PAROCHIAL MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PAROCHIAL MEDICAL CENTER (EIN 23-2300834)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-03-10
- IRS object ID
- 201620709349300122
- 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 | 2016-03-10T10:57:26-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251822544 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SNIEGOCKI & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 606 | AddressLine1Txt |
| City | PALMYRA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17078 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232300834 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAROCHIAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARO | BusinessNameControlTxt |
| Phone | 7175560702 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 WEST MAIN STREET | AddressLine1Txt |
| City | NEW HOLLAND | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17557 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELVIN HOOVER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7175560702 | PhoneNum |
| Signature | 2016-02-25 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUE A HARVEY | PreparerPersonNm |
| PTIN | P00284946 | PTIN |
| Phone | 7178382682 | PhoneNum |
| Preparation | 2016-02-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL LAPP | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MADISONBURG PIKE | AddressLine1Txt |
| City | MADISONBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16852 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,572,948 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 18 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $55,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $54,229 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,361,993 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,517,248 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,589 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,471 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,418,582 | PYTotalRevenueAmt |
| CY Total Revenue | $1,572,948 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $781,174 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $781,852 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $635,701 | PYOtherExpensesAmt |
| CY Other Expenses | $695,129 | CYOtherExpensesAmt |
| PY Total Expenses | $1,416,875 | PYTotalExpensesAmt |
| CY Total Expenses | $1,476,981 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,707 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $95,967 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $524,069 | TotalAssetsBOYAmt |
| Total Assets EOY | $522,607 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $345,857 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $248,428 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $178,212 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $274,179 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,301,045 | ExpenseAmt |
| Revenue | $1,517,248 | RevenueAmt |
| Desc | APPROXIMATELY 7,300 PATIENTS OF THE PLAIN AND UNINSURED COMMUNITY RECEIVED HEALTH CARE SERVICES. | Desc |
| Total Program Service Expenses | $1,301,045 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 18 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELVIN HOOVER | PersonNm |
| Phone | 7175560702 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 WEST MAIN STREET | AddressLine1Txt |
| City | NEW HOLLAND | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17557 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| ALLEN HOOVER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $8,035 | $0 | $0 | |
| STEVE HUYARD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BEN BEILER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL BURKHOLDER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MERVIN M MARTIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SAMUEL HERSCHBERGER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HENRY M HOOVER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ELVIN ZIMMERMAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL LAPP | ||||||
| CHAIRMAN | 2.00 | $0 | $0 | $0 | Yes (X) | |
| SAM KINSINGER | ||||||
| V CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MELVIN HOOVER | ||||||
| TREASURER | 4.00 | $0 | $0 | $0 | Yes (X) | |
| ELAM STOLTZFUS | ||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,035 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $54,229 | AllOtherContributionsAmt |
| Total Contributions | $54,229 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| OFFICE VISITS | $754,207 | $754,207 |
| PROCEDURES/SUPPLIES | $337,567 | $337,567 |
| LAB WORK/E-RAY | $245,094 | $245,094 |
| MEDICATIONS | $172,450 | $172,450 |
| RENTAL | $8,430 | $8,430 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$500 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,517,248 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,471 | TotalRevenueColumnAmt |
| Exclusion | $1,471 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,572,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,517,248 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,471 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,590 | TotalAmt |
| Program Services | $671,539 | ProgramServicesAmt |
| Management And General | $56,051 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,262 | TotalAmt |
| Program Services | $54,262 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,395 | TotalAmt |
| Management And General | $7,395 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,178 | TotalAmt |
| Program Services | $5,178 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,731 | TotalAmt |
| Management And General | $29,731 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,632 | TotalAmt |
| Program Services | $25,632 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194 | TotalAmt |
| Management And General | $1,194 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,708 | TotalAmt |
| Program Services | $4,708 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,220 | TotalAmt |
| Program Services | $29,220 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OUTSIDE PROFESSIONAL SERV | $217,149 | $217,149 | |
| MEDICINES & SUPPLIES | $85,721 | $85,721 | |
| OPERATING SUPPLIES | $64,534 | $64,534 | |
| LAB FEES & SUPPLIES | $59,767 | $59,767 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,900 | TotalAmt |
| Program Services | $147,869 | ProgramServicesAmt |
| Management And General | $17,031 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,476,981 | TotalAmt |
| Program Services | $1,301,045 | ProgramServicesAmt |
| Management And General | $175,936 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,094 | BOYAmt |
| EOY | $15,097 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,498 | BOYAmt |
| EOY | $37,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,015,522 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $551,591 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,637 | BOYAmt |
| EOY | $463,931 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,840 | BOYAmt |
| EOY | $5,840 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,069 | BOYAmt |
| EOY | $522,607 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,857 | BOYAmt |
| EOY | $34,428 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,000 | BOYAmt |
| EOY | $199,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,000 | BOYAmt |
| EOY | $15,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,857 | BOYAmt |
| EOY | $248,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,212 | BOYAmt |
| EOY | $274,179 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,212 | BOYAmt |
| EOY | $274,179 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,069 | BOYAmt |
| EOY | $522,607 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $95,967 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 Minus3 Years | $10,896 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,732 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,229 | CurrentTaxYearAmt |
| Total | $166,857 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,216,843 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,095,942 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,249,004 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,361,993 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,517,248 | CurrentTaxYearAmt |
| Total | $6,441,030 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,216,843 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,106,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,295,736 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,416,993 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,571,477 | CurrentTaxYearAmt |
| Total | $6,607,887 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,607,887 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,707 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,237 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,471 | CurrentTaxYearAmt |
| Total | $12,002 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,707 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,237 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,471 | CurrentTaxYearAmt |
| Total | $12,002 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,220,550 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,109,836 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,297,973 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,418,582 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,572,948 | CurrentTaxYearAmt |
| Total | $6,619,889 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | 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 | $40,000 | OtherCostOrOtherBasisAmt |
| Book Value | $40,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $770,118 | OtherCostOrOtherBasisAmt |
| Depreciation | $397,393 | DepreciationAmt |
| Book Value | $372,725 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $205,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $154,198 | DepreciationAmt |
| Book Value | $51,206 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $463,931 | TotalBookValueLandBuildingsAmt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| P BURKHOLDER | |||||||
| DIRECTOR | CASH FLOW NEEDS | Yes (X) | $100,000 | $100,000 | false | false | false |
| S KINSINGER | |||||||
| VICE-CHAIRMAN | CASH FLOW NEEDS | Yes (X) | $175,000 | $95,000 | false | false | false |
| H HOOVER | |||||||
| DIRECTOR | CASH FLOW NEEDS | Yes (X) | $8,000 | $4,000 | false | false | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $199,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART IX, LINE 24E | OUTSIDE PSYCHIATRIC SERVI 59,400 0 0 EMPLOYEE INSURANCE 45,956 0 0 CLEANING 16,376 0 0 INSURANCE 12,422 0 0 BANK FEES 0 8,702 0 REPAIRS & MAINTENANCE 8,253 0 0 TELEPHONE 5,137 0 0 FREIGHT & POSTAGE 0 2,899 0 LICENSES AND PERMITS 0 2,442 0 EDUCATION/SEMINARS 0 2,169 0 MISCELLANEOUS 0 513 0 OUTSIDE SERVICES 325 0 0 DUES & SUBSCRIPTIONS 0 306 0 |
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