HARRISONBURG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HARRISONBURG COMMUNITY HEALTH CENTER INC (EIN 02-0813294)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-09
IRS object ID: 201312219349300016
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 G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-09T06:50:03-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020813294	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HARRISONBURG COMMUNITY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HARR	NameControl
Phone	5404334913	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 308	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22803	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHRISTOPER NYE	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Phone	5404334913	Phone
Date Signed	2013-08-09	DateSigned

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)
Name Of Principal Officer Person	CHRISTOPER NYE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 308	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22803	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	5200515	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2007	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	provide accessible health care	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	63	TotalNbrEmployees
Total Nbr Volunteers	15	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1970928	ContributionsGrantsPriorYear
Contributions Grants Current Year	3099578	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1874232	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2076233	ProgramServiceRevenueCY
Investment Income Prior Year	1463	InvestmentIncomePriorYear
Investment Income Current Year	-12759	InvestmentIncomeCurrentYear
Other Revenue Current Year	24181	OtherRevenueCurrentYear
Total Revenue Prior Year	3846623	TotalRevenuePriorYear
Total Revenue Current Year	5187233	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1773431	SalariesEtcPriorYear
Salaries Etc Current Year	2191895	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	33720	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	15293	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	19260	TotalFundrsngExpCurrentYear
Other Expense Prior Year	775146	OtherExpensePriorYear
Other Expenses Current Year	1450384	OtherExpensesCurrentYear
Total Expenses Prior Year	2582297	TotalExpensesPriorYear
Total Expenses Current Year	3657572	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1264326	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1529661	RevenuesLessExpensesCY
Total Assets BOY	2510029	TotalAssetsBOY
Total Assets EOY	5721273	TotalAssetsEOY
Total Liabilities BOY	417057	TotalLiabilitiesBOY
Total Liabilities EOY	2098640	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2092972	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3622633	NetAssetsOrFundBalancesEOY
Mission Description	provide accessible health care	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	3145752	Expense
Revenue	2076233	Revenue
Description	PROVIDED ACCESSIBLE AND AFFORDABLE PRIMARY HEALTH CARE SERVICES IN HARRISONBURG, VA. AND THE SURROUNDING AREA. THERE WERE 19,337 PATIENT VISITS IN 2012. IN 2012,OVER 2,640 UNINSURED PATIENTS WERE PROVIDED WITH HEALTH CARE UNDER A SLIDING FEE SCALE FOR LOW INCOME ELIGIBLE PERSONS.	Description
Total Program Service Expense	3145752	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	true	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
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	false	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
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	11	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	63	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	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	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ANITA PARKER	NamePerson
Telephone Number	5404334913	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1380 LITTLE SORRELL DRIVE SUITE 100	AddressLine1
City	HARRISONBURG	City
State	VA	State
ZIP Code	22801	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
GARY RACE
President	2.00	X	X	0	0	0
ROBERT UNDERWOOD MD
Vice President	1.00	X		0	0	0
DAVID COCKLEY PHD
Treasurer	1.50	X	X	0	0	0
WAYNE WOODSON
Secretary	1.50	X	X	0	0	0
RHONDA ZINGRAFF PHD
Director	1.00	X		0	0	0
JOHN TAYLOR
Director	1.00	X		0	0	0
ALAN SHELTON
Director	1.00	X		0	0	0
BETTY NEWELL
Director	1.00	X		0	0	0
STEVEN PHILLIPS MD
Director	1.00	X		0	0	0
BEN BURKS
Director	1.00	X		0	0	0
RON YODER
Director	1.50	X		0	0	0
KAY HARRISON
Director	1.00	X		0	0	0
MERINDA HAMBLIN DDS
Director	1.00	X		0	0	0
CHRISTOPHER NYE
Chief Executive Officer	40.00			78968	0	22309	X
KIM BILLINGSLEY
Chief Financial Officer	28			43948		6869	X
JONATHAN MOSS MD
Medical Director	40			154241		47670	X	X
HILLARY WHONDER GENUS
Physician	40			133397		34414		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	410554	TotalReportableCompFromOrg
Total Other Compensation	111262	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	2764021	GovernmentGrants
All Other Contributions	335557	AllOtherContributions
Noncash Contributions	5400	NoncashContributions
Total Contributions	3099578	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn
Medical/dental services	622110	1842956
Patient pharmacy	446110	208646
other income	999999	24631

