APPALACHIAN COMMUNITY HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- APPALACHIAN COMMUNITY HEALTH CENTER INC (EIN 55-0483699)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-12-19
- IRS object ID
- 201433539349300623
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-12-19T12:47:29-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550538163 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTLE & STALNAKER PLLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1411 VIRGINIA ST E STE 100 | AddressLine1 |
| City | CHARLESTON | City |
| State | WV | State |
| ZIP Code | 25301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550483699 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPALACHIAN COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APPA | BusinessNameControlTxt |
| Phone | 3046363232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 YOKUM STREET | AddressLine1 |
| City | ELKINS | City |
| State | WV | State |
| ZIP Code | 26241 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD KILEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3046363232 | PhoneNum |
| Signature | 2014-12-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HORACE W EMERY CPA | PreparerPersonNm |
| PTIN | P00050159 | PTIN |
| Phone | 3043434126 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD KILEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 YOKUM STREET | AddressLine1 |
| City | ELKINS | City |
| State | WV | State |
| ZIP Code | 26241 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,939,725 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACHCINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF APPALACHIAN COMMUNITY HEALTH CENTER IS TO IDENTIFY, RESPOND AND SERVE THE BEHAVIORAL HEALTH NEEDS AND PROMOTE PHYSICAL, SOCIAL, EMOTIONAL AND INTELLECTUAL WELL-BEING OF CONSUMERS AND THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 123 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,537,335 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,485,355 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,538,387 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,439,567 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,248 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,276 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,933 | PYOtherRevenueAmt |
| CY Other Revenue | $10,527 | CYOtherRevenueAmt |
| PY Total Revenue | $4,090,903 | PYTotalRevenueAmt |
| CY Total Revenue | $3,939,725 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,847,930 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,681,215 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $977,832 | PYOtherExpensesAmt |
| CY Other Expenses | $974,024 | CYOtherExpensesAmt |
| PY Total Expenses | $3,825,762 | PYTotalExpensesAmt |
| CY Total Expenses | $3,655,239 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $265,141 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $284,486 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,742,254 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,923,737 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,653,036 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,765,546 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,089,218 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,158,191 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PURPOSE OF THE ORGANIZATION IS TO PROVIDE COMPREHENSIVE COMMUNITY BEHAVIORAL HEALTH SERVICES TO THE LOCAL COMMUNITY INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE AND MENTAL RETARDATION/DEVELOPMENTAL DISABILITY SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,101,012 | ExpenseAmt |
| Revenue | $1,526,083 | RevenueAmt |
| Desc | WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $327,100 | ExpenseAmt |
| Revenue | $132,952 | RevenueAmt |
| Desc | SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE MET | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $336,303 | ExpenseAmt |
| Revenue | $264,282 | RevenueAmt |
| Desc | CLINICAL & REHABILITATION - PROGRAMS DIRECTED TOWARD CLINICAL REHABILITATION SERVICES FOR ELIGIBLE INDIVIDUALS | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,154,688 | ExpenseAmt |
| Revenue | $516,250 | RevenueAmt |
| Desc | MEDICAL SERVICES - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH PROFESSIONAL TREATMENT SERVICESYOUTH PROGRAMS - PROGRAMS FOCUSED ON THE MENTAL AND PHYSICAL WELL-BEING OF YOUTHCRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMSSERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS NEEDS ARE METOTHER PROGRAMS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,154,688 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $516,250 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,919,103 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 123 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD KILEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3046363232 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 YOKUM STREET | AddressLine1 |
| City | ELKINS | City |
| State | WV | State |
| ZIP Code | 26241 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| BRENDA DASHER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES SAYERS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEANNA HOVEY | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES FARRY | ||||||
| EXECUTIVE COMMITTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD NIDA JR | ||||||
| EXECUTIVE COMMITTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DENISE CAMPBELL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL GABEL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CINDY DEMOTTO | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JACQUELINE BURNS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| VIRGINIA MERSON | ||||||
| SECRETARY/TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | |
| THREASIA WITT | ||||||
| PRESIDENT | 2.00 | $0 | $0 | $0 | Yes (X) | |
| RICHARD KILEY | ||||||
| EXECUTIVE DIRECTOR | 40.00 | $79,996 | $0 | $5,400 | Yes (X) | |
| JOY MESSENGER | ||||||
| ASSOCIATE DIRECTOR | 40.00 | $84,540 | $0 | $12,022 | Yes (X) | |
| JAMES FARRELL | ||||||
| VICE PRESIDENT | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $164,536 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,422 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,485,355 | GovernmentGrantsAmt |
| Total Contributions | $1,485,355 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLIENT FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,439,567 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,439,567 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,439,567 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,276 | TotalRevenueColumnAmt |
| Exclusion | $4,276 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $10,527 | TotalRevenueColumnAmt |
| Exclusion | $10,527 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,527 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,939,725 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,439,567 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,803 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,958 | TotalAmt |
| Program Services | $145,566 | ProgramServicesAmt |
| Management And General | $36,392 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,852,556 | TotalAmt |
| Program Services | $1,518,871 | ProgramServicesAmt |
| Management And General | $333,685 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,152 | TotalAmt |
| Program Services | $182,522 | ProgramServicesAmt |
| Management And General | $45,630 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,012 | TotalAmt |
