CHANGE INCORPORATED: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CHANGE INCORPORATED (EIN 55-0629135)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-01
- IRS object ID
- 201723059349300847
- 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 | 2017-11-01T11:26:19-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550763147 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEACHRIST KENNON & MARLING AC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 WARDEN RUN ROAD | AddressLine1Txt |
| City | WHEELING | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26003 | 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 | 550629135 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHANGE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAN | BusinessNameControlTxt |
| Phone | 3047977733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3158 WEST STREET | AddressLine1Txt |
| City | WEIRTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26062 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDY RAVEAUX | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3047977733 | PhoneNum |
| Signature | 2017-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CRAIG K SEACHRIST CPA | PreparerPersonNm |
| PTIN | P00835785 | PTIN |
| Phone | 3042330141 | PhoneNum |
| Preparation | 2017-10-24 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.73.179.233 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-25 | IPDt |
| IP Tm | 08:19:55 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3D307D4E64C862E5A4A96CE4641D97D4D4DB9407 | 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 | JUDY RAVEAUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3158 WEST STREET | AddressLine1Txt |
| City | WEIRTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26062 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,329,296 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHANGEINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | CHANGE, INC. COMMUNITY ACTION AGENCY ENCOURAGES THE INTEGRATION OF SERVICES, THE BUILDING OF PARTNERSHIPS, AND THE CONSOLIDATING OF RESOURCES TO EMPOWER FAMILIES TOWARDS HEALTHY SELF-SUFFICIENT LIVING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 248 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,412,618 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,316,912 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,861,987 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,844,709 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $98,790 | PYOtherRevenueAmt |
| CY Other Revenue | $132,293 | CYOtherRevenueAmt |
| PY Total Revenue | $12,373,395 | PYTotalRevenueAmt |
| CY Total Revenue | $15,293,914 | 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 | $7,959,390 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,448,404 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $254,726 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,714,231 | PYOtherExpensesAmt |
| CY Other Expenses | $5,432,436 | CYOtherExpensesAmt |
| PY Total Expenses | $11,673,621 | PYTotalExpensesAmt |
| CY Total Expenses | $14,880,840 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $699,774 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $413,074 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,489,472 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,720,183 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,557,136 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,374,773 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,932,336 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,345,410 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHANGE, INC. COMMUNITY ACTION AGENCY ENCOURAGES THE INTEGRATION OF SERVICES, THE BUILDING OF PARTNERSHIPS, AND THE CONSOLIDATING OF RESOURCES TO EMPOWER FAMILIES TOWARDS HEALTHY SELF-SUFFICIENT LIVING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $350,393 | ExpenseAmt |
| Revenue | $19,773 | RevenueAmt |
| Desc | TO PROVIDE TRANSPORTATION SERVICES TO PRIMARILY LOW INCOME FAMILIES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $415,361 | ExpenseAmt |
| Revenue | $33,059 | RevenueAmt |
| Desc | TO ASSIST LOW INCOME FAMILIES IN OBTAINING SAFE, AFFORDABLE AND ENERGY EFFICIENT HOUSING THROUGHOUT THE NORTHERN PANHANDLE OF WEST VIRGINIA. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,383,479 | ExpenseAmt |
| Revenue | $9,581,546 | RevenueAmt |
| Desc | TO PROVIDE MEDICAL AND CHILD DEVELOPMENT ASSISTANCE TO LOW INCOME FAMILIES AND INDIVIDUALS | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $1,474,495 | $324,980 | TO PROVIDE MULTIPLE PROGRAM SERVICES FOR INDIVIDUALS AND FAMILIES. |
| TO ASSIST LOW INCOME FAMILIES IN ACQUIRING LOW INCOME HOUSING | ||
| TO ASSIST LOW INCOME INDIVIDUALS, FAMILIES AND COMMUNITIES BECOME PERMANENTLY SELF-SUFFICIENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,474,495 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $324,980 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $12,623,728 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 248 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JORDAN SAVAGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3047977733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3158 WEST STREET | AddressLine1Txt |
