SACOPEE VALLEY HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SACOPEE VALLEY HEALTH CENTER (EIN 01-0347381)
- Tax period
- 2016-06-01 to 2017-05-31
- Filed
- 2017-12-11
- IRS object ID
- 201713459349300101
- Schema version
- 2016v3.0
- 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 | 2017-12-11T08:28:14-00:00 | ReturnTs |
| Tax Period End | 2017-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHR Smith & Company CPA's | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 Old Orchard Road | AddressLine1Txt |
| City | Buxton | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04093 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010347381 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacopee Valley Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SACO | BusinessNameControlTxt |
| Phone | 2076258126 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 Main Street | AddressLine1Txt |
| City | Porter | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04068 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lynn Kearney | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2017-12-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Ronald Smith | PreparerPersonNm |
| Phone | 2079294606 | PhoneNum |
| Preparation | 2017-12-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.78.135.230 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-12-11 | IPDt |
| IP Tm | 13:11:11 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7B067FF9D30E3322F1AE81463FE4F9C81ECDEFF7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7B067FF9D30E3322F1AE81463FE4F9C81ECDEFF7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lynn Kearney | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 Main Street | AddressLine1Txt |
| City | Porter | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,875,812 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Medical Services | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 69 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,596,667 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,663,363 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,857,179 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,810,198 | CYProgramServiceRevenueAmt |
| PY Investment Income | $892 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,565 | CYInvestmentIncomeAmt |
| PY Other Revenue | $494,569 | PYOtherRevenueAmt |
| CY Other Revenue | $380,686 | CYOtherRevenueAmt |
| PY Total Revenue | $4,949,307 | PYTotalRevenueAmt |
| CY Total Revenue | $4,875,812 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,303,702 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,516,734 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $233,981 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,303,835 | PYOtherExpensesAmt |
| CY Other Expenses | $1,236,474 | CYOtherExpensesAmt |
| PY Total Expenses | $4,607,537 | PYTotalExpensesAmt |
| CY Total Expenses | $4,753,208 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $341,770 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $122,604 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,598,243 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,665,092 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $762,452 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $706,697 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,835,791 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,958,395 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Providing the best healthcare for our community. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,673,488 | ExpenseAmt |
| Desc | Providing medical services on a sliding scale fee basis in a rural, medically underserved area. | Desc |
| Total Program Service Expenses | $3,673,488 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 69 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michelle Eastman | PersonNm |
| Phone | 2076258126 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 Main Street | AddressLine1Txt |
| City | Porter | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04068 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|
| Judy Watson Ingram | |||||||
| President | 005.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Douglas Kleinman | |||||||
| Vice President | 005.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Betty Lawrence | |||||||
| Secretary | 005.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Margaret Zack | |||||||
| Treasurer | 005.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Beth Finkelstein | |||||||
| Board Member | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Sheila Foley | |||||||
| Board Member | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott Good | |||||||
| Board Member | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Sean Petone | |||||||
| Board Member | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Sandra Tate | |||||||
| Board Member | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Louise Tooley | |||||||
| Board Member | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Poulin | |||||||
| Director Emeritus | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Hannaford | |||||||
| Director Emeritus | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| David F Bower | |||||||
| Director Emeritus | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Kathy Chaiklin | |||||||
| Director Emeritus | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Colleen Coates | |||||||
| Director Emeritus | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Maryagnes Gillman | |||||||
| Director Emeritus | 005.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey Ray | |||||||
| Medical | 040.00 | $171,173 | $0 | $0 | Yes (X) | ||
| Israel Adeloye | |||||||
| Dentist | 040.00 | $140,004 | $0 | $0 | Yes (X) | ||
| Daniel Bates | |||||||
| Psychiatrist | 040.00 | $127,228 | $0 | $0 | Yes (X) | ||
| Lynn Kearney | |||||||
| Exec. Director | 040.00 | $102,863 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $541,268 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,654,317 | GovernmentGrantsAmt |
| All Other Contributions | $9,046 | AllOtherContributionsAmt |
| Total Contributions | $1,663,363 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient service revenue | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $2,810,198 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,810,198 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,565 | TotalRevenueColumnAmt |
| Exclusion | $21,565 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|
| Other income | $141,725 |
| 340 income | $238,961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $380,686 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,875,812 | TotalRevenueColumnAmt |
| Exclusion | $21,565 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,916,985 | TotalAmt |
| Program Services | $2,446,975 | ProgramServicesAmt |
| Management And General | $438,701 | ManagementAndGeneralAmt |
| Fundraising | $31,309 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,749 | TotalAmt |
| Program Services | $505,028 | ProgramServicesAmt |
| Management And General | $90,916 | ManagementAndGeneralAmt |
| Fundraising | $3,805 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,300 | TotalAmt |
