANDY PANKRATZ | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT WALL | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE CROUSE-DICK | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ARLENE HETT | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIS HECK | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CECIL LILLISTON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA OGDEN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA THOMPSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN WALTNER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JESSIE KAY | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $218,400 | $0 | $57,396 | ||
| LISA RAMSEY | |||||||
| VP, BUSINESS & FINANCE | 40.00 | Yes (X) | $84,897 | $0 | $9,864 | ||
| JOY ROBB | |||||||
| VP. HUMAN RESOURCES | 40.00 | Yes (X) | $78,362 | $0 | $60,920 | ||
| MARY CARMAN | |||||||
| VP. OUTPATIENT SERVICES | 40.00 | Yes (X) | $31,552 | $0 | $7,971 | ||
| ELIZABETH GUHMAN | |||||||
| VP, YOUTH & FAMILY SERVCIE | 40.00 | Yes (X) | $93,405 | $0 | $24,151 | ||
| DIANA WADDELL-GILBERT | |||||||
| VP. ADMINISTRATIVE OPERATIONS | 40.00 | Yes (X) | $78,753 | $0 | $16,143 | ||
| GARY FAST | |||||||
| MEDICAL DIRECTOR | 40.00 | $321,859 | $0 | $29,824 | Yes (X) | ||
| DAVID HON | |||||||
| PSYCHIATRIST | 40.00 | $217,715 | $0 | $49,255 | Yes (X) | ||
| AVEEKSHIT TRIPATHI | |||||||
| PSYCHIATRIST | 40.00 | $213,839 | $0 | $11,050 | Yes (X) | ||
| MWENDA YASA | |||||||
| PSYCHIATRIST | 40.00 | $204,621 | $0 | $40,982 | Yes (X) | ||
| MERCEDES PERALES | |||||||
| PSYCHIATRIST | 40.00 | $203,934 | $0 | $32,528 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,747,337 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $340,084 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARTNERS IN FAMILY CARE LLC | |||||
| PO BOX 640 | MOUNDRIDGE | KS | 67107 | PATIENT PHYSICALS | $118,175 |
| THYSSENKRUPP ELEVATOR | |||||
| PO BOX 933004 | ATLANTA | GA | 31193 | ELEVATOR SYSTEMS AND REPAIRS | $111,657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $133,584 | AllOtherContributionsAmt |
| Total Contributions | $133,584 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEES | 624100 | $10,656,770 | $10,656,770 |
| MEDICARE/MEDICAID PMTS | 900099 | $7,390,704 | $7,390,704 |
| STATE AID | 900099 | $800,128 | $800,128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,847,602 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,313 | TotalRevenueColumnAmt |
| Exclusion | $182,313 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $185,635 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $150,934 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,701 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,701 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,701 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $233,291 | SecuritiesAmt |
| Other | $5,085 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $181,857 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,434 | SecuritiesAmt |
| Other | $5,085 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,519 | TotalRevenueColumnAmt |
| Exclusion | $56,519 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $204,802 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,802 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $204,802 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,459,521 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,087,105 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $238,832 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,603 | TotalAmt |
| Program Services | $100,524 | ProgramServicesAmt |
| Management And General | $492,079 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,099,884 | TotalAmt |
| Program Services | $9,757,453 | ProgramServicesAmt |
| Management And General | $2,311,192 | ManagementAndGeneralAmt |
| Fundraising | $31,239 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,301 | TotalAmt |
| Program Services | $164,575 | ProgramServicesAmt |
