ST CROIX REGIONAL FAMILY HEALTH CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST CROIX REGIONAL FAMILY HEALTH CENTER (EIN 01-0467073)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2013-02-15
- IRS object ID
- 201300469349302200
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2013-02-15T13:33:38-06:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | 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 | 2011-04-01 | 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 | 2013-02-12 | 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 | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | 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 | 1132298 | 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 | 14 | 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 | 995171 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1130843 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 346 | InvestmentIncomePriorYear |
| Investment Income Current Year | 287 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 466 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1168 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 995983 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1132298 | 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 | 525573 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 625598 | 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 | 374356 | OtherExpensePriorYear |
| Other Expenses Current Year | 425706 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 899929 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1051304 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 96054 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 80994 | RevenuesLessExpensesCY |
| Total Assets BOY | 1395925 | TotalAssetsBOY |
| Total Assets EOY | 1426200 | TotalAssetsEOY |
| Total Liabilities BOY | 402830 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 352111 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 993095 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1074089 | NetAssetsOrFundBalancesEOY |
| Mission Description | Primary health care services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 571775 | Expense |
| Revenue | 1132011 | Revenue |
| Description | Providing medical services for the residents of the downeast region of Maine. | Description |
| Total Program Service Expense | 571775 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| 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 | 14 | 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 | Sharon Bhadelia | 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 | 641837 | 641837 |
| Medicaid/Medicare | 621110 | 489006 | 489006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1130843 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 287 | TotalRevenueColumn |
| Exclusion | $287 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other income | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 1168 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1168 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1168 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1132298 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1132011 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $287 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 521492 | Total |
| Program Services | 270093 | ProgramServices |
| Management And General | 251399 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9342 | Total |
| Program Services | 1395 | ProgramServices |
| Management And General | 7947 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49371 | Total |
| Management And General | 49371 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45393 | Total |
| Program Services | 20091 | ProgramServices |
| Management And General | 25302 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18107 | Total |
| Management And General | 18107 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4660 | Total |
| Management And General | 4660 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29510 | Total |
| Program Services | 24428 | ProgramServices |
| Management And General | 5082 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32985 | Total |
| Program Services | 26766 | ProgramServices |
| Management And General | 6219 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1009 | Total |
| Program Services | 1009 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 832 | Total |
| Program Services | 663 | ProgramServices |
| Management And General | 169 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13836 | Total |
| Program Services | 13836 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95221 | Total |
| Program Services | 63887 | ProgramServices |
| Management And General | 31334 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11880 | Total |
| Program Services | 11880 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Contracted and purchase | 132719 | 132719 | |
| Utilities | 27139 | 27139 | |
| Maintenance and repairs | 21705 | 21705 | |
| Indirect allocation | 0 | -50826 | 50826 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36103 | Total |
| Program Services | 6990 | ProgramServices |
| Management And General | 29113 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1051304 | Total |
| Program Services | 571775 | ProgramServices |
| Management And General | 479529 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88940 | BOY |
| EOY | 95982 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69154 | BOY |
| EOY | 78085 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10411 | BOY |
| EOY | 8449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1736978 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 530063 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1190908 | BOY |
| EOY | 1206915 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36512 | BOY |
| EOY | 36769 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395925 | BOY |
| EOY | 1426200 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61960 | BOY |
| EOY | 62713 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31733 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 309137 | BOY |
| EOY | 289398 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 402830 | BOY |
| EOY | 352111 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 962895 | BOY |
| EOY | 1043692 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30200 | BOY |
| EOY | 30397 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 993095 | BOY |
| EOY | 1074089 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1395925 | BOY |
| EOY | 1426200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 80994 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 Minus2 Years | 518494 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 407174 | CurrentTaxYearMinus1Year |
| Current Tax Year | 489006 | CurrentTaxYear |
| Total | 1414674 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1026881 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 935780 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 654368 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 587997 | CurrentTaxYearMinus1Year |
| Current Tax Year | 641837 | CurrentTaxYear |
| Total | 3846863 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1026881 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 935780 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1172862 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 995171 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1130843 | CurrentTaxYear |
| Total | 5261537 | 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 | 5261537 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1630 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1225 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 596 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 346 | CurrentTaxYearMinus1Year |
| Current Tax Year | 287 | CurrentTaxYear |
| Total | 4084 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1630 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1225 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 596 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 346 | CurrentTaxYearMinus1Year |
| Current Tax Year | 287 | CurrentTaxYear |
| Total | 4084 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2771 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1966 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2410 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 466 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1168 | CurrentTaxYear |
| Total | 8781 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1031282 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 938971 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1175868 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 995983 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1132298 | CurrentTaxYear |
| Total | 5274402 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99760 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98990 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00080 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00110 | 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 | 463446 | Depreciation |
| Book Value | 769423 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 437002 | OtherCostOrOtherBasis |
| Depreciation | 66617 | Depreciation |
| Book Value | 370385 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44858 | OtherCostOrOtherBasis |
| Book Value | 44858 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1206915 | TotalOfBookValueLandBuildings |
| Total Revenue | 1132298 | TotalRevenue |
| Total Expenses | 1051304 | TotalExpenses |
| Excess Or Deficit For Year | 80994 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 80994 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1132298 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1132298 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1132298 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1051304 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1051304 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1051304 | 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. |