APPALACHIAN COMMUNITY HEALTH CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- APPALACHIAN COMMUNITY HEALTH CENTER INC (EIN 55-0483699)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-11-14
- IRS object ID
- 201603199349309735
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T15:55:00-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550538163 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTLE & STALNAKER PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1411 VIRGINIA ST E STE 100 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | 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 | 550483699 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPALACHIAN COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APPA | BusinessNameControlTxt |
| Phone | 3046363232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 YOKUM STREET | AddressLine1Txt |
| City | ELKINS | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26241 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD KILEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3046363232 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HORACE W EMERY CPA | PreparerPersonNm |
| PTIN | P00050159 | PTIN |
| Phone | 3043434126 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD KILEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 YOKUM STREET | AddressLine1Txt |
| City | ELKINS | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,125,923 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACHCINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF APPALACHIAN COMMUNITY HEALTH CENTER IS TO IDENTIFY, RESPOND AND SERVE THE BEHAVIORAL HEALTH NEEDS AND PROMOTE PHYSICAL, SOCIAL, EMOTIONAL AND INTELLECTUAL WELL-BEING OF CONSUMERS AND THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 111 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,060,081 | PYContributionsGrantsAmt |
| CY Contributions Grants | $988,436 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,351,818 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,126,151 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,029 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,580 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,294 | PYOtherRevenueAmt |
| CY Other Revenue | $7,756 | CYOtherRevenueAmt |
| PY Total Revenue | $3,427,222 | PYTotalRevenueAmt |
| CY Total Revenue | $3,125,923 | 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 | $2,440,748 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,320,991 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $832,311 | PYOtherExpensesAmt |
| CY Other Expenses | $927,729 | CYOtherExpensesAmt |
| PY Total Expenses | $3,273,059 | PYTotalExpensesAmt |
| CY Total Expenses | $3,248,720 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $154,163 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$122,797 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,012,641 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,505,436 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,467,244 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,355,834 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,545,397 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,149,602 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PURPOSE OF THE ORGANIZATION IS TO PROVIDE COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH SERVICES TO THE LOCAL COMMUNITY INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION/DEVELOPMENTAL DISABILITY SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $843,487 | ExpenseAmt |
| Revenue | $1,291,737 | RevenueAmt |
| Desc | WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $317,819 | ExpenseAmt |
| Revenue | $37,349 | RevenueAmt |
| Desc | SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE MET | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $336,829 | ExpenseAmt |
| Revenue | $267,606 | RevenueAmt |
| Desc | CLINICAL & REHABILITATION - PROGRAMS DIRECTED TOWARD CLINICAL REHABILITATION SERVICES FOR ELIGIBLE INDIVIDUALS | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,116,885 | ExpenseAmt |
| Revenue | $529,459 | RevenueAmt |
| Desc | MEDICAL SERVICES - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH PROFESSIONAL TREATMENT SERVICESYOUTH PROGRAMS - PROGRAMS FOCUSED ON THE MENTAL AND PHYSICAL WELL-BEING OF YOUTHCRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMSSERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE METOTHER PROGRAMS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,116,885 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $529,459 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,615,020 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 111 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD KILEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3046363232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 YOKUM STREET | AddressLine1Txt |
| City | ELKINS | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26241 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| BRENDA DASHER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES FARRELL | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| THREASIA WITT | ||||||
| EXECUTIVE COMMITTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SUE CORE | ||||||
| SECRETARY/TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RICHARD NIDA JR | ||||||
| EXECUTIVE COMMITTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH COOK | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JC RAFFETY | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES SAYRES | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ERNEST FLORES | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CINDY DEMOTTO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JACQUELINE BURNS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD KILEY | ||||||
| EXECUTIVE DIRECTOR | 40.00 | $79,586 | $0 | $5,064 | Yes (X) | |
| JOY MESSENGER | ||||||
| ASSOCIATE DIRECTOR | 40.00 | $80,334 | $0 | $5,580 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $159,920 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $10,644 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $988,436 | GovernmentGrantsAmt |
| Total Contributions | $988,436 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLIENT FEES | 900099 | $2,047,992 | $2,047,992 |
| CONTRACT SERVICES | 900099 | $78,159 | $78,159 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,126,151 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,580 | TotalRevenueColumnAmt |
| Exclusion | $3,580 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $7,756 | TotalRevenueColumnAmt |
| Exclusion | $7,756 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,756 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,125,923 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,126,151 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,336 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,144 | TotalAmt |
| Program Services | $133,869 | ProgramServicesAmt |
| Management And General | $42,275 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,691,969 | TotalAmt |
| Program Services | $1,385,883 | ProgramServicesAmt |
| Management And General | $306,086 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,971 | TotalAmt |
| Program Services | $63,818 | ProgramServicesAmt |
| Management And General | $20,153 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,112 | TotalAmt |
| Program Services | $152,845 | ProgramServicesAmt |
