WOMENS HEALTH CENTER OF WEST VIRGINIA INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WOMENS HEALTH CENTER OF WEST VIRGINIA INC (EIN 55-0559874)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-10-30
IRS object ID
201423039349301122
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-10-30T13:06:17-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARNETT FOSTER TOOTHMAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 908AddressLine1
CityBRIDGEPORTCity
StateWVState
ZIP Code26330ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550559874EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOMEN'S HEALTH CENTER OF WEST VIRGINIA INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWOMEBusinessNameControlTxt
Phone3043449834PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 20580AddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25362ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHARON LEWISPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3043449834PhoneNum
Signature2014-09-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM J BEHRENS CPAPreparerPersonNm
PTINP00089711PTIN
Phone3046245471PhoneNum
Preparation2014-09-23PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHARON LEWISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1510 WASHINGTON STREET WESTAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,487,330GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WHCWVA.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE WOMEN'S HEALTH CENTER IS TO PROVIDE AND TO ADVOCATE FOR ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES, ADDRESSING THE SPECIAL NEEDS OF WOMEN IN A MANNER THAT RESPECTS THEIR DIGNITY, RIGHT OF REPRODUCTIVE CHOICE, PERSONAL VALUES AND CONFIDENTIALITY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee48TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$364,737PYContributionsGrantsAmt
CY Contributions Grants$355,387CYContributionsGrantsAmt
PY Program Service Revenue$1,090,922PYProgramServiceRevenueAmt
CY Program Service Revenue$1,085,301CYProgramServiceRevenueAmt
PY Investment Income$4,871PYInvestmentIncomeAmt
CY Investment Income$46,642CYInvestmentIncomeAmt
PY Other Revenue$496PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,461,026PYTotalRevenueAmt
CY Total Revenue$1,487,330CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,075,160PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,058,044CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,096CYTotalFundraisingExpenseAmt
PY Other Expenses$464,614PYOtherExpensesAmt
CY Other Expenses$483,035CYOtherExpensesAmt
PY Total Expenses$1,539,774PYTotalExpensesAmt
CY Total Expenses$1,541,079CYTotalExpensesAmt
PY Revenues Less Expenses-$78,748PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$53,749CYRevenuesLessExpensesAmt
Total Assets BOY$1,070,380TotalAssetsBOYAmt
Total Assets EOY$1,014,896TotalAssetsEOYAmt
Total Liabilities BOY$174,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,127TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$895,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$841,769NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE WOMEN'S HEALTH CENTER IS TO PROVIDE AND TO ADVOCATE FOR ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES, ADDRESSING THE SPECIAL NEEDS OF WOMEN IN A MANNER THAT RESPECTS THEIR DIGNITY, RIGHT OF REPRODUCTIVE CHOICE, PERSONAL VALUES AND CONFIDENTIALITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,304,637ExpenseAmt
Revenue$1,131,943RevenueAmt
DescFAMILY PLANNING SERVICES PROVIDE BIRTH CONTROL COUNSELING AND SUPPLIES; PAP SMEARS AND PELVIC EXAMINATIONS TO LOW INCOME WOMEN. CANCER SCREENING SERVICES INCLUDE PAP SMEARS, PELVIC AND BREAST EXAMS, AND MAMMOGRAPHY AND COLONSCOPY REFERRALS. BOTH PROGRAMS SERVICE RESIDENTS OF THE KANAWHA COUNTY AND CONTIGUOUS COUNTIES. GYNECOLOGICAL SERVICES WERE PROVIDED PRIMARILY TO LOW INCOME AND UNINSURED WOMEN IN KANAWHA COUNTY AND CONTIGUOUS COUNTIES. RIGHT FROM THE START PROVIDES PREGNANCY SUPPORT CASE MANAGEMENT SERVICES TO HIGH-RISK, MEDICAID-ELIGIBLE PREGNANT WOMEN AND INFANTS IN KANAWHA COUNTY.Desc
Total Program Service Expenses$1,304,637TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee48EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HERMAN & CORMANY CPASBusinessNameLine1
FieldValueIRS element (for citing)
Phone3043452320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11031 QUARRIER STREETAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25301ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RITA RAY
DIRECTOR1.00Yes (X)$0$0$0
MATT BRANNON
DIRECTOR1.00Yes (X)$0$0$0
BARBARA MCCABE
TREASURER4.00Yes (X)$0$0$0
PHILIP ANGEL
DIRECTOR1.00Yes (X)$0$0$0
LYNN S CLARKE
VICE PRESIDENT4.00Yes (X)$0$0$0
BETTY JUSTICE
SECRETARY1.00Yes (X)$0$0$0
LAUREL M KIRKSEY
DIRECTOR1.00Yes (X)$0$0$0
ANN STOTTLEMYER
PRESIDENT4.00Yes (X)$0$0$0
ASHLEY R NEUTZLING
DIRECTOR1.00Yes (X)$0$0$0
KASEY RUSSELL
DIRECTOR1.00Yes (X)$0$0$0
LEAH R TOLLIVER
DIRECTOR1.00Yes (X)$0$0$0
AMY SWANN
DIRECTOR1.00Yes (X)$0$0$0