| City | WEIRTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26062 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAN TAYLOR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LORA L BAILEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY SCHWERTFEGER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN PIZZUTI | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LISA WERNER | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TAMARA PETTIT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARLIN HAWLEY | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| VALERIE WELLS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV LARRY DORSCH | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KAREN SIMPSON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOANN MULROONEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALECIA FORD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH L RAVEAUX | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $151,741 | $0 | $9,076 | Yes (X) | |||
| JAMES J BONIEY | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $94,275 | $0 | $9,076 | Yes (X) | |||
| JORDAN SAVAGE | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $93,322 | $0 | $9,076 | Yes (X) | |||
| RITA COYNE | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $87,667 | $0 | $9,076 | Yes (X) | |||
| JOHN MCKENNA | ||||||||
| PHARMACIST | 40.00 | $206,184 | $0 | $10,199 | Yes (X) | |||
| MANUEL W BALLAS | ||||||||
| DOCTOR | 40.00 | $299,452 | $0 | $10,199 | Yes (X) | |||
| KELLI L FOURNIER | ||||||||
| DOCTOR | 40.00 | $213,080 | $0 | $10,199 | Yes (X) | |||
| ANTON ROS | ||||||||
| DOCTOR | 40.00 | $206,771 | $0 | $10,173 | Yes (X) | |||
| CYNTHIA A GRAY | ||||||||
| DOCTOR | 40.00 | $323,709 | $0 | $7,527 | Yes (X) | |||
| ROXANNA TORRES | ||||||||
| DOCTOR | 40.00 | $289,591 | $0 | $7,411 | Yes (X) | |||
| DIANA CARMONA | ||||||||
| DOCTOR | 40.00 | $299,552 | $0 | $7,562 | Yes (X) | |||
| KODY TUTTLE | ||||||||
| DENTIST | 40.00 | $147,705 | $0 | $10,199 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,413,049 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $109,773 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MODULAR SPACE CORPORATION | |||||
| 1020 ROBB HILL ROAD | OAKDALE | PA | 15071 | CONSTRUCTION | $480,078 |
| JUSZCZAK DEVELOPMENT INC | |||||
| 1310 WOODLAND COURT | CHESTER | WV | 26034 | CONSTRUCTION | $255,860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,077,318 | GovernmentGrantsAmt |
| All Other Contributions | $239,594 | AllOtherContributionsAmt |
| Noncash Contributions | $64,563 | NoncashContributionsAmt |
| Total Contributions | $5,316,912 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL THIRD PARTY AND SELF PAY | 621110 | $9,402,528 | $9,402,528 |
| CONTRACTED SERVICES | 480000 | $363,164 | $363,164 |
| PROGRAM FEES | 480000 | $79,017 | $79,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,844,709 | TotalProgramServiceRevenueAmt |
| Fundraising Gross Income | $53,026 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $35,382 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,644 | TotalRevenueColumnAmt |
| Exclusion | $17,644 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $114,649 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,649 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $114,649 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,293,914 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,959,358 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,644 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,921,671 | TotalAmt |
| Program Services | $2,424,987 | ProgramServicesAmt |
| Management And General | $438,251 | ManagementAndGeneralAmt |
| Fundraising | $58,433 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,371,717 | TotalAmt |
| Program Services | $4,458,525 | ProgramServicesAmt |
| Management And General | $805,758 | ManagementAndGeneralAmt |
| Fundraising | $107,434 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,129 | TotalAmt |
| Program Services | $54,887 | ProgramServicesAmt |
| Management And General | $9,919 | ManagementAndGeneralAmt |
| Fundraising | $1,323 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,336 | TotalAmt |
| Program Services | $404,489 | ProgramServicesAmt |
| Management And General | $73,100 | ManagementAndGeneralAmt |
| Fundraising | $9,747 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,551 | TotalAmt |
| Program Services | $499,287 | ProgramServicesAmt |
| Management And General | $90,233 | ManagementAndGeneralAmt |
| Fundraising | $12,031 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,123 | TotalAmt |
| Program Services | $18,362 | ProgramServicesAmt |
| Management And General | $3,319 | ManagementAndGeneralAmt |
| Fundraising | $442 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,062 | TotalAmt |
| Program Services | $44,872 | ProgramServicesAmt |
| Management And General | $8,109 | ManagementAndGeneralAmt |
| Fundraising | $1,081 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,805 | TotalAmt |
| Program Services | $363,634 | ProgramServicesAmt |
