FOUNDATION FOR HEALTH CARE QUALITY: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR HEALTH CARE QUALITY (EIN 91-1419327)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201703199349300305
- 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 | 2017-11-15T00:02:39-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 912011386 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jacobson Jarvis & Co PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 First Ave West Suite 200 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981194219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911419327 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation for Healthcare Quality | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUN | BusinessNameControlTxt |
| Phone | 2066822811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 Second Avenue No 410 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981041717 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peter Dunbar | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2066822811 | PhoneNum |
| Signature | 2017-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Howard DonkinCPA | PreparerPersonNm |
| PTIN | P00147726 | PTIN |
| Phone | 2066288990 | PhoneNum |
| Preparation | 2017-10-20 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.210.254.4 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-20 | IPDt |
| IP Tm | 21:22:27 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A1177F25744FFED9176346152E901939A769EEFD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BAA30D7C5F8341EAA7486FB010C3DF2FC83371D1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Peter Dunbar | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 Second Avenue No 410 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981041717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,812,781 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.qualityhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | Foundation for Health Care Quality is dedicated to providing a trusted, independent third party resource to all participants in the health care community - including patients, providers, payers, employers government agencies and public health professionals. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 15 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $427,568 | PYContributionsGrantsAmt |
| CY Contributions Grants | $410,036 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,310,731 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,402,669 | CYProgramServiceRevenueAmt |
| PY Investment Income | $101 | PYInvestmentIncomeAmt |
| CY Investment Income | -$6,145 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,738,400 | PYTotalRevenueAmt |
| CY Total Revenue | $1,806,560 | 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 | $733,042 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $827,202 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,063,737 | PYOtherExpensesAmt |
| CY Other Expenses | $1,075,248 | CYOtherExpensesAmt |
| PY Total Expenses | $1,796,779 | PYTotalExpensesAmt |
| CY Total Expenses | $1,902,450 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$58,379 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$95,890 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $590,264 | TotalAssetsBOYAmt |
| Total Assets EOY | $488,626 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $165,641 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $159,893 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $424,623 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $328,733 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Foundation for Health Care Quality is dedicated to providing a trusted, independent third party resource to all participants in the health care community - including patients, providers, payers, employers government agencies and public health professionals. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $573,103 | ExpenseAmt |
| Revenue | $504,962 | RevenueAmt |
| Desc | Surgical Care and Outcomes Assessment Program (SCOAP) - This voluntary, statewide program adapts COAP's processes and procedures for selected surgical procedures. Also led by physicians, specifically surgeons, SCOAP defines quality metrics and tracks hospital performance to reduce errors and variations in surgical care. SCOAP is also leading a statewide initiative to promote the use of surgical checklists in all hospital operating rooms in Washington State. Visit the SCOAP website at www.SCOAP.org. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $392,184 | ExpenseAmt |
| Revenue | $350,667 | RevenueAmt |
| Desc | Clinical Outcomes Assessment Program (COAP) and Obstetrics Clinical Outcomes Assessment Program (OB COAP) - COAP is led by physicians in clinical practice, COAP focuses on cardiac care and procedures. COAP's work has reduced errors as well as care variations in hospitals statewide. Visit the COAP website at www.COAP.org. As Well as, OB-COAP, which was launched in spring 2010, is designed to facilitate physician leaders and hospitals working together in a voluntary and collaborative way to review clinical outcomes data and seek improvements in labor and delivery care. OB COAP uses provider-specific, clinical chart abstracted data about the care given to women during labor, delivery and the postpartum period, and notes any neonatal complications. Visit the OB COAP website at www.OBCOAP.org. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $404,016 | ExpenseAmt |
| Revenue | $350,667 | RevenueAmt |
| Desc | Washington Patient Safety Coalition (WPSC) - Representing the entire health care spectrum, the Coalition consists of patients and public and private health care professionals who collaborate to reach shared goals of reducing medical errors and improving safety for people receiving health care in Washington. Visit the WPSC website at www.WaPatientSafety.org. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $227,164 | ExpenseAmt |
| Revenue | $196,373 | RevenueAmt |
| Desc | The Dr. Robert Bree Collaborative is a consortium of public and private health care purchasers, health carriers and providers working together to identify concerns with quality and variation in health care and recommend evidence-based strategies for improvement. Visit the Bree Collaborative website at: www.hta.hca.wa.gov/bree.html. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $227,164 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $196,373 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,596,467 | 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 | 0 | 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 | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 15 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Donal Sullivan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2066822811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 Second Ave Ste 410 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981041717 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|
| Melvin Sorensen | |||||||
| Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Rachel Quinn | |||||||
| Vice Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kimberly Moore | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Richard Goss | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Debra Brown | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Kathleen O'Connor | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Peggy Evans | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Paj Nandi | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Kay O'Neill | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ben Zaniello | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Julie McDonald | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Bruce Smith | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Martin Mueller | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Rick Ruben | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Chris Dale | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Melanie Curtice | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Terry R Roger | |||||||
| CEO (Jan to Jun) | 20.00 | Yes (X) | $56,988 | $0 | $0 | ||
| Peter J Dunbar | |||||||
| CEO (Jul to Dec) | 20.00 | Yes (X) | $57,681 | $0 | $0 | ||
| Vickie Kolios-Morris | |||||||
