REPRODUCTIVE HEALTH CARE CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
REPRODUCTIVE HEALTH CARE CENTER (EIN 95-3447973)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201421369349300102
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T21:24:51-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN953535236EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GALGAS RUSSELL WEBER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121700 OXNARD STREET SUITE 1950AddressLine1
CityWOODLAND HILLSCity
StateCAState
ZIP Code913673642ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953447973EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REPRODUCTIVE HEALTH CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREPRNameControl
Phone7148700717Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 S BROOKHURST ROADAddressLine1
CityFULLERTONCity
StateCAState
ZIP Code92833ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROSILEE GAMBOAName
TitleEXECUTIVE DIRECTORTitle
Phone7148700717Phone
Date Signed2014-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRANDY S GALGASName
PTINP00223048PTIN
Phone8184446700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SIERRA HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonROSILEE GAMBOANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1501 S BROOKHURST ROADAddressLine1
CityFULLERTONCity
StateCAState
ZIP Code92833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3223292GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPREHENSIVE HEALTHCARE THAT IS ACCESSIBLE TO THE UNDERSERVED AND INDIGENT POPULATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees59TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year451800ContributionsGrantsPriorYear
Contributions Grants Current Year440246ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2883895ProgramServiceRevenuePriorYear
Program Service Revenue CY2773732ProgramServiceRevenueCY
Investment Income Prior Year4152InvestmentIncomePriorYear
Investment Income Current Year9314InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3339847TotalRevenuePriorYear
Total Revenue Current Year3223292TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1557607SalariesEtcPriorYear
Salaries Etc Current Year1722070SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year48413TotalFundrsngExpCurrentYear
Other Expense Prior Year1542001OtherExpensePriorYear
Other Expenses Current Year1550412OtherExpensesCurrentYear
Total Expenses Prior Year3099608TotalExpensesPriorYear
Total Expenses Current Year3272482TotalExpensesCurrentYear
Revenues Less Expenses Prior Year240239RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-49190RevenuesLessExpensesCY
Total Assets BOY3894459TotalAssetsBOY
Total Assets EOY3832674TotalAssetsEOY
Total Liabilities BOY170494TotalLiabilitiesBOY
Total Liabilities EOY158105TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3723965NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3674569NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPREHENSIVE HEALTHCARE THAT IS ACCESSIBLE TO THE UNDERSERVED AND INDIGENT POPULATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2993444Expense
Revenue2773732Revenue
DescriptionOB/GYN RELATED SERVICES, INCLUDING PRENATAL CARE, BIRTH CONTROL METHODS, STD TREATMENT, CANCER SCREENING, LAB AND DIAGNOSTIC TESTING, COUNSELING, EDUCATION AND REFERRALS.FAMILY HEALTH SERVICES FOR CHILDREN, ADULTS AND ELDERLY, INCLUDING MD EXAMS, CONSULTATIONS, PREVENTIVE CARE, LAB AND DIAGNOSTIC TESTING, IMMUNIZATIONS, CASE MGMT, PATIENT EDUCATION AND REFERRALS.Description
Total Program Service Expense2993444TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees59NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EXECUTIVE DIRECTOR REPRODUCTIVE HEALTHCARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7148700717TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 S BROOKHURST RDAddressLine1
CityFULLERTONCity
StateCAState
ZIP Code92833ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROSILEE GAMBOA
CEO/EXECUTIVE DIRECTOR40.00XX8600000
BOB L KEENEY
SECRETARY/TREASURER1.00XX000
BRIAN MIZUNO
DIRECTOR1.00X000
AKIN ODEBUNMI PHD
DIRECTOR1.00X000
THOMAS BARROW MS CLS
DIRECTOR1.00X000
MICHAEL DELANEY
DIRECTOR1.00X000
DIANE L ALLEN
NURSE PRACTITIONER40.0010147800X
EDGAR FLORES
PHYSICIAN40.0014075200X
SUDHA SHARMA
PHYSICIAN ASSISTANT40.0010845800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org436688TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions440246AllOtherContributions
Noncash Contributions185910NoncashContributions
Total Contributions440246TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES62130027582072758207
OTHER INCOME6241001552515525
FieldValueIRS element (for citing)
Total Program Service Revenue2773732TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9314TotalRevenueColumn
Exclusion$9,314ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3223292TotalRevenueColumn
Related Or Exempt Function Income2773732RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,314ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total436688Total
Program Services350688ProgramServices
Management And General86000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1086198Total
Program Services964034ProgramServices
Management And General122164ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total66957Total
Program Services66957ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total132227Total
Program Services132227ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75282Total
Program Services75282ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3067Total
Program Services3067ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total48413Total
Fundraising48413Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total93835Total
Program Services86340ProgramServices
Management And General7495ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total246430Total
Program Services246430ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total25489Total
Program Services25489ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26517Total
