VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-09
IRS object ID
201303439349300700
Schema version
2012v2.0
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)
Timestamp2013-12-09T07:34:24-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY HORNE CPA & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1732 WEST MAIN STREETAddressLine1
CityLEBANONCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTHCARE SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone7063229599Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARAH LANGName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7063229599Phone
Date Signed2013-12-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2013-12-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSARAH LANGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING RDAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4938927GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees83TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year8058603ContributionsGrantsPriorYear
Contributions Grants Current Year2436149ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2227895ProgramServiceRevenuePriorYear
Program Service Revenue CY2502773ProgramServiceRevenueCY
Investment Income Current Year5InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10286498TotalRevenuePriorYear
Total Revenue Current Year4938927TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3093472SalariesEtcPriorYear
Salaries Etc Current Year3391127SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1269127OtherExpensePriorYear
Other Expenses Current Year2093596OtherExpensesCurrentYear
Total Expenses Prior Year4362599TotalExpensesPriorYear
Total Expenses Current Year5484723TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5923899RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-545796RevenuesLessExpensesCY
Total Assets BOY10911865TotalAssetsBOY
Total Assets EOY10719790TotalAssetsEOY
Total Liabilities BOY3147772TotalLiabilitiesBOY
Total Liabilities EOY3501493TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7764093NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7218297NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3637717Expense
Revenue2502773Revenue
DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 39,500 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense3637717TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees83NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSARAH LANGNamePerson
Telephone Number7063229599TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PHILLIP W ALDRIDGE
CHAIRMAN1.00X000
MATTIE K WRIGHT
SECRETARY1.00X000
VIRGINIA DICKERSON
VICE CHAIRMAN1.00X000
TONY WHITEHURST
TREASURER1.00X000
ROBERT W PATRICK
BOARD MEMBER1.00X000
KARON BUSH
BOARD MEMBER1.00X000
LASHUN SCOTT
BOARD MEMBER1.00X000
JOSEPH LEFCOURT
BOARD MEMBER1.00X000
MIKE MAYHEW
BOARD MEMBER1.00X000
DOROTHY MABRY
BOARD MEMBER1.00X000
CARLOS HUERTAS
BOARD MEMBER1.00X000
SARAH LANG
CHIEF EXECUTIVE OFFICER40.009763501399X
JENNIFER MELVIN
CHIEF FINANCIAL OFFICER40.0062129016901X
JUDITH BENNETT
PHYSICIAN40.00164737012928X
KIMBERLY BROWN-GULLATT
PHYSICIAN401495276282X
ANITA NEITA
PHYSICIAN4014416210143X
WANDA GUY-CRAFT
PHYSICIAN4013680215941X
JULIANE REYNOLDS
PHYSICIAN4011057511438X
FieldValueIRS element (for citing)
Total Reportable Comp From Org865567TotalReportableCompFromOrg
Total Other Compensation75032TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BATSON & COOK
PO BOX 554WEST POINTGA31833CONSTRUCTION420491
MEDCARE STAFFING
7452 SHADY GLEN DRIVEFLOWERY BRANCHGA30542LOCUM SERVICE100076
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants2124024GovernmentGrants
All Other Contributions312125AllOtherContributions
Total Contributions2436149TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column2502773TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue2502773TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5TotalRevenueColumn
Exclusion$5ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4938927TotalRevenueColumn
Related Or Exempt Function Income2502773RelatedOrExemptFunctionIncome
Exclusion$5ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total159764Total
Program Services0ProgramServices
Management And General159764ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2667595Total
Program Services2012807ProgramServices
Management And General654788ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total376825Total
Program Services297557ProgramServices
Management And General79268ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total186943Total
Program Services134599ProgramServices
Management And General52344ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12055Total
Program Services0ProgramServices
Management And General12055ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17250Total
Program Services0ProgramServices
Management And General17250ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total418063Total
Program Services230256ProgramServices
Management And General187807ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total568984Total
Program Services257918ProgramServices
Management And General311066ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total106030Total
Program Services0ProgramServices
Management And General106030ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total281592Total
Program Services216773ProgramServices
Management And General64819ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total106336Total
Program Services57976ProgramServices
Management And General48360ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total14549Total
Program Services11639ProgramServices
Management And General2910ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total561794Total
Program Services411249ProgramServices
Management And General150545ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6943Total
Program Services6943ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5484723Total
Program Services3637717ProgramServices
Management And General1847006ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY165402BOY
EOY59678EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY189538BOY
EOY209913EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY79006BOY
EOY51168EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32456BOY
EOY37854EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12219412LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1858235LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10445463BOY
EOY10361177EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10911865BOY
EOY10719790EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY909424BOY
EOY479460EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2238348BOY
EOY3022033EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3147772BOY
EOY3501493EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7764093BOY
EOY7218297EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7764093BOY
EOY7218297EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10911865BOY
EOY10719790EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-545796ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2167903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2863751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2535352CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8058603CurrentTaxYearMinus1Year
Current Tax Year2124024CurrentTaxYear
Total17749633Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2167903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2863751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2535352CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8058603CurrentTaxYearMinus1Year
Current Tax Year2124024CurrentTaxYear
Total17749633Total
FieldValueIRS element (for citing)
Public Support Total17017749633PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1544CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103CurrentTaxYearMinus2Years
Current Tax Year5CurrentTaxYear
Total2195Total
FieldValueIRS element (for citing)
Total Support17751828TotalSupport
Gross Receipts From Admissions Etc9878320GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99990PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99960PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis863163InvestmentCostOrOtherBasis
Book Value863163BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis8536591InvestmentCostOrOtherBasis
Depreciation504159Depreciation
Book Value8032432BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2819658InvestmentCostOrOtherBasis
Depreciation1354076Depreciation
Book Value1465582BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10361177TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt4938927TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4938927RevenueSubtotal
Total Revenue Per Form9904938927TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5484723TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5484723ExpensesSubtotal
Total Expenses Per Form9905484723TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JUDITH BENNETT
16473712928177665
KIMBERLY BROWN-GULLATT
1495276282155809
ANITA NEITA
14416210143154305
WANDA GUY-CRAFT
13680215941152743

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2cTHE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI, Line 11bTHE CEO, CFO AND THE FINANCE COMMITTEE REVIEWS THE FORM 990.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI, Line 15aSTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.

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