| Program Services | $189,610 | ProgramServicesAmt |
| Management And General | $47,402 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,537 | TotalAmt |
| Program Services | $143,518 | ProgramServicesAmt |
| Management And General | $38,019 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,953 | TotalAmt |
| Management And General | $1,953 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,645 | TotalAmt |
| Management And General | $50,645 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,013 | TotalAmt |
| Program Services | $204,549 | ProgramServicesAmt |
| Management And General | $22,464 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,757 | TotalAmt |
| Program Services | $35,461 | ProgramServicesAmt |
| Management And General | $14,296 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,486 | TotalAmt |
| Program Services | $170,302 | ProgramServicesAmt |
| Management And General | $48,184 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,330 | TotalAmt |
| Program Services | $76,128 | ProgramServicesAmt |
| Management And General | $2,202 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,516 | TotalAmt |
| Program Services | $32,567 | ProgramServicesAmt |
| Management And General | $1,949 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,377 | TotalAmt |
| Program Services | $90,394 | ProgramServicesAmt |
| Management And General | $28,983 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVIDER TAX | $100,285 | $80,062 | $20,223 |
| MEDICAL SUPPLIES & FOOD | $38,974 | $28,276 | $10,698 |
| POSTAGE & FREIGHT | $8,888 | $8,811 | $77 |
| AGENCY DUES | $7,811 | $7,811 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,989 | TotalAmt |
| Program Services | $12,466 | ProgramServicesAmt |
| Management And General | $25,523 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,655,239 | TotalAmt |
| Program Services | $2,919,103 | ProgramServicesAmt |
| Management And General | $736,136 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,094,511 | BOYAmt |
| EOY | $1,033,429 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $915,000 | BOYAmt |
| EOY | $915,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,618 | BOYAmt |
| EOY | $320,348 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,050 | BOYAmt |
| EOY | $342,910 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,070 | BOYAmt |
| EOY | $1,436 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,079 | BOYAmt |
| EOY | $74,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,945,408 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,709,586 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,926 | BOYAmt |
| EOY | $235,822 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,742,254 | BOYAmt |
| EOY | $2,923,737 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $336,168 | BOYAmt |
| EOY | $328,571 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,316,868 | BOYAmt |
| EOY | $1,436,975 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653,036 | BOYAmt |
| EOY | $1,765,546 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,089,218 | BOYAmt |
| EOY | $1,158,191 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,089,218 | BOYAmt |
| EOY | $1,158,191 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,742,254 | BOYAmt |
| EOY | $2,923,737 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $284,486 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$215,513 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,542,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,723,984 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,644,001 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,537,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,485,355 | CurrentTaxYearAmt |
| Total | $7,933,541 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,030,146 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,918,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,501,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,538,387 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,439,567 | CurrentTaxYearAmt |
| Total | $11,427,909 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,573,012 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,642,358 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,145,436 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,075,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,924,922 | CurrentTaxYearAmt |
| Total | $19,361,450 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,361,450 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,610 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,681 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,248 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,276 | CurrentTaxYearAmt |
| Total | $54,935 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,610 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,681 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,248 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,276 | CurrentTaxYearAmt |
| Total | $54,935 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,093 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$1,304 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,933 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,527 | CurrentTaxYearAmt |
| Total | $97,613 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,599,986 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,730,132 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,153,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,090,903 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,939,725 | CurrentTaxYearAmt |
| Total | $19,513,998 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99220 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99040 | PublicSupportPY509Pct |
| Investment Income CY | 0.00280 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00430 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,276 | OtherCostOrOtherBasisAmt |
| Book Value | $114,276 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,074,640 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,026,643 | DepreciationAmt |
| Book Value | $47,997 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,289,146 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,276,973 | DepreciationAmt |
| Book Value | $12,173 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $467,346 | OtherCostOrOtherBasisAmt |
| Depreciation | $405,970 | DepreciationAmt |
| Book Value | $61,376 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $235,822 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LIABILITY FOR PENSION BENEFITS | Desc |
| Amt | $1,436,975 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,436,975 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,939,725 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,939,725 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,939,725 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,655,239 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,655,239 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,655,239 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEWED BY FINANCE COMMITTEE PRIOR TO FILING, IF PRACTICAL, OTHERWISE REVIEWED AFTER FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED AS NECESSARY |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPARABLE STUDIES MADE BY EXECUTIVE COMMITTEE OF BOARD PERIODICALLY |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XI, LINE 9: | PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -215,513. |
| FORM 990, PART XI, LINE 2C EXPLANATION: | NO CHANGE IN PROCESS FROM PRIOR YEAR. |
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