KIM BARBER TIEMAN
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$207,452GovernmentGrantsAmt
All Other Contributions$147,935AllOtherContributionsAmt
Total Contributions$355,387TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621110BusinessCd
Total Revenue Column$1,085,301TotalRevenueColumnAmt
Related Or Exempt Func Income$1,085,301RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,085,301TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,642TotalRevenueColumnAmt
Related Or Exempt Func Income$46,642RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,487,330TotalRevenueColumnAmt
Related Or Exempt Func Income$1,131,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$877,876TotalAmt
Program Services$783,004ProgramServicesAmt
Management And General$94,872ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,985TotalAmt
Program Services$7,711ProgramServicesAmt
Management And General$2,274ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$96,123TotalAmt
Program Services$85,958ProgramServicesAmt
Management And General$10,165ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$74,060TotalAmt
Program Services$57,776ProgramServicesAmt
Management And General$16,284ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,400TotalAmt
Management And General$51,400ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,007TotalAmt
Program Services$9,596ProgramServicesAmt
Management And General$1,411ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,501TotalAmt
Program Services$27,292ProgramServicesAmt
Management And General$9,209ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$77,724TotalAmt
Program Services$65,804ProgramServicesAmt
Management And General$11,920ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,929TotalAmt
Program Services$10,323ProgramServicesAmt
Management And General$606ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,592TotalAmt
Program Services$7,793ProgramServicesAmt
Management And General$799ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,937TotalAmt
Program Services$969ProgramServicesAmt
Management And General$968ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$46,868TotalAmt
Program Services$23,434ProgramServicesAmt
Management And General$23,434ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,471TotalAmt
Program Services$13,150ProgramServicesAmt
Management And General$2,321ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHER EXPENSESDesc
Total$222,606TotalAmt
Program Services$211,827ProgramServicesAmt
Management And General$9,683ManagementAndGeneralAmt
Fundraising$1,096FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,541,079TotalAmt
Program Services$1,304,637ProgramServicesAmt
Management And General$235,346ManagementAndGeneralAmt
Fundraising$1,096FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$148,392BOYAmt
EOY$96,487EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$99,842BOYAmt
EOY$108,045EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$27,087BOYAmt
EOY$34,021EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,392BOYAmt
EOY$36,327EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,377,418LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$695,210LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$713,240BOYAmt
EOY$682,208EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,427BOYAmt
EOY$56,883EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$925EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,070,380BOYAmt
EOY$1,014,896EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$145,205BOYAmt
EOY$132,390EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,018BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,639BOYAmt
EOY$40,737EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$174,862BOYAmt
EOY$173,127EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$895,518BOYAmt
EOY$841,769EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$895,518BOYAmt
EOY$841,769EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,070,380BOYAmt
EOY$1,014,896EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$53,749ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,507OtherCostOrOtherBasisAmt
Book Value$199,507BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$775,096OtherCostOrOtherBasisAmt
Depreciation$387,956DepreciationAmt
Book Value$387,140BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$402,815OtherCostOrOtherBasisAmt
Depreciation$307,254DepreciationAmt
Book Value$95,561BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$682,208TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,487,330TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,487,330RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,487,330TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,541,079TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,541,079ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,541,079TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR.

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