NORTHWEST BEHAVIORAL HEALTH SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST BEHAVIORAL HEALTH SERVICES INC (EIN 59-3128476)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201711359349314171
- Schema version
- 2015v3.0
- 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 | 2017-05-15T19:26:21-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DARRYL R JACKSON CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 EAST UNION STREET SUITE 400 | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593128476 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Behavioral Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9047817797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2392 Edgewood Avenue | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32254 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI GLOVER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9047817797 | PhoneNum |
| Signature | 2016-12-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRYL R JACKSON | PreparerPersonNm |
| Phone | 9046338099 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICIA SAMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2392 Edgewood Avenue | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,294,754 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Mental Health and Social Rehabilition services | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 63 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,587,006 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,323,197 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,143,196 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $971,557 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,730,202 | PYTotalRevenueAmt |
| CY Total Revenue | $2,294,754 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,767,330 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,712,632 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $11,444 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $977,722 | PYOtherExpensesAmt |
| CY Other Expenses | $719,766 | CYOtherExpensesAmt |
| PY Total Expenses | $2,745,052 | PYTotalExpensesAmt |
| CY Total Expenses | $2,432,398 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$14,850 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$137,644 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $745,122 | TotalAssetsBOYAmt |
| Total Assets EOY | $807,356 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $204,137 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $408,128 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $540,985 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $399,228 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Mental Health and Social Rehabilition services | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $708,595 | ExpenseAmt |
| Revenue | $840,977 | RevenueAmt |
| Desc | MENTAL HEALTH CASE MANAGEMENT SERVICES PROVIDED TO TARGET ADULT POPULATION IN NORTHWEST QUADRANT OF DUVAL COUNTY. APPROXIMATELY 776 CLIENTS WERE SERVED DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $535,876 | ExpenseAmt |
| Revenue | $664,944 | RevenueAmt |
| Desc | SOCIAL REHABILITATIVE SERVICES PROVIDED TO TARGETED POPULATION IN THE NORTHWEST QUADRANT OF DUVAL COUNTY. APPROXIMATELY 55 CLIENTS WERE SERVED DURING THE YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $711,269 | ExpenseAmt |
| Revenue | $688,854 | RevenueAmt |
| Desc | MENTAL HEALTH TREATMENT SERVICES PROVIDED TO THE CHILDREN POPULATION IN THE NORTHWEST QUADRANT OF DUVAL COUNTY. APPROXIMATELY 371 WERE SERVED DURING THE YEAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $33,068 | ExpenseAmt |
| Revenue | $39,973 | RevenueAmt |
| Desc | All Other Accomplishment Community services - United Way. Approximately 46 clients were served during the Way. Approximately 46 clients were served during the | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $33,068 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $39,973 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,988,808 | 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 | Yes (true) | 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 | false | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 63 | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELLEN BARNES | PersonNm |
| Phone | 9047817797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2392 N Edgewood Ave | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32254 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|
| PATRICIA SAMPSON | |||||||
| Executive Director | 40.00 | Yes (X) | $85,604 | $0 | $0 | ||
| STEWARD WASHINGTON | |||||||
| President | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MELANIE HOPKIN | |||||||
| Treasurer | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MIA R WILSON | |||||||
| Vice-President | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CLIFTON COLEMAN | |||||||
| Board Member | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CHIQUITA MOORE | |||||||
| Board Member | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CHARLES FRANZONI | |||||||
| Board Member | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| REGINALD ESTELL JR | |||||||
| Parliamentarian | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARIE HEATH | |||||||
| Secretary | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| NINA HARLEY | |||||||
| Vice-President | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MAGDALENE HOPES | |||||||
| Board Member | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| PADRICA MENDEZ | |||||||
| Board Member | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ANN BLACKSHEAR | |||||||
| Board Member | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ODEAN THOMAS | |||||||
| Treasurer | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $85,604 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,183,125 | GovernmentGrantsAmt |
| All Other Contributions | $140,072 | AllOtherContributionsAmt |
| Total Contributions | $1,323,197 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| Medicaid | 000000 | $940,001 |
