COMMUNITY ADVANCED PRACTICE NURSESINC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY ADVANCED PRACTICE NURSESINC (EIN 58-2435328)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-06-26
IRS object ID: 201311779349300626
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-06-26T09:24:56-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Robert S Blad PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1832 Independence Square Ste A	AddressLine1
City	Dunwoody	City
State	GA	State
ZIP Code	30338	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	582435328	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY ADVANCED PRACTICE NURSESINC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	4046243564	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	173 BOULEVARD NE	AddressLine1
City	ATLANTA	City
State	GA	State
ZIP Code	30312	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Connie Buchanan	Name
Title	Executive Dir.	Title
Date Signed	2013-06-26	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ROBERT S BLAD CPA	Name
PTIN	P00197666	PTIN
Phone	7705127600	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	794293	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.capn.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	The mission of the Community Advanced Practice Nurses (CAPN) is to strengthen the lives of persons who are medically underserved and to help interrupt the cycle of poverty and homelessness for these individuals.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	21	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	495056	ContributionsGrantsPriorYear
Contributions Grants Current Year	558414	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	261468	ProgramServiceRevenuePriorYear
Program Service Revenue CY	235539	ProgramServiceRevenueCY
Investment Income Prior Year	556	InvestmentIncomePriorYear
Investment Income Current Year	340	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	757080	TotalRevenuePriorYear
Total Revenue Current Year	794293	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	383530	SalariesEtcPriorYear
Salaries Etc Current Year	397377	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	11364	TotalFundrsngExpCurrentYear
Other Expense Prior Year	331465	OtherExpensePriorYear
Other Expenses Current Year	442617	OtherExpensesCurrentYear
Total Expenses Prior Year	714995	TotalExpensesPriorYear
Total Expenses Current Year	839994	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	42085	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-45701	RevenuesLessExpensesCY
Total Assets BOY	431120	TotalAssetsBOY
Total Assets EOY	385437	TotalAssetsEOY
Total Liabilities BOY	95	TotalLiabilitiesBOY
Total Liabilities EOY	113	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	431025	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	385324	NetAssetsOrFundBalancesEOY
Mission Description	The mission of the Community Advanced Practice Nurses (CAPN) is to strengthen the lives of persons who are medically underserved and to help interrupt the cycle of poverty and homelessness for these individuals. Healthy independence is promoted through health care delivered with acceptance, compassion, and sensitivity to an individual's life circumstances.Goals:-Provide opportunities for people to learn healthy adaptive life skills-Create a climate of supportive health care encounters-Advocate for the needs and services of the target population-Promote collaborative relationships with agencies serving the needs of people-Foster an environment conducive to learning for health care and social service professionals	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	796256	Expense
Revenue	235539	Revenue
Description	Community Advanced Practice Nurses, Inc. is a non-profit free clinic for individuals who have little to no access to health care in metropolitan Atlanta. CAPN provides free-of-charge health care services to Atlanta's homeless and/or economically disadvantaged population. The clinic places special emphasis on serving women, children and youth. CAPN offers a broad range of health care services including immunizations, well- and sick- care, family planning, patient education, free prescription and over the counter medications, case management, acute ambulatory care, referrals, and mental health care. CAPN has expanded its service delivery to nine (9) strategically located, shelter-based sites within metropolitan Atlanta's most underserved and high risk areas. In 2012, the organization served 3,194 unduplicated individuals and had 3449 visits with over 36,000 health care encounters in the clinic. Approximately 49% of the individuals were children and youth (21 or under).	Description
Total Program Service Expense	796256	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	21	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CONNIE BUCHANAN	NamePerson
Telephone Number	4046243564	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	173 BOULEVARD NE	AddressLine1
City	ATLANTA	City
State	GA	State
ZIP Code	30312	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
sharon mcdonald bsn rn
Director	0.00	0.00	X	0	0	0
Tanya Johnson MPHD
Director	0.00	0.00	X	0	0	0
PAMELA EVANS
Director	0.00	0.00	X	0	0	0
Belva Vanessa Meadows
co-treasurer	0.00	0.00	X	0	0	0	X
Hilton Joseph
co-treasurer	0.00	0.00	X	0	0	0	X
Sheila Cohen
Secretary	0.00	0.00	X	0	0	0	X
Daniel Caplan MD
President	0.00	0.00	X	0	0	0	X
Connie Buchanan
Executive Dir.	50.00	0.00		61560	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	61560	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	558414	AllOtherContributions
Noncash Contributions	283286	NoncashContributions
Total Contributions	558414	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	GOVERNMENT CONTRACTS	Description
Total Revenue Column	235539	TotalRevenueColumn
Related Or Exempt Function Income	235539	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	235539	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	340	TotalRevenueColumn
Exclusion	$340	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	794293	TotalRevenueColumn
Related Or Exempt Function Income	235539	RelatedOrExemptFunctionIncome
Exclusion	$340	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	61560	Total
Program Services	49248	ProgramServices
Management And General	9234	ManagementAndGeneral
Fundraising	3078	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	305642	Total
Program Services	290083	ProgramServices
Management And General	9457	ManagementAndGeneral
Fundraising	6102	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	30175	Total
Program Services	27884	ProgramServices
Management And General	1536	ManagementAndGeneral
Fundraising	755	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	9648	Total
Management And General	9648	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19764	Total
Program Services	19764	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6894	Total
Program Services	6517	ProgramServices
Management And General	257	ManagementAndGeneral
Fundraising	120	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5898	Total
Program Services	5088	ProgramServices
Management And General	375	ManagementAndGeneral
Fundraising	435	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12611	Total
Program Services	11923	ProgramServices
Management And General	469	ManagementAndGeneral
Fundraising	219	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17755	Total
Program Services	16785	ProgramServices
Management And General	661	ManagementAndGeneral
Fundraising	309	Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
CLIENT TRANSPORTATION	3436	3436
MISC	19867	18784	737	346
SUPPLIES/MEDS	346744	346744