| Management And General | $47,195 | ManagementAndGeneralAmt |
| Fundraising | $531 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,254,672 | TotalAmt |
| Program Services | $972,128 | ProgramServicesAmt |
| Management And General | $279,402 | ManagementAndGeneralAmt |
| Fundraising | $3,142 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $892,745 | TotalAmt |
| Program Services | $692,056 | ProgramServicesAmt |
| Management And General | $198,457 | ManagementAndGeneralAmt |
| Fundraising | $2,232 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,594 | TotalAmt |
| Management And General | $14,594 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,165 | TotalAmt |
| Management And General | $48,165 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,614 | TotalAmt |
| Management And General | $18,614 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $823,801 | TotalAmt |
| Program Services | $505,871 | ProgramServicesAmt |
| Management And General | $309,826 | ManagementAndGeneralAmt |
| Fundraising | $8,104 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,223 | TotalAmt |
| Management And General | $412,191 | ManagementAndGeneralAmt |
| Fundraising | $9,032 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,433 | TotalAmt |
| Program Services | $252,733 | ProgramServicesAmt |
| Management And General | $216,347 | ManagementAndGeneralAmt |
| Fundraising | $2,353 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,178 | TotalAmt |
| Program Services | $897,022 | ProgramServicesAmt |
| Management And General | $56,710 | ManagementAndGeneralAmt |
| Fundraising | $2,446 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,324 | TotalAmt |
| Program Services | $174,484 | ProgramServicesAmt |
| Management And General | $28,514 | ManagementAndGeneralAmt |
| Fundraising | $326 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,197 | TotalAmt |
| Management And General | $2,197 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456 | TotalAmt |
| Management And General | $1,456 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,386 | TotalAmt |
| Program Services | $368,810 | ProgramServicesAmt |
| Management And General | $24,576 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,915 | TotalAmt |
| Management And General | $203,915 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBTS | $538,605 | $538,605 | ||
| OTHER | $181,392 | $100,427 | $54,234 | $26,731 |
| DRUGS & PHARMACEUTICALS | $158,079 | $158,079 | ||
| GRANT EXPENSES | $93,882 | $93,882 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,734 | TotalAmt |
| Program Services | $98,570 | ProgramServicesAmt |
| Management And General | $74,793 | ManagementAndGeneralAmt |
| Fundraising | $371 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,756,183 | TotalAmt |
| Program Services | $14,875,219 | ProgramServicesAmt |
| Management And General | $4,794,457 | ManagementAndGeneralAmt |
| Fundraising | $86,507 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,037,742 | BOYAmt |
| EOY | $972,525 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,786 | BOYAmt |
| EOY | $74,459 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,412,051 | BOYAmt |
| EOY | $2,619,756 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,824 | BOYAmt |
| EOY | $9,423 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,980 | BOYAmt |
| EOY | $218,652 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,467,988 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,240,993 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,842,008 | BOYAmt |
| EOY | $6,226,995 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,712,346 | BOYAmt |
| EOY | $4,946,407 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,859 | BOYAmt |
| EOY | $503,118 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,885,596 | BOYAmt |
| EOY | $15,571,335 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,916,331 | BOYAmt |
| EOY | $1,822,238 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,606 | BOYAmt |