| Other | 000000 | $31,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $971,557 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,294,754 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $971,557 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,392,396 | TotalAmt |
| Program Services | $1,216,371 | ProgramServicesAmt |
| Management And General | $176,025 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,373 | TotalAmt |
| Program Services | $148,218 | ProgramServicesAmt |
| Management And General | $63,155 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,863 | TotalAmt |
| Program Services | $95,153 | ProgramServicesAmt |
| Management And General | $13,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,579 | TotalAmt |
| Program Services | $274 | ProgramServicesAmt |
| Management And General | $28,305 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,542 | TotalAmt |
| Program Services | $138,635 | ProgramServicesAmt |
| Management And General | $34,907 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,069 | TotalAmt |
| Program Services | $23,351 | ProgramServicesAmt |
| Management And General | $718 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,917 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $16,917 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,061 | TotalAmt |
| Program Services | $14,915 | ProgramServicesAmt |
| Management And General | $4,146 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Consultants | $104,230 | $95,930 | $8,300 | $0 |
| Client services | $77,434 | $77,434 | $0 | $0 |
| Psychiatrist | $122,400 | $122,400 | $0 | $0 |
| Other | $44,310 | $3,587 | $29,279 | $11,444 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,224 | TotalAmt |
| Program Services | $52,540 | ProgramServicesAmt |
| Management And General | $56,684 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,432,398 | TotalAmt |
| Program Services | $1,988,808 | ProgramServicesAmt |
| Management And General | $432,146 | ManagementAndGeneralAmt |
| Fundraising | $11,444 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,893 | BOYAmt |
| EOY | $12,542 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,239 | BOYAmt |
| EOY | $135,515 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,217 | BOYAmt |
| EOY | $96,106 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,910 | BOYAmt |
| EOY | $67,910 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $766,295 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $274,612 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $512,049 | BOYAmt |
| EOY | $491,683 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600 | BOYAmt |
| EOY | $3,600 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,122 | BOYAmt |
| EOY | $807,356 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,560 | BOYAmt |
| EOY | $332,388 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,577 | BOYAmt |
| EOY | $75,740 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,137 | BOYAmt |
| EOY | $408,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,985 | BOYAmt |
| EOY | $399,228 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,985 | BOYAmt |
| EOY | $399,228 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,122 | BOYAmt |
| EOY | $807,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$137,644 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$4,113 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | 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 | $1,625,047 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,644,274 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,648,880 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,581,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,323,197 | CurrentTaxYearAmt |
| Total | $7,823,260 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,625,047 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,644,274 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,648,880 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,581,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,323,197 | CurrentTaxYearAmt |
| Total | $7,823,260 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,823,260 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,823,260 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $766,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $274,612 | DepreciationAmt |
| Book Value | $491,683 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $491,683 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Management fee payable - LSF | |
| Custodial accounts payable | $2,740 |
| Current portion of long-term debt | $73,000 |
| Rounding |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $75,740 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,294,754 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $2,294,754 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,294,754 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,436,510 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $4,112 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $4,112 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,432,398 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,432,398 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt XI, Line 4b | Rounding |
| Pt XII, Line 2d | Book/Tax Depreciation Difference |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | Only the CEO reviews the tax return prior to filing. |
| Pt VI, Line 19 | Governing Documents are available for review during bus. hours. |
| Pt XI | Book/Tax depreciation difference $4,113. |
| Form 990, Part III, Line 4d | All Other Accomplishment Community services - United 33068. 0. 39973. |
| Form 990, Part IX, Line 24e | Grant administration 3168. 0. 3168. 0. |
| Form 990, Part IX, Line 24e | Transcription service 10377. 10377. 0. 0. |
| Form 990, Part IX, Line 24e | Telephone 30995. 21363. 9632. 0. |
| Form 990, Part IX, Line 24e | Dues and subscriptions 40348. 1190. 39158. 0. |
| Form 990, Part IX, Line 24e | Printing and supplies 8603. 6011. 2592. 0. |
| Form 990, Part IX, Line 24e | Equipment cost 14982. 12883. 2099. 0. |
| Form 990, Part IX, Line 24e | Training 750. 715. 35. 0. |
| Form 990, Part IX, Line 24e | Rounding 1. 1. 0. 0. |
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