| Management And General | $64,171 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,127 | TotalAmt |
| Program Services | $1,765 | ProgramServicesAmt |
| Management And General | $319 | ManagementAndGeneralAmt |
| Fundraising | $43 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,334 | TotalAmt |
| Program Services | $187,027 | ProgramServicesAmt |
| Management And General | $33,800 | ManagementAndGeneralAmt |
| Fundraising | $4,507 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,277 | TotalAmt |
| Program Services | $270,810 | ProgramServicesAmt |
| Management And General | $48,941 | ManagementAndGeneralAmt |
| Fundraising | $6,526 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,009 | TotalAmt |
| Program Services | $446,548 | ProgramServicesAmt |
| Management And General | $80,701 | ManagementAndGeneralAmt |
| Fundraising | $10,760 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,896 | TotalAmt |
| Program Services | $122,754 | ProgramServicesAmt |
| Management And General | $22,184 | ManagementAndGeneralAmt |
| Fundraising | $2,958 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,532 | TotalAmt |
| Program Services | $44,431 | ProgramServicesAmt |
| Management And General | $8,030 | ManagementAndGeneralAmt |
| Fundraising | $1,071 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,972 | TotalAmt |
| Program Services | $56,926 | ProgramServicesAmt |
| Management And General | $10,046 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,314 | TotalAmt |
| Program Services | $133,061 | ProgramServicesAmt |
| Management And General | $24,047 | ManagementAndGeneralAmt |
| Fundraising | $3,206 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,174 | TotalAmt |
| Program Services | $100,448 | ProgramServicesAmt |
| Management And General | $17,726 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MATERIALS AND SUPPLIES | $1,435,187 | $1,191,205 | $215,278 | $28,704 |
| GAIN (LOSS) ON DISPOSAL | $928,746 | $928,746 | ||
| BAD DEBT EXPENSE | $450,823 | $450,823 | ||
| EQUIPMENT RENTAL AND MA | $188,669 | $156,596 | $28,300 | $3,773 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,386 | TotalAmt |
| Program Services | $263,545 | ProgramServicesAmt |
| Management And General | $20,154 | ManagementAndGeneralAmt |
| Fundraising | $2,687 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,880,840 | TotalAmt |
| Program Services | $12,623,728 | ProgramServicesAmt |
| Management And General | $2,002,386 | ManagementAndGeneralAmt |
| Fundraising | $254,726 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $712,414 | BOYAmt |
| EOY | $812,508 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,545 | BOYAmt |
| EOY | $625,238 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,043,160 | BOYAmt |
| EOY | $1,166,726 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,317 | BOYAmt |
| EOY | $148,159 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,773 | BOYAmt |
| EOY | $41,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,330,990 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $774,205 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,469,161 | BOYAmt |
| EOY | $3,556,785 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $705,102 | BOYAmt |
| EOY | $358,852 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,489,472 | BOYAmt |
| EOY | $6,720,183 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,857 | BOYAmt |
| EOY | $1,259,777 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,215 | BOYAmt |
| EOY | $17,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,824,064 | BOYAmt |
| EOY | $3,097,996 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,557,136 | BOYAmt |
| EOY | $4,374,773 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,929,564 | BOYAmt |
| EOY | $2,335,575 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,772 | BOYAmt |
| EOY | $9,835 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,932,336 | BOYAmt |
| EOY | $2,345,410 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,489,472 | BOYAmt |
| EOY | $6,720,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $413,074 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $3,290,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,925,279 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,351,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,273,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,252,349 | CurrentTaxYearAmt |
| Total | $18,092,850 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,290,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,925,279 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,351,484 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,273,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,252,349 | CurrentTaxYearAmt |
| Total | $18,092,850 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $18,092,850 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,250 | CurrentTaxYearMinus4YearsAmt |
| Total | $47,250 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $428,280 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $810,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133,441 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,885 | CurrentTaxYearAmt |