| EOY | $65,474 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,970 | BOYAmt |
| EOY | $20,695 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,012,907 | BOYAmt |
| EOY | $1,908,407 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,334,838 | BOYAmt |
| EOY | $9,883,188 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,505,579 | BOYAmt |
| EOY | $1,742,164 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,032,272 | BOYAmt |
| EOY | $2,037,576 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,872,689 | BOYAmt |
| EOY | $13,662,928 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,885,596 | BOYAmt |
| EOY | $15,571,335 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$296,662 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $89,790 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,889 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,388,469 | BeginningYearBalanceAmt |
| Contributions | $6,015 | ContributionsAmt |
| Investment Earnings Or Losses | $298,219 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50,351 | OtherExpendituresAmt |
| End Year Balance | $3,642,352 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,988,898 | BeginningYearBalanceAmt |
| Contributions | $6,048 | ContributionsAmt |
| Investment Earnings Or Losses | $421,586 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $28,063 | OtherExpendituresAmt |
| End Year Balance | $3,388,469 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,048,967 | BeginningYearBalanceAmt |
| Contributions | $2,825 | ContributionsAmt |
| Investment Earnings Or Losses | $27,370 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $90,264 | OtherExpendituresAmt |
| End Year Balance | $2,988,898 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,390,003 | BeginningYearBalanceAmt |
| Contributions | $9,987 | ContributionsAmt |
| Investment Earnings Or Losses | $44,686 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $395,709 | OtherExpendituresAmt |
| End Year Balance | $3,048,967 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,902,422 | BeginningYearBalanceAmt |
| Contributions | $2,272 | ContributionsAmt |
| Investment Earnings Or Losses | $626,450 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $141,141 | OtherExpendituresAmt |
| End Year Balance | $3,390,003 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.02510 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.55940 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.41550 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $562,459 | OtherCostOrOtherBasisAmt |
| Book Value | $562,459 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,708,445 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,138,544 | DepreciationAmt |
| Book Value | $4,569,901 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,537,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,403,126 | DepreciationAmt |
| Book Value | $134,623 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,659,335 | OtherCostOrOtherBasisAmt |
| Depreciation | $699,323 | DepreciationAmt |
| Book Value | $960,012 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,226,995 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE LIABILITY | $10,379 |
| ANNUITIES PAYABLE | $10,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,695 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $19,546,422 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $89,790 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,889 | OtherRevenueAmt |