Program Services21986ProgramServices
Management And General4531ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total166405Total
Program Services155970ProgramServices
Management And General10435ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CONTRACT SERVICES322333322333
MEDICAL & LAB SUPPLIES276795276795
BAD DEBTS221172221172
REPAIR & MAINTENANCE3019630196

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14478Total
Program Services14478ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3272482Total
Program Services2993444ProgramServices
Management And General230625ManagementAndGeneral
Fundraising48413Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY652532BOY
EOY612446EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY496689BOY
EOY496417EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY592107BOY
EOY585853EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY29070BOY
EOY14732EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1606098LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec296902LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1062561BOY
EOY1309196EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1054341BOY
EOY806871EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7159BOY
EOY7159EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3894459BOY
EOY3832674EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY72126BOY
EOY53101EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY98368BOY
EOY105004EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY170494BOY
EOY158105EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3723965BOY
EOY3674569EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3723965BOY
EOY3674569EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3894459BOY
EOY3832674EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-49190ReconcilationRevenueExpenses
Reconcilation Other Changes-206ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years545769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years437036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years525571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year451800CurrentTaxYearMinus1Year
Current Tax Year440246CurrentTaxYear
Total2400422Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2707767CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2421520CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2501346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2883895CurrentTaxYearMinus1Year
Current Tax Year2773732CurrentTaxYear
Total13288260Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3253536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2858556CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3026917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3335695CurrentTaxYearMinus1Year
Current Tax Year3213978CurrentTaxYear
Total15688682Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50915688682PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17165CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4152CurrentTaxYearMinus1Year
Current Tax Year9314CurrentTaxYear
Total34657Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17165CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4152CurrentTaxYearMinus1Year
Current Tax Year9314CurrentTaxYear
Total34657Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3270701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2861094CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3028405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3339847CurrentTaxYearMinus1Year
Current Tax Year3223292CurrentTaxYear
Total15723339Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99780PublicSupportPercentage509
Prior Year Support Percentage0.99510PriorYearSupportPercentage
Investment Income Percentage0.00220InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00490PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis675000OtherCostOrOtherBasis
Book Value675000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis356330OtherCostOrOtherBasis
Depreciation51249Depreciation
Book Value305081BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis67860OtherCostOrOtherBasis
Depreciation37948Depreciation
Book Value29912BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis293733OtherCostOrOtherBasis
Depreciation174989Depreciation
Book Value118744BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis213175OtherCostOrOtherBasis
Depreciation32716Depreciation
Book Value180459BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1309196TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCERTIFICATES OF DEPOSITDescription
Book Value806871BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities806871TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED PAYROLL & RELATED EXPENSESDescription
Amount$105,004Amount
FieldValueIRS element (for citing)
Total Of Amounts105004TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt3223292TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3223292RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903223292TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3272688TotExpensesEtcAuditedFinclStmt
Other Expenses Included206OtherExpensesIncluded
Expenses Not Rptd F990206ExpensesNotRptdF990
Expenses Subtotal3272482ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903272482TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART XII, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationGAAP/TAX DEPRECIATION ADJUSTMENT 206.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XSOFTWARE119798FMV
XEQUIPMENT & FURNITURE55810FMV
XMEDICAL SUPPLIES10302FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE CHIEF EXECUTIVE OFFICER WILL REVIEW THE FORM 990 FIRST BEFORE IT IS FILED. THE BOARD WILL REVIEW THE FORM 990 AT THE FOLLOWING MEETING.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AVAILABLE FOR REVIEW UPON REQUEST.
FORM 990, PART XI, LINE 9:GAAP/TAX DEPRECIATION ADJUSTMENT -206.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT REVIEW PROCEDURES OR ITS SELECTION PROCESS DURING THE TAX YEAR.

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