ST CROIX REGIONAL FAMILY HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ST CROIX REGIONAL FAMILY HEALTH CENTER (EIN 01-0467073)
Tax period: 2012-04-01 to 2013-03-31
Filed: 2014-02-13
IRS object ID: 201410449349300326
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-13T09:22:01-06:00	Timestamp
Tax Period End Date	2013-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	010442893	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RON L BEAULIEU & CO CPAs	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	41 BATES STREET	AddressLine1
City	PORTLAND	City
State	ME	State
ZIP Code	04103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	010467073	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Croix Regional Family Health Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STCR	NameControl
Phone	2077965014	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	136 Mill Street	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Harry Bailey	Name
Title	Chair	Title
Phone	2077965014	Phone
Date Signed	2014-02-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Ron L Beaulieu CPA	Name
PTIN	P00291424	PTIN
Phone	2077751717	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Harry Bailey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	136 Mill Street	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	947912	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1991	YearFormation
State Legal Domicile	ME	StateLegalDomicile
Activity Or Mission Description	Primary health care services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	12	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1130843	ProgramServiceRevenuePriorYear
Program Service Revenue CY	944408	ProgramServiceRevenueCY
Investment Income Prior Year	287	InvestmentIncomePriorYear
Investment Income Current Year	205	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1168	OtherRevenuePriorYear
Other Revenue Current Year	3299	OtherRevenueCurrentYear
Total Revenue Prior Year	1132298	TotalRevenuePriorYear
Total Revenue Current Year	947912	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	625598	SalariesEtcPriorYear
Salaries Etc Current Year	570346	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	425706	OtherExpensePriorYear
Other Expenses Current Year	424042	OtherExpensesCurrentYear
Total Expenses Prior Year	1051304	TotalExpensesPriorYear
Total Expenses Current Year	994388	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	80994	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-46476	RevenuesLessExpensesCY
Total Assets BOY	1426200	TotalAssetsBOY
Total Assets EOY	1357336	TotalAssetsEOY
Total Liabilities BOY	352111	TotalLiabilitiesBOY
Total Liabilities EOY	329723	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1074089	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1027613	NetAssetsOrFundBalancesEOY
Mission Description	Primary health care services.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	538839	Expense
Revenue	947707	Revenue
Description	Providing medical services for the residents of the downeast region of Maine.	Description
Total Program Service Expense	538839	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	12	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	12	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Corinne LaPlant	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2077965014	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	136 Mill Street	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
Harry Bailey
Chair	2.00	X	X	0	0	0
Arlene Borm
Vice Chair	2.00	X	X	0	0	0
David Borm
Secretary/Treasurer	2.00	X	X	0	0	0
Linda Bailey
Member	2.00	X		0	0	0
Charles Murphy
Member	2.00	X		0	0	0
Nancy Marshall
Member	2.00	X		0	0	0
Sandra Bailey
Member	2.00	X		0	0	0
Michael Marshall
Member	2.00	X		0	0	0
Angela Hanson
Member	2.00	X		0	0	0
Susan Murphy
Member	2.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient fees	621110	607321	607321
Medicaid/Medicare	621110	337087	337087

Field	Value	IRS element (for citing)
Total Program Service Revenue	944408	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	205	TotalRevenueColumn
Exclusion	$205	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other income	Description
Business Code	561000	BusinessCode
Total Revenue Column	3299	TotalRevenueColumn
Related Or Exempt Function Income	3299	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3299	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	947912	TotalRevenueColumn
Related Or Exempt Function Income	947707	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$205	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	474117	Total
Program Services	244329	ProgramServices
Management And General	229788	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9608	Total
Program Services	1626	ProgramServices
Management And General	7982	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	45487	Total
Management And General	45487	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	41134	Total
Program Services	18297	ProgramServices
Management And General	22837	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1688	Total
Management And General	1688	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2844	Total
Management And General	2844	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	28307	Total
Program Services	23398	ProgramServices
Management And General	4909	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	29781	Total
Program Services	26464	ProgramServices
Management And General	3317	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	306	Total
Program Services	306	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	957	Total
Program Services	371	ProgramServices
Management And General	586	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	16418	Total
Program Services	16418	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	107406	Total
Program Services	65627	ProgramServices
Management And General	41779	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12405	Total
Program Services	12405	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Contracted and purchase	126572	126572
Utilities	30262	30262
Maintenance and repairs	21804	21804
Equipment expense	11053		11053

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	34239	Total
Program Services	-49040	ProgramServices
Management And General	83279	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	994388	Total
Program Services	538839	ProgramServices
Management And General	455549	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	95982	BOY
EOY	139451	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	78085	BOY
EOY	71336	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8449	BOY
EOY	9132	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1742654	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	637470	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1206915	BOY
EOY	1105184	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	36769	BOY
EOY	32233	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1426200	BOY
EOY	1357336	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	62713	BOY
EOY	57483	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	289398	BOY
EOY	272240	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	352111	BOY
EOY	329723	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1043692	BOY
EOY	997061	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	30397	BOY
EOY	30552	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1074089	BOY
EOY	1027613	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1426200	BOY
EOY	1357336	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-46476	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	0	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	518494	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	407174	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	489006	CurrentTaxYearMinus1Year
Current Tax Year	337087	CurrentTaxYear
Total	1751761	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	935780	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	654368	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	587997	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	641837	CurrentTaxYearMinus1Year
Current Tax Year	607321	CurrentTaxYear
Total	3427303	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	935780	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1172862	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	995171	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1130843	CurrentTaxYearMinus1Year
Current Tax Year	944408	CurrentTaxYear
Total	5179064	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	5179064	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1225	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	596	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	346	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	287	CurrentTaxYearMinus1Year
Current Tax Year	205	CurrentTaxYear
Total	2659	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1225	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	596	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	346	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	287	CurrentTaxYearMinus1Year
Current Tax Year	205	CurrentTaxYear
Total	2659	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1966	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2410	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	466	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1168	CurrentTaxYearMinus1Year
Current Tax Year	3299	CurrentTaxYear
Total	9309	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	938971	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1175868	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	995983	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1132298	CurrentTaxYearMinus1Year
Current Tax Year	947912	CurrentTaxYear
Total	5191032	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99770	PublicSupportPercentage509
Prior Year Support Percentage	0.99760	PriorYearSupportPercentage
Investment Income Percentage	0.00050	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00080	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22249	OtherCostOrOtherBasis
Book Value	22249	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1232869	OtherCostOrOtherBasis
Depreciation	529073	Depreciation
Book Value	703796	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	437769	OtherCostOrOtherBasis
Depreciation	108397	Depreciation
Book Value	329372	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	49767	OtherCostOrOtherBasis
Book Value	49767	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1105184	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	947912	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	947912	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	947912	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	994388	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	994388	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	994388	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Section A, line 2	Arlene and David Borm have a family relationship. Harry and Sandra Bailey have a family relationship. Michael and Nancy Marshall have a family relationship. Charles and Susan Murphy have a family relationship.
Form 990, Part VI, Section B, line 11	The Board Treasurer reviews the 990 and provides a copy to all the Board Members, before it is submitted to the IRS.
Form 990, Part VI, Section B, line 12c	Each Board Member must read the conflict of interest policy and each Member must sign off that they understand the policy.
Form 990, Part VI, Section C, line 19	All documents are available to the public.