Field	Value	IRS element (for citing)
Total Program Service Revenue	2076233	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	523	TotalRevenueColumn
Exclusion	$523	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	24181	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	24181	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	24181	TotalRevenueColumn
Exclusion	$24,181	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	13282	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-13282	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-13282	TotalRevenueColumn
Related Or Exempt Function Income	-13282	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5187233	TotalRevenueColumn
Related Or Exempt Function Income	2062951	RelatedOrExemptFunctionIncome
Exclusion	$24,704	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	372927	Total
Program Services	210522	ProgramServices
Management And General	162405	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1478590	Total
Program Services	1329174	ProgramServices
Management And General	146625	ManagementAndGeneral
Fundraising	2791	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	19957	Total
Program Services	16599	ProgramServices
Management And General	3358	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	202263	Total
Program Services	170965	ProgramServices
Management And General	31298	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	118158	Total
Program Services	106498	ProgramServices
Management And General	11459	ManagementAndGeneral
Fundraising	201	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3582	Total
Program Services	0	ProgramServices
Management And General	3582	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	72811	Total
Program Services	0	ProgramServices
Management And General	72811	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	15293	Total
Fundraising	15293	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	190663	Total
Program Services	190663	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	9430	Total
Program Services	9430	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	296212	Total
Program Services	275207	ProgramServices
Management And General	20030	ManagementAndGeneral
Fundraising	975	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	304211	Total
Program Services	302754	ProgramServices
Management And General	1457	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	103550	Total
Program Services	98182	ProgramServices
Management And General	5368	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	8159	Total
Program Services	7562	ProgramServices
Management And General	597	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	20705	Total
Program Services	18737	ProgramServices
Management And General	1968	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	18603	Total
Program Services	0	ProgramServices
Management And General	18603	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	70375	Total
Program Services	67376	ProgramServices
Management And General	2999	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	16461	Total
Program Services	16461	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
staff development and recruitment	18220	17728	492
medical supplies and medications	277662	277662	0
dues, taxes and licenses	26141	25263	878
other	13599	4969	8630

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3657572	Total
Program Services	3145752	ProgramServices
Management And General	492560	ManagementAndGeneral
Fundraising	19260	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	103889	BOY
EOY	211483	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	267871	BOY
EOY	101655	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	137516	BOY
EOY	279322	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	294422	BOY
EOY	441267	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13611	BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	38390	BOY
EOY	15306	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4853981	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	181741	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1654330	BOY
EOY	4672240	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2510029	BOY
EOY	5721273	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	346399	BOY
EOY	514834	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	70658	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	1558806	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	25000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	417057	BOY
EOY	2098640	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2092972	BOY
EOY	3622633	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2092972	BOY
EOY	3622633	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2510029	BOY
EOY	5721273	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1529661	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	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2
Public Support Total170	0	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Pertcentage170	0	PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	184507	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1031305	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	857708	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1561033	CurrentTaxYearMinus1Year
Current Tax Year	3099578	CurrentTaxYear
Total	6734131	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	400935	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	974635	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1534158	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1874232	CurrentTaxYearMinus1Year
Current Tax Year	2076233	CurrentTaxYear
Total	6860193	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	585442	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2005940	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2391866	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3435265	CurrentTaxYearMinus1Year
Current Tax Year	5175811	CurrentTaxYear
Total	13594324	Total

Field	Value	IRS element (for citing)
Public Support Total509	13594324	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1921	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2527	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1463	CurrentTaxYearMinus1Year
Current Tax Year	24704	CurrentTaxYear
Total	30615	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1921	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2527	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1463	CurrentTaxYearMinus1Year
Current Tax Year	24704	CurrentTaxYear
Total	30615	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Total	13624939	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99780	PublicSupportPercentage509
Investment Income Percentage	0.00220	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	769404	OtherCostOrOtherBasis
Book Value	769404	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3598311	OtherCostOrOtherBasis
Depreciation	29986	Depreciation
Book Value	3568325	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	486266	OtherCostOrOtherBasis
Depreciation	151755	Depreciation
Book Value	334511	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4672240	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	5187233	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	5187233	RevenueSubtotal
Total Revenue Per Form990	5187233	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3657572	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	3657572	ExpensesSubtotal
Total Expenses Per Form990	3657572	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	MANSFIELD FUNDRAISING COUNSEL LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Activity	consultation	Activity
Fundraiser Control Of Funds	false	FundraiserControlOfFunds
Gross Receipts	5223	GrossReceipts
Amount Retained By Contractor	19253	AmountRetainedByContractor
Net To Organization	-14030	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	5223	TotalGrossReceipts
Total Retained By Contractors	19253	TotalRetainedByContractors
Total Net To Organization	-14030	TotalNetToOrganization

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
JONATHAN MOSS MD
154241	29715	17964	201920
HILLARY WHONDER GENUS
133397	14552	17862	165811

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 15a	The Board of Directors determines the salary of the
	Chief Executive Officer based on a survey of similar
	organizations across the state.
Pt VI, Line 11b	The Finance Committee of the Board of Directors reviewed
	the Form 990 before it was filed.