THE SARAH ROBERTS FRENCH HOME: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE SARAH ROBERTS FRENCH HOME (EIN 74-1175881)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-16
IRS object ID
201842899349300039
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

FieldValueIRS element (for citing)
Return2018-10-16T12:32:19-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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)
PersonBARBARA DUELMPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone2107364238PhoneNum
Signature2018-10-16SignatureDt
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)
IP2018-10-16IPDt
IP Tm11:26:09IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id92918FB2AAF5164F5FE792866616298ABC6D363BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBARBARA DUELMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 TEXAS AVENUEAddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782015944ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,821,858GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee87TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$50,904PYContributionsGrantsAmt
CY Contributions Grants$85,718CYContributionsGrantsAmt
PY Program Service Revenue$2,804,284PYProgramServiceRevenueAmt
CY Program Service Revenue$2,730,629CYProgramServiceRevenueAmt
PY Investment Income$2,299PYInvestmentIncomeAmt
CY Investment Income-$7,240CYInvestmentIncomeAmt
PY Other Revenue-$426PYOtherRevenueAmt
CY Other Revenue$577CYOtherRevenueAmt
PY Total Revenue$2,857,061PYTotalRevenueAmt
CY Total Revenue$2,809,684CYTotalRevenueAmt
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$2,140,681PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,190,124CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$73,884CYTotalFundraisingExpenseAmt
PY Other Expenses$805,996PYOtherExpensesAmt
CY Other Expenses$787,856CYOtherExpensesAmt
PY Total Expenses$2,946,677PYTotalExpensesAmt
CY Total Expenses$2,977,980CYTotalExpensesAmt
PY Revenues Less Expenses-$89,616PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$168,296CYRevenuesLessExpensesAmt
Total Assets BOY$794,107TotalAssetsBOYAmt
Total Assets EOY$720,034TotalAssetsEOYAmt
Total Liabilities BOY$272,127TotalLiabilitiesBOYAmt
Total Liabilities EOY$366,350TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$521,980NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$353,684NetAssetsOrFundBalancesEOYAmt
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$2,493,310ExpenseAmt
Revenue$2,730,629RevenueAmt
DescNURSING AND RESIDENTIAL CARE. AVERAGE NUMBER OF RESIDENTS THROUGHOUT THE YEAR WAS 57.Desc
Total Program Service Expenses$2,493,310TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee87EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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
DR CHARLENE HAYNES
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
XONIA KARGL
MEMBER2.00Yes (X)$0$0$0
MARILYN VAUGHAN
MEMBER2.00Yes (X)$0$0$0
JERRY G DUTERROIL
VICE PRESIDENT2.00Yes (X)$0$0$0
BARBARA DUELM
ADMINISTRATOR40.00$75,885$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$75,885TotalReportableCompFromOrgAmt
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$122,408CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$85,718AllOtherContributionsAmt
Total Contributions$85,718TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID623000$2,104,660$2,104,660
PATIENT/RESIDENT FEES623000$625,969$625,969
FieldValueIRS element (for citing)
Total Program Service Revenue$2,730,629TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$541TotalRevenueColumnAmt
Exclusion$541ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,781OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$7,781OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,781TotalRevenueColumnAmt
Exclusion-$7,781ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$4,970FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,393FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$577TotalRevenueColumnAmt
Exclusion$577ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,809,684TotalRevenueColumnAmt
Related Or Exempt Func Income$2,730,629RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$6,663ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$75,885TotalAmt
Management And General$75,885ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,879,512TotalAmt
Program Services$1,595,337ProgramServicesAmt
Management And General$242,957ManagementAndGeneralAmt
Fundraising$41,218FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$78,227TotalAmt
Program Services$51,635ProgramServicesAmt
Management And General$19,147ManagementAndGeneralAmt
Fundraising$7,445FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$156,500TotalAmt
Program Services$129,269ProgramServicesAmt
Management And General$23,223ManagementAndGeneralAmt
Fundraising$4,008FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$179,273TotalAmt
Program Services$167,296ProgramServicesAmt
Management And General$10,822ManagementAndGeneralAmt
Fundraising$1,155FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,865TotalAmt
Management And General$2,996ManagementAndGeneralAmt
Fundraising$10,869FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$74,008TotalAmt
Program Services$60,497ProgramServicesAmt
Management And General$10,676ManagementAndGeneralAmt
Fundraising$2,835FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,847TotalAmt
Program Services$125,078ProgramServicesAmt
Management And General$26,311ManagementAndGeneralAmt
Fundraising$4,458FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,886TotalAmt
Program Services$1,266ProgramServicesAmt
Management And General$2,571ManagementAndGeneralAmt
Fundraising$49FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$50,472TotalAmt
Program Services$44,415ProgramServicesAmt
Management And General$6,057ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,592TotalAmt
Program Services$6,170ProgramServicesAmt
Management And General$422ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
RAW FOOD AND NUTRIENTS$141,588$141,588
DRUGS AND SUPPLIES$121,543$121,368$175
RESIDENT ASSISTANCE$51,911$51,911
TRAINING$6,038$4,526$585$927

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$17,167TotalAmt
Program Services-$7,046ProgramServicesAmt
Management And General-$11,208ManagementAndGeneralAmt
Fundraising$1,087FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,977,980TotalAmt
Program Services$2,493,310ProgramServicesAmt
Management And General$410,786ManagementAndGeneralAmt
Fundraising$73,884FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$572BOYAmt
EOY$2,201EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$202,925BOYAmt
EOY$103,479EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$141,742BOYAmt
EOY$205,495EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,365BOYAmt
EOY$1,093EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,848,907LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,441,141LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$440,503BOYAmt
EOY$407,766EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$794,107BOYAmt
EOY$720,034EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$272,127BOYAmt
EOY$306,350EOYAmt

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$272,127BOYAmt
EOY$366,350EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$417,994BOYAmt
EOY$335,684EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$103,986BOYAmt
EOY$18,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$521,980BOYAmt
EOY$353,684EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$794,107BOYAmt
EOY$720,034EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$168,296ReconcilationRevenueExpnssAmt
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$48,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$123,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,096CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,904CurrentTaxYearMinus1YearAmt
Current Tax Year$85,718CurrentTaxYearAmt
Total$450,004TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$123,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,096CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,904CurrentTaxYearMinus1YearAmt
Current Tax Year$85,718CurrentTaxYearAmt
Total$450,004TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$450,004PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,299CurrentTaxYearMinus1YearAmt
Current Tax Year$541CurrentTaxYearAmt
Total$3,702TotalAmt
FieldValueIRS element (for citing)
Total Support$453,706TotalSupportAmt
Public Support CY1700.99180PublicSupportCY170Pct
Public Support PY1700.99160PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

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$791,440OtherCostOrOtherBasisAmt
Depreciation$639,216DepreciationAmt
Book Value$152,224BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,055OtherCostOrOtherBasisAmt
Depreciation$183,382DepreciationAmt
Book Value$46,673BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,566OtherCostOrOtherBasisAmt
Depreciation$101,009DepreciationAmt
Book Value$18,557BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$668,844OtherCostOrOtherBasisAmt
Depreciation$517,534DepreciationAmt
Book Value$151,310BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$407,766TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLINE OF CREDITDesc
Amt$60,000Amt
FieldValueIRS element (for citing)
Total Liability$60,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,809,684TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,809,684RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,809,684TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,977,980TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,977,980ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,977,980TotalExpensesPerForm990Amt

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 AUGUST OF 2014.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

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