| Management And General | $9,300 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,046 | TotalAmt |
| Program Services | $3,305 | ProgramServicesAmt |
| Management And General | $7,666 | ManagementAndGeneralAmt |
| Fundraising | $75 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,270 | TotalAmt |
| Program Services | $9,974 | ProgramServicesAmt |
| Management And General | $13,296 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,841 | TotalAmt |
| Program Services | $20,152 | ProgramServicesAmt |
| Management And General | $88,482 | ManagementAndGeneralAmt |
| Fundraising | $21,207 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,235 | TotalAmt |
| Program Services | $9,640 | ProgramServicesAmt |
| Management And General | $19,244 | ManagementAndGeneralAmt |
| Fundraising | $351 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,750 | TotalAmt |
| Management And General | $22,750 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,557 | TotalAmt |
| Management And General | $79,499 | ManagementAndGeneralAmt |
| Fundraising | $83,058 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,562 | TotalAmt |
| Management And General | $3,674 | ManagementAndGeneralAmt |
| Fundraising | $20,888 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased services | $350,596 | $285,058 | $10,519 | $55,019 |
| Supplies | $312,959 | $271,572 | $23,968 | $17,419 |
| Staff training | $14,225 | $7,234 | $6,991 | |
| Subs, Pubs, Lic Dues | $134,139 | $102,634 | $30,655 | $850 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,994 | TotalAmt |
| Program Services | $11,916 | ProgramServicesAmt |
| Management And General | $78 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,753,208 | TotalAmt |
| Program Services | $3,673,488 | ProgramServicesAmt |
| Management And General | $845,739 | ManagementAndGeneralAmt |
| Fundraising | $233,981 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420,747 | BOYAmt |
| EOY | $1,501,180 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,283 | BOYAmt |
| EOY | $355,384 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,469 | BOYAmt |
| EOY | $49,192 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,303,162 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,714,835 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,652,207 | BOYAmt |
| EOY | $1,588,327 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,537 | BOYAmt |
| EOY | $155,009 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,000 | BOYAmt |
| EOY | $16,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,598,243 | BOYAmt |
| EOY | $3,665,092 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,034 | BOYAmt |
| EOY | $282,246 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,285 | BOYAmt |
| EOY | $62,285 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,133 | BOYAmt |
| EOY | $362,166 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,452 | BOYAmt |
| EOY | $706,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,538,451 | BOYAmt |
| EOY | $1,542,455 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,297,340 | BOYAmt |
| EOY | $1,415,940 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,835,791 | BOYAmt |
| EOY | $2,958,395 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,598,243 | BOYAmt |
| EOY | $3,665,092 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $122,604 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,095,666 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,217,386 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,414,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,596,667 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,663,363 | CurrentTaxYearAmt |
| Total | $6,987,277 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,395,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,218,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,497,066 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,857,179 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,810,198 | CurrentTaxYearAmt |
| Total | $12,778,843 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,491,116 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,436,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,911,261 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,453,846 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,473,561 | CurrentTaxYearAmt |
| Total | $19,766,120 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,766,120 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $72 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $90 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,565 | CurrentTaxYearAmt |
| Total | $22,252 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $72 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $90 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,565 | CurrentTaxYearAmt |
| Total | $22,252 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,769 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $214,063 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $366,238 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $494,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $380,686 | CurrentTaxYearAmt |
| Total | $1,581,325 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,616,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,650,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,277,732 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,948,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,875,812 | CurrentTaxYearAmt |
| Total | $21,369,697 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92500 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93390 | PublicSupportPY509Pct |
| Investment Income CY | 0.00100 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,960 | OtherCostOrOtherBasisAmt |
| Book Value | $28,960 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,477,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,200,385 | DepreciationAmt |
| Book Value | $1,276,703 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $797,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $514,450 | DepreciationAmt |
| Book Value | $282,664 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,588,327 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal income taxes | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $4,875,812 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $4,875,812 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $4,875,812 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,753,208 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $4,753,208 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $4,753,208 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeffrey Ray | PersonNm |
| Title | Medical | TitleTxt |
| Base Compensation Filing Org | $171,173 | BaseCompensationFilingOrgAmt |
| Total Compensation Filing Org | $171,173 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The Board has the opportunity to review the 990 before it is filed. |
| Form 990, Part VI, Section B, Line 12c | Compliance is enforced with the annual compliance document. |
| Form 990, Part VI, Section B, Line 15a | The Executive Directors salary is approved by the Board. |
| Form 990, Part VI, Section C, Line 19 | Upon request. |