| Revenue Not Reported | $86,901 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,459,521 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,459,521 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,756,183 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,756,183 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,756,183 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE INTENDED TO FUND PROGRAMS FOR THE ORGANIZATION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN NET PRESENT VALUE OF ANNUITIES -2,889. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | 0 | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $455,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $371,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,487 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,809,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,323,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $485,619 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,265,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,695,351 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $570,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02970 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,265,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,695,351 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $570,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $485,739 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,136,129 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,499,271 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$363,142 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | PSYCHIATRIC HOSPITAL W/OUTPATIENT SVCS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PRAIRIEVIEW.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.PRAIRIEVIEW.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 5: STAKEHOLDERS FROM OUR CATCHMENT AREA WERE REPRESENTED THROUGH THE MEMBERS OF OUR THREE COUNTY COMMUNITY ADVISORY COMMITTEES. REPRESENTATIVES TO THE COMMUNITY HEALTH ASSESSMENT CORE COMMITTEE OFFERED INPUT. INFORMATION WAS ALSO GATHERED FROM THE LOCAL UNITED WAY OFFICE. |
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 6A: NEWTON MEDICAL CENTER |
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 6B: NEWTON FIRE/EMSHARVEY COUNTY HEALTH DEPARTMENTHEALTH MINISTRIES CLINIC, INC.HEALTY HARVEY COALITION |
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 11: NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY PRAIRIE VIEW ARE BEING PROVIDED BY NEWTON MEDICAL CENTER, THE LOCAL COUNTY HEALTH DEPARTMENT AND FQHC - HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE COMMUNITY HOUSING, SERVICES FOR HOMELESS PERSONS, CHILD CARE SERVICES, DENTAL SERVICES, ETC. |
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 13H: PRAIRIE VIEW USES A SCHEDULE OF HOUSEHOLD INCOME COUPLED WITH HOUSEHOLD DEPENDENTS. THIS SCHEDULE STARTS WITH A LOWER INCOME LEVEL THAN FEDERAL POVERTY GUIDELINES. |
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION AND DISCHARGE TO REVIEW PATIENT FINANCIAL STATUS. IF PATIENT QUALIFIES FOR REDUCED CHARGES BASED ON HOUSEHOLD INCOME AND HOUSEHOLD DEPENDENTS, THE OPTIONS ARE REVIEWED WITH THE PATIENT. |
| PRAIRIE VIEW, INC. | PART V, SECTION B, LINE 24: IF PATIENT HAS FINANCIAL MEANS, THEN THEY ARE EXPECTED TO PAY PUBLISHED CHARGES FOR THE SERVICES. IF PATIENT IS NOT FINANCIALLY CAPABLE TO PAY NORMAL PUBLISHED CHARGES, THEN THE PATIENT WOULD BE ELIGIBLE FOR REDUCED CHARGES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - NEWTON OUTPATIENT CLINIC | ||||
| 1901 E FIRST ST | NEWTON | KS | 67114 | OUTPATIENT CLINIC |
| 2 - WICHITA EAST OUTPATIENT CLINIC | ||||
| 9333 E 21ST ST N | WICHITA | KS | 672062927 | OUTPATIENT CLINIC |
| 3 - TURNING POINT (PRTF) | ||||
| 1901 E FIRST ST | NEWTON | KS | 67114 | PSYCHIATRIC RESIDENTIAL FACILITY |
| 4 - MCPHERSON OUTPATIENT CLINIC | ||||
| 1102 HOSPITAL DR | MCPHERSON | KS | 674602318 | OUTPATIENT CLINIC |
| 5 - WICHITA WEST OUTPATIENT CLINIC | ||||
| 7570 W 21ST ST N STE 1026-D | WICHITA | KS | 672051734 | OUTPATIENT CLINIC |
| 6 - ADDICTIONS TREATMENT | ||||
| 1901 E FIRST ST | NEWTON | KS | 67114 | ADDICTIONS TREATMENT CENTER |
| 7 - HILLSBORO OUTPATIENT CLINIC | ||||
