FURP.ORG / PUBLIC DATA EXPLORER

PERRY COUNTY MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PERRY COUNTY MEDICAL CENTER INC (EIN 62-1027042)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-08-02
IRS object ID
201312149349300206
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)
Timestamp2013-08-02T06:31:26-07:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

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 Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621027042EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PERRY COUNTY MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPERRNameControl
Phone9315892104Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 916AddressLine1
CityLINDENCity
StateTNState
ZIP Code37096ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHILLIP TATUMName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone9315892104Phone
Date Signed2013-08-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2013-08-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILLIP TATUMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 916AddressLine1
CityLINDENCity
StateTNState
ZIP Code37096ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3410963GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileTNStateLegalDomicile
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees34TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2422673ContributionsGrantsPriorYear
Contributions Grants Current Year2140247ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1249556ProgramServiceRevenuePriorYear
Program Service Revenue CY1270460ProgramServiceRevenueCY
Investment Income Prior Year165InvestmentIncomePriorYear
Investment Income Current Year-6687InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3672394TotalRevenuePriorYear
Total Revenue Current Year3404020TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1520919SalariesEtcPriorYear
Salaries Etc Current Year1554340SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1446340OtherExpensePriorYear
Other Expenses Current Year1195311OtherExpensesCurrentYear
Total Expenses Prior Year2967259TotalExpensesPriorYear
Total Expenses Current Year2749651TotalExpensesCurrentYear
Revenues Less Expenses Prior Year705135RevenuesLessExpensesPriorYear
Revenues Less Expenses CY654369RevenuesLessExpensesCY
Total Assets BOY3645151TotalAssetsBOY
Total Assets EOY4361447TotalAssetsEOY
Total Liabilities BOY1782657TotalLiabilitiesBOY
Total Liabilities EOY1844584TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1862494NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2516863NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1711836Expense
Revenue1270460Revenue
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 18,400 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense1711836TotalProgramServiceExpense
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 With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees34NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKELLA JOHNSONNamePerson
Telephone Number9315892104TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1115 E BROOKLYN STREETAddressLine1
CityLINDENCity
StateTNState
ZIP Code37096ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JIM AZBILL
CHAIRMAN1.00X000
TOMMY FESMIRE
BOARD MEMBER1.00X000
BRUCE COTTON
BOARD MEMBER1.00X000
DAVID YOUNG
SECRETARY1.00X000
JESSIE RUTH TILLER
VICE-CHAIR1.00X000
MITCHELL RHODES
BOARD MEMBER1.00X000
BETTY BARBER
BOARD MEMBER1.00X000
JANE HERRON
BOARD MEMBER1.00X000
JW CATHEY
BOARD MEMBER1.00X000
JUDY MATHIS
BOARD MEMBER1.00X000
ANGIE ARNOLD
BOARD MEMBER1.00X000
NELDA HINSON
BOARD MEMBER1.00X000
RITA AUSTIN
BOARD MEMBER1.00X000
PHILLIP TATUM
CHIEF EXECUTIVE OFFICER40.0072417013824X
KELLA JOHNSON
CHIEF FINANCIAL OFFICER404680111800X
JEFFREY SMITH
MEDICAL DIRECTOR4016406719849X
SARAH J TAYLOR
PHYSICIAN4014587818757X
FieldValueIRS element (for citing)
Total Reportable Comp From Org429163TotalReportableCompFromOrg
Total Other Compensation64230TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
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
FELLOWSHIP CONSTRUCTION INC
PO BOX 220BON AQUATN37025RENOVATIONS352486
QUALITY SYSTEMS INC
PO BOX 809390CHICAGOIL606809390COMPUTER SERVICES108730
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants1978407GovernmentGrants
All Other Contributions161840AllOtherContributions
Total Contributions2140247TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column1270460TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue1270460TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column256TotalRevenueColumn
Exclusion$256ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other6943Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-6943Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6943TotalRevenueColumn
Exclusion-$6,943ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3404020TotalRevenueColumn
Related Or Exempt Function Income1270460RelatedOrExemptFunctionIncome
Exclusion-$6,687ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total283285Total
Program Services164067ProgramServices
Management And General119218ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total927365Total
Program Services716925ProgramServices
Management And General210440ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total59228Total
Program Services42644ProgramServices
Management And General16584ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total206221Total
Program Services73987ProgramServices
Management And General132234ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total78241Total
Program Services56334ProgramServices
Management And General21907ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3777Total
Program Services0ProgramServices
Management And General3777ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19781Total
Program Services0ProgramServices
Management And General19781ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total329993Total
Program Services95114ProgramServices
Management And General234879ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total428395Total
Program Services335968ProgramServices
Management And General92427ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total128347Total
Program Services93773ProgramServices
Management And General34574ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total23875Total
Program Services7587ProgramServices
Management And General16288ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total312Total
Program Services0ProgramServices
Management And General312ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total244217Total
Program Services124351ProgramServices
Management And General119866ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total16614Total
Program Services1086ProgramServices
Management And General15528ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2749651Total
Program Services1711836ProgramServices
Management And General1037815ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY24388BOY
EOY29673EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY183117BOY
EOY436424EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY241874BOY
EOY266977EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7816BOY
EOY15333EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4603909LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec990869LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3187956BOY
EOY3613040EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3645151BOY
EOY4361447EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY164464BOY
EOY226473EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1618193BOY
EOY1618111EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1782657BOY
EOY1844584EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1813951BOY
EOY2458417EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY48543BOY
EOY58446EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1862494BOY
EOY2516863EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3645151BOY
EOY4361447EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses654369ReconcilationRevenueExpenses
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 Years1622832CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1585171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1670250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2422673CurrentTaxYearMinus1Year
Current Tax Year2140247CurrentTaxYear
Total9441173Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1622832CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1585171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1670250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2422673CurrentTaxYearMinus1Year
Current Tax Year2140247CurrentTaxYear
Total9441173Total
FieldValueIRS element (for citing)
Public Support Total1709441173PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10524CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1623CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year165CurrentTaxYearMinus1Year
Current Tax Year256CurrentTaxYear
Total12952Total
FieldValueIRS element (for citing)
Total Support9454125TotalSupport
Gross Receipts From Admissions Etc5766351GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99770PublicSupportPertcentPriorYear
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 Basis55000InvestmentCostOrOtherBasis
Book Value55000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2780411InvestmentCostOrOtherBasis
Depreciation299030Depreciation
Book Value2481381BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1768498InvestmentCostOrOtherBasis
Depreciation691839Depreciation
Book Value1076659BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3613040TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt3404020TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3404020RevenueSubtotal
Total Revenue Per Form9903404020TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2749651TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2749651ExpensesSubtotal
Total Expenses Per Form9902749651TotalExpensesPerForm990

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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JEFFREY SMITH
164067984410005183916
SARAH J TAYLOR
145878875310004164635

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.
Pt VI, Line 11bTHE AUDITOR COMPILES DATA AND TRANSMITS.
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.