| SCOAP director | 40.00 | $100,642 | $0 | $4,026 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $215,311 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,026 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Armus Corporation | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 Fashion Island Blvd Ste 3310 | AddressLine1Txt |
| City | San Mateo | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Data processing | ServicesDesc |
| Compensation | $503,800 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $345,895 | MembershipDuesAmt |
| All Other Contributions | $64,141 | AllOtherContributionsAmt |
| Noncash Contributions | $10,000 | NoncashContributionsAmt |
| Total Contributions | $410,036 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Fees for Services | 621500 | $1,034,594 | $1,034,594 |
| Health Care Contracts | 621500 | $330,082 | $330,082 |
| Web Conference Reg | 621500 | $37,955 | $37,955 |
| Registration | 621500 | $38 | $38 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,402,669 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76 | TotalRevenueColumnAmt |
| Exclusion | $76 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,221 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$6,221 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,221 | TotalRevenueColumnAmt |
| Exclusion | -$6,221 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,806,560 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,402,669 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$6,145 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,109 | TotalAmt |
| Program Services | $112,109 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,609 | TotalAmt |
| Program Services | $391,086 | ProgramServicesAmt |
| Management And General | $191,523 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,856 | TotalAmt |
| Program Services | $15,238 | ProgramServicesAmt |
| Management And General | $1,618 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,383 | TotalAmt |
| Program Services | $30,288 | ProgramServicesAmt |
| Management And General | $10,095 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,245 | TotalAmt |
| Program Services | $59,495 | ProgramServicesAmt |
| Management And General | $15,750 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,110 | TotalAmt |
| Program Services | $5,110 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,676 | TotalAmt |
| Management And General | $36,676 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $736,495 | TotalAmt |
| Program Services | $725,263 | ProgramServicesAmt |
| Management And General | $11,232 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,732 | TotalAmt |
| Program Services | $24,402 | ProgramServicesAmt |
| Management And General | $5,330 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,672 | TotalAmt |
| Program Services | $82,385 | ProgramServicesAmt |
| Management And General | $20,287 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,157 | TotalAmt |
| Program Services | $11,256 | ProgramServicesAmt |
| Management And General | $901 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,132 | TotalAmt |
| Program Services | $107,111 | ProgramServicesAmt |
| Management And General | $3,021 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,641 | TotalAmt |
| Program Services | $6,353 | ProgramServicesAmt |
| Management And General | $2,288 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,226 | TotalAmt |
| Program Services | $3,107 | ProgramServicesAmt |
| Management And General | $1,119 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Equipment Maintenance | $18,961 | $14,525 | $4,436 |
| Supplies | $10,446 | $8,739 | $1,707 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,902,450 | TotalAmt |
| Program Services | $1,596,467 | ProgramServicesAmt |
| Management And General | $305,983 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,423 | BOYAmt |
| EOY | $41,052 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,347 | BOYAmt |
| EOY | $100,400 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,800 | BOYAmt |
| EOY | $269,750 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,147 | BOYAmt |
| EOY | $49,909 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $70,446 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,931 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,547 | BOYAmt |
| EOY | $27,515 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,264 | BOYAmt |
| EOY | $488,626 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,615 | BOYAmt |
| EOY | $94,392 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,900 | BOYAmt |
| EOY | $23,050 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,126 | BOYAmt |
| EOY | $42,451 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,641 | BOYAmt |
| EOY | $159,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,623 | BOYAmt |
| EOY | $328,733 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,623 | BOYAmt |
| EOY | $328,733 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,264 | BOYAmt |
| EOY | $488,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$95,890 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,096,705 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $421,575 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,685 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $427,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $410,036 | CurrentTaxYearAmt |
| Total | $2,574,569 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,096,705 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $421,575 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,685 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $427,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $410,036 | CurrentTaxYearAmt |
| Total | $2,574,569 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $519,584 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,054,985 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $146 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $101 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$6,145 | CurrentTaxYearAmt |
| Total | -$4,903 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,569,666 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $6,386,639 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.79970 | PublicSupportCY170Pct |
| Public Support PY170 | 0.73590 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,942 | DepreciationAmt |
| Book Value | $4,627 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,877 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,989 | DepreciationAmt |
| Book Value | $22,888 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,515 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Funds Held for BTC | $835 |
| Funds Held for Others | $12,000 |
| LT Capital Lease | $23,547 |
| Capital Lease (Current Portion) | $6,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,451 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,866,560 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $60,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $60,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,806,560 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,806,560 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,962,450 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $60,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $60,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,902,450 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,902,450 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 8b | The Board of Directors has delegated limited authority to the Executive Committee. Contemporaneous documentation of these meetings is not available. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is provided to the organization's Executive Committee of the Board of Directors, which is comprised of the Board of Directors Chair, Vice-Chair, Treasurer and Secretary, who are authorized to approve business on behalf of the main body of the Board of Directors. |
| Form 990, Part VI, Section B, line 12c | The Board of Directors and business affiliates are requried to sign a Conflict of Interest declaration annually. |
| Form 990, Part VI, Section C, line 19 | Our governing documents, conflict of interest policy and financial statements are available to the public upon request. |
| Form 990, Part IX, line 11g | Other: Program service expenses 725,263. Management and general expenses 11,232. Fundraising expenses 0. Total expenses 736,495. |
| Part XII, Line 2c: | There was no change in the audit committee process. |
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