FURP.ORG / PUBLIC DATA EXPLORER

JACKSON COUNTY HEALTH FACILITIES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JACKSON COUNTY HEALTH FACILITIES (EIN 31-0802091)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-29
IRS object ID
201722419349300122
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-29T09:57:45-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HW&COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line123240 Chagrin Blvd Suite 700AddressLine1Txt
CityClevelandCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441225450ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310802091EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACKSON COUNTY HEALTH FACILITIES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID NICHOLSInCareOfNm
Business Name ControlJACKBusinessNameControlTxt
Phone7403842119PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1Txt
CityWELLSTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45692ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID NICHOLSPersonNm
Person TitleCFOPersonTitleTxt
Phone7403842119PhoneNum
Signature2017-08-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJordan L Keller CPAPreparerPersonNm
PTINP01353255PTIN
Phone2168311200PhoneNum
Preparation2017-08-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id34122420172415000007FederalOriginalSubmissionId
Federal Original Submission Id2017-08-29FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id00B50CBEBBB9381FE5BF03D16AA7A5FCCB5075A6AtSubmissionCreationDeviceId
At Submission Filing Device IdC7911C95D58B85BBFDADDB2B364EEE6E7897FDF1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam PotterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1Txt
CityWELLSTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45692ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,994,006GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee168TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,676PYContributionsGrantsAmt
CY Contributions Grants$9,910CYContributionsGrantsAmt
PY Program Service Revenue$4,825,142PYProgramServiceRevenueAmt
CY Program Service Revenue$4,925,978CYProgramServiceRevenueAmt
PY Investment Income$21,806PYInvestmentIncomeAmt
CY Investment Income$27,221CYInvestmentIncomeAmt
PY Other Revenue$127,504PYOtherRevenueAmt
CY Other Revenue$30,897CYOtherRevenueAmt
PY Total Revenue$4,981,128PYTotalRevenueAmt
CY Total Revenue$4,994,006CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,840,645PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,955,974CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,821,805PYOtherExpensesAmt
CY Other Expenses$1,788,077CYOtherExpensesAmt
PY Total Expenses$4,662,450PYTotalExpensesAmt
CY Total Expenses$4,744,051CYTotalExpensesAmt
PY Revenues Less Expenses$318,678PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$249,955CYRevenuesLessExpensesAmt
Total Assets BOY$6,984,280TotalAssetsBOYAmt
Total Assets EOY$7,343,297TotalAssetsEOYAmt
Total Liabilities BOY$377,461TotalLiabilitiesBOYAmt
Total Liabilities EOY$486,523TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,606,819NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,856,774NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE TO THOSE WHO SEEK OUR HELP, THE BEST POSSIBLE HEALTH CARE IN AN EFFICIENT AND EFFECTIVE ENVIRONMENT OF LOVING AND CARING AND THE REALIZATION BY ALL, OF THE DIGNITY OF HUMAN LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,093,569ExpenseAmt
Revenue$4,956,875RevenueAmt
DescHOME FOR AGED 59 BED NURSING FACILITY AND 34 BED ASSISTED LIVING FACILITY ALSO OFFERING THE FOLLOWING SERVICES: ONSITE THERAPY SERVICES (PT, OT & ST), ONSITE BEAUTY SHOP, TRANSPORTATION SERVICES, AND MEDICAID ASSISTED LIVING WAIVER PARTICIPATION.Desc
Total Program Service Expenses$4,093,569TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee168EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID NICHOLSPersonNm
Phone7403842119PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1142 JENKINS MEMORIAL ROADAddressLine1Txt
CityWELLSTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45692ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
GREG ERVIN
BOARD MEMBER1.00.0Yes (X)$0$0$0
MARTHA MASSIE
SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
Jeff Plummer
BOARD MEMBER: FROM 2/1/20161.00.0Yes (X)$0$0$0
RON HAYES
Treasurer1.00.0Yes (X)$0$0$0Yes (X)
JENNY MASSIE
BOARD MEMBER1.00.0Yes (X)$0$0$0
DAN FULKS
PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
DAVID NADLER
VICE PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
DAVID NICHOLS
CFO40.00.0$91,978$0$26,948Yes (X)
BILL POTTER
ADMINISTRATOR40.00.0$95,609$0$6,729Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$187,587TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$33,677TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GENESIS ELDERCARE REHAB SERVICES
PO BOX 7247-6524PHILADELPHIAPA19170PT, OT & ST services$325,502
Stockmeister Enterprises
704 East Main StJACKSONOH45640Construction of A/L$691,881
Limbach
822 Cleveland AvenueCOLUMBUSOH43201Web control install$101,425
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$9,910AllOtherContributionsAmt
Total Contributions$9,910TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$3,641,405$3,641,405
RESIDENT REVENUE623000$1,284,573$1,284,573
FieldValueIRS element (for citing)
Total Program Service Revenue$4,925,978TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,221TotalRevenueColumnAmt
Exclusion$27,221ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business623000BusinessCd
Total Revenue Column$30,897TotalRevenueColumnAmt
Related Or Exempt Func Income$30,897RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$30,897OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,994,006TotalRevenueColumnAmt
Related Or Exempt Func Income$4,956,875RelatedOrExemptFuncIncomeAmt
Exclusion$27,221ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$221,264TotalAmt
Management And General$221,264ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,120,795TotalAmt
Program Services$2,048,340ProgramServicesAmt
Management And General$72,455ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,161TotalAmt
Program Services$15,441ProgramServicesAmt
Management And General$10,720ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$411,875TotalAmt
Program Services$306,390ProgramServicesAmt
Management And General$105,485ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$175,879TotalAmt
Program Services$124,943ProgramServicesAmt
Management And General$50,936ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$40TotalAmt
Management And General$40ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$422,774TotalAmt
Program Services$351,846ProgramServicesAmt
Management And General$70,928ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,562TotalAmt
Management And General$14,562ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,382TotalAmt