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	839994	Total
Program Services	796256	ProgramServices
Management And General	32374	ManagementAndGeneral
Fundraising	11364	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	215020	BOY
EOY	135454	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	100763	BOY
EOY	100873	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	53948	BOY
EOY	104914	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	24130	BOY
EOY	19548	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	152266	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	127618	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	37259	BOY
EOY	24648	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	431120	BOY
EOY	385437	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	95	BOY
EOY	113	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	95	BOY
EOY	113	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	298387	BOY
EOY	298604	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	132638	BOY
EOY	86720	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	431025	BOY
EOY	385324	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	431120	BOY
EOY	385437	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-45701	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	414680	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	335977	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	425332	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	495056	CurrentTaxYearMinus1Year
Current Tax Year	558414	CurrentTaxYear
Total	2229459	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	414680	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	335977	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	425332	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	495056	CurrentTaxYearMinus1Year
Current Tax Year	558414	CurrentTaxYear
Total	2229459	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	512103	AmountsSubstContributorsTotal
Public Support Total170	1717356	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4318	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1144	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	788	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	556	CurrentTaxYearMinus1Year
Current Tax Year	340	CurrentTaxYear
Total	7146	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	2236605	TotalSupport
Public Support Pertcentage170	0.76780	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.79600	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	63560	OtherCostOrOtherBasis
Depreciation	41313	Depreciation
Book Value	22247	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47261	OtherCostOrOtherBasis
Depreciation	44860	Depreciation
Book Value	2401	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41445	OtherCostOrOtherBasis
Depreciation	41445	Depreciation

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	24648	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	1069627	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	275334	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	275334	RevenueNotRptdF990
Revenue Subtotal	794293	RevenueSubtotal
Total Revenue Per Form990	794293	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1115328	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	275334	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	275334	ExpensesNotRptdF990
Expenses Subtotal	839994	ExpensesSubtotal
Total Expenses Per Form990	839994	TotalExpensesPerForm990

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	71218	NoncashContribsRptdF990
Method Of Determining Revenues	fmv	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	100	NumberOfContributions
Noncash Contribs Rptd F990	212068	NoncashContribsRptdF990
Method Of Determining Revenues	fmv	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	UPON REQUEST
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	EXECUTIVE COMMITTEE OF THE BOARD MAKES DECISION ON COMPENSATION TO THE EXECUTIVE DIRECTOR BASED ON COMPARABLE MARKET DATA
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	DONE ON AN ONGOING BASIS.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	ELECTRONIC COPY OF THE FORM 990 PROVIDED TO THE EXECUTIVE COMMITTEE PRIOR TO FILING.