| 508 S ASH ST | HILLSBORO | KS | 670630185 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE, THE PATIENT IS EXPECTED TO PROVIDE ALL PERSONAL AND FAMILY FINANCIAL INFORMATION REQUESTED BY THE ADMITTING DEPARTMENT AND/OR THE FINANCIAL COUNSELOR, AS WELL AS ALL INSURANCE INFORMATION. REFUSAL TO PROVIDE THIS INFORMATION AND/OR AUTHORIZE ASSIGNMENT OF INSURANCE BENEFITS RESULTS IN AN EXPECTATION THAT THE RESPONSIBLE PARTY WILL PAY THE FULL CHARGE AT THE TIME OF SERVICE FOR THE SERVICES RENDERED. FINANCIAL ASSISTANCE BECOMES AVAILABLE WHEN THE DOCUMENTATION IS RECEIVED. SUBSEQUENT RETROACTIVE ADJUSTMENTS MAY BE MADE UP TO, BUT NOT EXCEEDING 30 DAYS PRIOR TO THE DATE THE INFORMATION IS PROVIDED. RESPONSIBLE PARTY IS DEFINED AS EITHER THE PATIENT AND/OR ALL OTHER PARTIES THAT HAVE LEGAL FINANCIAL RESPONSIBLITY FOR THE PATIENT. DOCUMENTS THAT MAY VALIDATE NEED FOR FINANCIAL ASSISTANCE ARE PRIOR YEAR INCOME TAX RETURNS; MOST CURRENT PAY STUB, OR A CERTIFIED STATEMENT FROM THE PATIENT OR GUARDIAN. |
| PART I, LINE 7: | CALCULATION OF COST BASED ON WORKSHEET 2: RATIO OF PATIENT CARE COSTS TO CHARGES |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) $538,605. |
| PART III, LINE 2: | THE AMOUNT OF THE BAD DEBT EXPENSE AS REPORTED ON LINE 2, WAS CALCULATED FOLLOWING THE ORGANIZATION'S POLICIES AND PROCEDURES WHICH WERE WRITTEN-OFF IN THE SYSTEM, AND SENT TO COLLECTIONS. |
| PART III, LINE 4: | FROM THE AUDITED FINANCIAL STATEMENTS, THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY AGING CATEGORY. THE RESULTS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE CORPORATION. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. |
| PART III, LINE 8: | THE CURRENT FISCAL YEAR MEDICARE COST REPORT COST TO CHARGE RATIO WAS USED TO DETERMINE THE CURRENT YEAR MEDICARE ALLOWABLE COSTS. |
| PART III, LINE 9B: | PAYMENT ARRANGEMENTS ARE MADE WITH PATIENT OR RESPONSIBLE PARTY EITHER AT TIME OF SERVICE OR AT DISMISSAL FOR INPATIENTS. COLLECTION EFFORTS ARE MADE TO KEEP ACCOUNTS CURRENT. ALL ACCOUNTS ARE SUBJECT TO COLLECTION PROCEDURES WHEN EXPECTATIONS FOR PAYMENT ARE NOT BEING KEPT. COLLECTION EFFORTS AND CONTACTS ARE DOCUMENTED UNDER PATIENT NOTES IN THE EHR/EMR SYSTEM. PATIENTS MAY MAKE A REQUEST TO THE ASSIGNED FINANCIAL COUNSELOR FOR A REDUCTION OR WAIVER OF PAST DUE CHARGES. IF THE REQUEST IS DENIED, PATIENTS MAY FILE A WRITTEN COMPLAINT AS STATED IN THE CLIENT RIGHTS AND RESPONSIBILITIES DOCUMENT. |
| PART VI, LINE 2: | PRAIRIE VIEW PARTICIPATES IN THE COMMUNITY NEEDS ASSESSMENT COMPLETED BY THE UNITED WAY, HEALTH DEPARTMENT AND THE CHAMBERS OF COMMERCE. IN ADDITION, PRAIRIE VIEW CONDUCTS ITS OWN LARGER ASSESSMENT ONCE EVERY THREE YEARS AS PART OF THE STRATEGIC PLANNING PROCESS. STAKEHOLDER INPUT SESSIONS IN THE THREE COUNTY COMMUNITY ADVISORY COMMITTEES (COMMUNITY MENTAL HEALTH CLINICS) ALSO INFORM AND ENHANCE THIS ACTIVITY. |
| PART VI, LINE 3: | UPON ADMISSION TO PRAIRIE VIEW, PATIENTS AND/OR RESPONSIBLE PARTIES MEET WITH THEIR ASSIGNED FINANCIAL COUNSESLOR. AT THIS TIME THE PATIENT OR GUARANTOR WILL RECEIVE ORAL AND WRITTEN INFORMATION REGARDING THE PATIENT'S FINANCIAL RESPONSIBILITY. PATIENTS MAY REQUEST DISCOUNTS FOR SERVICES RENDERED BASED ON THEIR ABILITY TO PAY. CHARITY DISCOUNTS MAY BE REQUESTED FOR MEDICALLY NECESSARY SERVICES THAT ARE BEYOND THE MEANS OF THE FINANCIALLY RESPONSIBLE PARTY THAT IS NOT ELIGIBLE FOR PATIENT ASSISTANCE OR CHMS FUNDS. PATIENT ASSISTANCE FUNDS ARE FUNDS THAT HAVE BEEN CONTRIBUTED AND REQUIRE QUALIFICATION FOR THIS TYPE OF ASSISTANCE. COMMUNITY MENTAL HEALTH SERVICES (CMHS) FUNDS ARE AVAILABLE FOR RESIDENTS OF HARVEY, MCPHERSON AND MARION COUNTIES IN KANSAS WHO QUALIFY BASED ON FAMILY INCOME AND THE NUMBER OF FAMILY MEMBERS. QUALIFICATION FOR THESE FUNDS WILL BE DETERMINED UPON ADMISSION BASED UPON THE APPROVED SCHEDULES AND POLICIES.IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE, THE PATIENT IS EXPECTED TO PROVIDE ALL PERSONAL AND FAMILY FINANCIAL INFORMATION REQUESTED BY THE FINANCIAL COUNSELOR IN ADDITION TO ALL INSURANCE INFORMATION. NO RESIDENT OF THE THREE COUNTIES NOTED ABOVE WILL BE DENIED CMHC MEDICALLY NECESSARY AND APPROPRIATE SERVICES BECAUSE OF THEIR INABILITY OR REFUSAL TO PAY. |