| Total | $1,498,475 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,638,575 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $39,302,453 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.92130 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91480 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $301,074 | OtherCostOrOtherBasisAmt |
| Book Value | $301,074 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,114,793 | OtherCostOrOtherBasisAmt |
| Depreciation | $321,582 | DepreciationAmt |
| Book Value | $2,793,211 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $557,907 | OtherCostOrOtherBasisAmt |
| Depreciation | $258,218 | DepreciationAmt |
| Book Value | $299,689 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $357,216 | OtherCostOrOtherBasisAmt |
| Depreciation | $194,405 | DepreciationAmt |
| Book Value | $162,811 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,556,785 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| HOUSES PURCHASED TO RENOVATE AND SELL/RENT | $30,480 |
| CONSTRUCTION IN PROCESS | $69,935 |
| CASH RESTRICTED BY LENDER FOR CONSTRUCTION | $258,437 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $358,852 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,322,233 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $28,319 | OtherRevenueAmt |
| Revenue Not Reported | $28,319 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,293,914 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,293,914 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,916,222 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $35,382 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $35,382 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,880,840 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,880,840 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | CHANGE, INC. IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATIONS FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR 2013, 2014, AND 2015 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INCREASE (DECREASE IN TEMPORATILY RESTRISTRICED NET ASSETS DIRECT FUNDRAISING EXPENSES |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JUDITH L RAVEAUX | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $151,741 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,076 | $0 | $160,817 | $0 | $0 | $0 |
| JOHN MCKENNA | ||||||||||||||
| PHARMACIST | $206,184 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,199 | $0 | $216,383 | $0 | $0 | $0 |
| MANUEL W BALLAS | ||||||||||||||
| DOCTOR | $299,452 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,199 | $0 | $309,651 | $0 | $0 | $0 |
| KELLI L FOURNIER | ||||||||||||||
| DOCTOR | $213,080 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,199 | $0 | $223,279 | $0 | $0 | $0 |
| ANTON ROS | ||||||||||||||
| DOCTOR | $206,771 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,173 | $0 | $216,944 | $0 | $0 | $0 |
| CYNTHIA A GRAY | ||||||||||||||
| DOCTOR | $323,709 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,527 | $0 | $331,236 | $0 | $0 | $0 |
| ROXANNA TORRES | ||||||||||||||
| DOCTOR | $289,591 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,411 | $0 | $297,002 | $0 | $0 | $0 |
| DIANA CARMONA | ||||||||||||||
| DOCTOR | $299,552 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,562 | $0 | $307,114 | $0 | $0 | $0 |
| KODY TUTTLE | ||||||||||||||
| DENTIST | $147,705 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,199 | $0 | $157,904 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | SALARY COMPENSATION STUDIES ARE CONDUCTED EVERY THREE YEARS FOR ALL POSITIONS. BOARD APPROVES PAY RAISES. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 225 | ContributionCnt |
| Method Of Determining Revenues | COST OF CONTRIBUTED DRUG | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO REVIEWS THE FORM 990 AND PRESENTS TO THE CEO WHO THEN PRESENTS TO BOARD OF DIRECTORS FOR APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL EMPLOYEES, DIRECTORS AND OFFICERS TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY ON WHICH ANY POTENTIAL CONFLICTS OF INTEREST ARE TO BE DISCLOSED. THE COO MONITORS THAT ALL EMPLOYEES HAVE COMPLETED THE FORM AND DOCUMENTS IF A CONFLICT OF INTEREST EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARY COMPARISON STUDIES ARE CONDUCTED EVERY THREE YEARS FOR THE ORGANIZATION'S OFFICERS. PERSONNEL COMMITTEE REVIEWS STUDIES AND RECOMMENDS PAY SCALE REVISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990 LINE 23 | THE LONG TERM FORGIVABLE LOAN IS GRANTED TO CHANGE INC. FOR RESTORATION AND BUILDING OF HOMES FOR LOW INCOME INDIVIDUALS. MONEY IS RECEIVED FROM THE WEST VIRGINIA DEVELPOMENT OFFICE, 814 VIRGINIA STREET EAST, CHARLESTON WEST VIRGINIA 25031. IN 2015 CHANGE INC. RECEIVED A TOTAL OF $95,068 FROM THE WEST VIRGINIA DEVELPOMENT OFFICE (DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT). BECAUSE OF THE AGREEMENT MOST OF THE MONEY RECEIVED IN 2016 HAVE NOT BEEN RECOGNIZED AS REVENUE, ONLY AS AN OURSTANDING LOAN UNTIL AGREEMENT TERMS ARE MET. |
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