| Management And General | $48,267 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,795 | TotalAmt |
| Program Services | $127,575 | ProgramServicesAmt |
| Management And General | $40,220 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,599 | TotalAmt |
| Management And General | $4,599 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,487 | TotalAmt |
| Management And General | $44,487 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,361 | TotalAmt |
| Program Services | $235,307 | ProgramServicesAmt |
| Management And General | -$20,946 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,876 | TotalAmt |
| Program Services | $38,396 | ProgramServicesAmt |
| Management And General | $15,480 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,350 | TotalAmt |
| Program Services | $175,683 | ProgramServicesAmt |
| Management And General | $47,667 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,303 | TotalAmt |
| Program Services | $61,833 | ProgramServicesAmt |
| Management And General | $7,470 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,567 | TotalAmt |
| Program Services | $35,203 | ProgramServicesAmt |
| Management And General | $1,364 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,383 | TotalAmt |
| Program Services | $96,344 | ProgramServicesAmt |
| Management And General | $29,039 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVIDER TAX | $87,251 | $66,284 | $20,967 |
| MEDICAL SUPPLIES & FOOD | $32,963 | $25,780 | $7,183 |
| POSTAGE & FREIGHT | $10,089 | $10,041 | $48 |
| AGENCY DUES | $7,868 | $7,868 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,632 | TotalAmt |
| Program Services | $6,159 | ProgramServicesAmt |
| Management And General | $11,473 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,248,720 | TotalAmt |
| Program Services | $2,615,020 | ProgramServicesAmt |
| Management And General | $633,700 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,893 | BOYAmt |
| EOY | $883,094 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $915,000 | BOYAmt |
| EOY | $915,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,201 | BOYAmt |
| EOY | $152,420 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,403 | BOYAmt |
| EOY | $296,977 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,369 | BOYAmt |
| EOY | $1,861 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,972 | BOYAmt |
| EOY | $74,971 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,929,975 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,748,862 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,803 | BOYAmt |
| EOY | $181,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,012,641 | BOYAmt |
| EOY | $2,505,436 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,323 | BOYAmt |
| EOY | $280,944 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,142,921 | BOYAmt |
| EOY | $1,074,890 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,244 | BOYAmt |
| EOY | $1,355,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,545,397 | BOYAmt |
| EOY | $1,149,602 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,545,397 | BOYAmt |
| EOY | $1,149,602 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,012,641 | BOYAmt |
| EOY | $2,505,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$122,797 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$272,998 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,644,001 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,537,335 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,485,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,060,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $988,436 | CurrentTaxYearAmt |
| Total | $6,715,208 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,501,435 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,538,387 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,439,567 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,351,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,126,151 | CurrentTaxYearAmt |
| Total | $11,957,358 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,145,436 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,075,722 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,924,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,411,899 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,114,587 | CurrentTaxYearAmt |
| Total | $18,672,566 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,672,566 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,248 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,029 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,580 | CurrentTaxYearAmt |
| Total | $26,253 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,248 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,029 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,580 | CurrentTaxYearAmt |
| Total | $26,253 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$1,304 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,294 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,756 | CurrentTaxYearAmt |
| Total | $38,206 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,153,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,090,903 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,939,725 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,427,222 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,125,923 | CurrentTaxYearAmt |
| Total | $18,737,025 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99660 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99270 | PublicSupportPY509Pct |
| Investment Income CY | 0.00140 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00190 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $114,276 | OtherCostOrOtherBasisAmt |
| Book Value | $114,276 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,074,640 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,045,439 | DepreciationAmt |
| Book Value | $29,201 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,286,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,277,267 | DepreciationAmt |
| Book Value | $8,778 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $455,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $426,156 | DepreciationAmt |
| Book Value | $28,858 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $181,113 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LIABILITY FOR PENSION BENEFITS | Desc |
| Amt | $1,074,890 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,074,890 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,125,923 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,125,923 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,125,923 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,248,720 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,248,720 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,248,720 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEWED BY FINANCE COMMITTEE PRIOR TO FILING, IF PRACTICAL, OTHERWISE REVIEWED AFTER FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED AS NECESSARY |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPARABLE STUDIES MADE BY EXECUTIVE COMMITTEE OF BOARD PERIODICALLY |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XI, LINE 9: | PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -272,998. |
| FORM 990, PART XI, LONE 2C: | NO CHANGE IN PROCESS FROM PRIOR YEAR. |
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