Program Services$2,320ProgramServicesAmt
Management And General$29,062ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$147,493TotalAmt
Program Services$125,369ProgramServicesAmt
Management And General$22,124ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,022TotalAmt
Management And General$5,022ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$259,105TotalAmt
Program Services$220,239ProgramServicesAmt
Management And General$38,866ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,118TotalAmt
Program Services$51,100ProgramServicesAmt
Management And General$9,018ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$329,920$329,920
FRANCHISE TAX$264,442$264,442
FOOD EXPENSE$236,318$236,318
BAD DEBT EXPENSE$16,901$16,901

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,744,051TotalAmt
Program Services$4,093,569ProgramServicesAmt
Management And General$650,482ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$400BOYAmt
EOY$400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,931,637BOYAmt
EOY$3,596,907EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$568,405BOYAmt
EOY$532,917EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,347BOYAmt
EOY$43,145EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,861BOYAmt
EOY$36,786EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,188,119LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,054,977LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,423,630BOYAmt
EOY$3,133,142EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,984,280BOYAmt
EOY$7,343,297EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$356,461BOYAmt
EOY$471,523EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,000BOYAmt
EOY$15,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$377,461BOYAmt
EOY$486,523EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,606,819BOYAmt
EOY$6,856,774EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,606,819BOYAmt
EOY$6,856,774EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,984,280BOYAmt
EOY$7,343,297EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$249,955ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$346CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,670CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,676CurrentTaxYearMinus1YearAmt
Current Tax Year$9,910CurrentTaxYearAmt
Total$19,527TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,654,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,912,466CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,752,307CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,825,142CurrentTaxYearMinus1YearAmt
Current Tax Year$4,925,978CurrentTaxYearAmt
Total$24,070,144TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,655,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,912,812CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,753,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,831,818CurrentTaxYearMinus1YearAmt
Current Tax Year$4,935,888CurrentTaxYearAmt
Total$24,089,671TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year$76,327CurrentTaxYearAmt
Total$76,327TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,562CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,874CurrentTaxYearMinus1YearAmt
Current Tax Year$103,377CurrentTaxYearAmt
Total$437,366TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,562CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,874CurrentTaxYearMinus1YearAmt
Current Tax Year$179,704CurrentTaxYearAmt
Total$513,693TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$23,575,978PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,602CurrentTaxYearMinus1YearAmt
Current Tax Year$27,221CurrentTaxYearAmt
Total$131,601TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,602CurrentTaxYearMinus1YearAmt
Current Tax Year$27,221CurrentTaxYearAmt
Total$131,601TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,168CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$83,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,867CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,504CurrentTaxYearMinus1YearAmt
Current Tax Year$30,896CurrentTaxYearAmt
Total$294,201TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,686,572CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,025,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,827,945CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,981,924CurrentTaxYearMinus1YearAmt
Current Tax Year$4,994,005CurrentTaxYearAmt
Total$24,515,473TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96168PublicSupportCY509Pct
Public Support PY5090.96835PublicSupportPY509Pct
Investment Income CY0.00537InvestmentIncomeCYPct
Investment Income PY0.00613InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$26,965OtherCostOrOtherBasisAmt
Book Value$26,965BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,226,285OtherCostOrOtherBasisAmt
Depreciation$2,342,263DepreciationAmt
Book Value$884,022BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,064,763OtherCostOrOtherBasisAmt
Depreciation$1,338,372DepreciationAmt
Book Value$726,391BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,870,106OtherCostOrOtherBasisAmt
Depreciation$1,374,342DepreciationAmt
Book Value$1,495,764BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,133,142TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT DEPOSITSDesc
Amt$15,000Amt
FieldValueIRS element (for citing)
Total Liability$15,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,994,006TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$4,994,006RevenueSubtotalAmt
Total Revenue Per Form990$4,994,006TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,744,051TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,744,051ExpensesSubtotalAmt
Total Expenses Per Form990$4,744,051TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11ATHE CFO REVIEWS FORM 990 THEN PROVIDES THE FINAL COPY TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, LINE 12CTHE POLICY PROVIDED REQUIRES ALL STAFF (INCLUDING THE BOARD OF TRUSTEES) TO REPORT ANY POSSIBLE CONFLICTS TO MANAGEMENT WHICH ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. IF A POTENTIAL CONFLICT OF INTEREST IS DISCOVERED IT IS DISCUSSED INITIALLY AMONG MANAGEMENT. IF IT MERITS FURTHER DISCUSSION IT IS DISCUSSED WITH THE FULL BOARD OF DIRECTORS. DURING THE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST PROCESS, A BOARD MEMBER MAY BE ASKED TO EXCUSE HIM/HERSELF FROM ANY AND ALL VOTES THAT THE BOARD DEEMS APPROPRIATE.
FORM 990, PART VI, LINE 15A & 15BCOMPARABILITY DATA IS USED FROM WAGE STUDIES AND THE COST REPORT FOR ANY NEW HIRES OR SIGNIFICANT WAGE ADJUSTMENTS, ALL DATA IS PROVIDED TO THE BOARD OF DIRECTORS FOR ALL WAGE CHANGES FOR FINAL APPROVAL. COPIES OF ALL WAGE STUDY DOCUMENTS AND ALL WAGE DECISIONS ARE DISCUSSED AND DOCUMENTED IN THE BOARD MINUTES WHICH ARE ALSO RETAINED.
FORM 990, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.