| PART VI, LINE 4: | PRAIRIE VIEW PROVIDES MENTAL AND BEHAVIORAL HEALTHCARE SERVICES TO ANYONE IN NEED, WITHOUT DISCRIMINATION OR REGARD TO RACE, RELIGION, CREED OR GENDER. WHEN PRAIRIE VIEW WAS ESTABLISHED IN 1954, ITS FOUNDERS ENVISIONED A PSYCHIATRIC HEALTH FACILITY THAT WOULD OFFER HUMANE, QUALITY CARE. PRAIRIE VIEW BEGAN WITH A COMMITMENT TO DO THINGS BETTER AND A DESIRE TO PROVIDE THE KIND OF MENTAL HEALTH CARE INDIVIDUALS WOULD WANT FOR THEMSELVES AND FOR THEIR LOVED ONES. OVER HALF A CENTURY LATER, THEIR MISSION REMAINS FOCUSED AND IMPASSIONED: "TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING MENTAL AND BEHAVIORAL HEALTHCARE SERVICES WITH COMPETENCE, COMPASSION, AND STEWARDSHIP IN THE SPIRIT OF CHRIST."PRAIRIE VIEW SERVES INDIVIDUALS THROUGHOUT THE STATE OF KANSAS FROM ITS HEADQUARTERS IN NEWTON; REGIONAL OUTPATIENT LOCATIONS IN HUTCHINSON, MCPHERSON, HILLSBORO AND WICHITA; AND SATELLITE OUTPATIENT SERVICES FOR CHILDREN AND THE ELDERLY IN SURROUNDING COUNTIES.IN ADDITION TO THE PSYCHIATRIC HOSPITAL HOUSED IN NEWTON, A RESIDENTIAL PROGRAM IS AVAILABLE FOR CHILDREN 12 TO 17 YEARS OF AGE. CHILDREN YOUNGER THAN 12 RECEIVE MENTAL HEALTH SCREENING AND EVALUATION, PSYCHIATRIC SUPPORTIVE TREATMENT, INDIVIDUAL AND GROUP TREATMENT, WRAP-AROUND SERVICES AND HOME-BASED FAMILY THERAPY. EACH YEAR MORE THAN 12,500 INDIVIDUALS RECEIVE SERVICES THROUGH PRAIRIE VIEW.PRAIRIE VIEW OFFERS IN-PATIENT SERVICES TO TRANSITION INDIVIDUALS FROM ACUTE HOSPITAL CARE TO COMMUNITY-BASED SUPPORT. A SPECIAL PURPOSE SCHOOL LOCATED IN NEWTON SERVES CHILDREN IDENTIFIED AS EMOTIONALLY DISTURBED (ED) OR WITH PERVASIVE DEVELOPMENTAL DELAYS (PDD)-- STUDENTS WITH BEHAVIORAL ISSUES WHICH CANNOT BE MANAGED IN A TRADITIONAL ACADEMIC SETTING.PRAIRIE VIEW OFFERS A FULL RANGE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES AND PRO-ACTIVE COMMUNITY OUTREACH THAT INCLUDES CASE MANAGEMENT, RESIDENTIAL AND VOCATIONAL SERVICES, AND EDUCATIONAL PROGRAMS TO INFORM THE GENERAL PUBLIC ABOUT VARIOUS MENTAL HEALTH ISSUES AS WELL AS TO ENCOURAGE EMPATHY AND UNDERSTANDING.ULTIMATELY, THE GOAL IS TO BE THERE FOR THE MOST VULNERABLE IN THE COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JESSIE KAY | ||||||||||||||
| PRESIDENT & CEO | $211,828 | $0 | $0 | $0 | $6,572 | $0 | $48,510 | $0 | $8,886 | $0 | $275,796 | $0 | $0 | $0 |
| GARY FAST | ||||||||||||||
| MEDICAL DIRECTOR | $303,820 | $0 | $2,250 | $0 | $15,789 | $0 | $12,957 | $0 | $16,867 | $0 | $351,683 | $0 | $0 | $0 |
| DAVID HON | ||||||||||||||
| PSYCHIATRIST | $211,645 | $0 | $5,425 | $0 | $645 | $0 | $30,900 | $0 | $18,355 | $0 | $266,970 | $0 | $0 | $0 |
| AVEEKSHIT TRIPATHI | ||||||||||||||
| PSYCHIATRIST | $211,539 | $0 | $2,175 | $0 | $125 | $0 | $11,050 | $0 | $0 | $0 | $224,889 | $0 | $0 | $0 |
| MWENDA YASA | ||||||||||||||
| PSYCHIATRIST | $191,508 | $0 | $12,468 | $0 | $645 | $0 | $26,675 | $0 | $14,307 | $0 | $245,603 | $0 | $0 | $0 |
| MERCEDES PERALES | ||||||||||||||
| PSYCHIATRIST | $197,994 | $0 | $4,950 | $0 | $990 | $0 | $14,798 | $0 | $17,730 | $0 | $236,462 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE WHICH IS A SUBCOMMITTEE OF THE GOVERNING BOARD. THE CFO OF THE ORGANIZATION IS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE CLARIFICATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MANAGEMENT AND THE BOARD REVIEW ACTIVITY THAT MAY CREATE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | VICE PRESIDENT OF HUMAN RESOURCES COLLECTS AND DISSEMINATES THIRD-PARTY SALARY SURVEY INFORMATION TO THE EXECUTIVE COMMITTEE FOR CONSIDERATION DURING THE ANNUAL CEO REVIEW, THEN MEETS WITH BOARD CHAIR AND BOARD EXECUTIVE COMMITTEE TO DETERMINE CEO COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THIS INFORMATION IS NOT NORMALLY AVAILABLE TO THE PUBLIC |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET PRESENT VALUE OF ANNUITIES -2,889. |
| FORM 990, PART XII, LINE 2C: | NO CHANGES FROM THE PRIOR YEAR |
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