MAGIC CITY ENTERPRISES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAGIC CITY ENTERPRISES INC (EIN 83-0271501)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-14
IRS object ID
201313189349304936
Schema version
2012v2.3
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)
Timestamp2013-11-14T14:05:24-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MADER TSCHACHER PETERSON & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1505 SOUTH 3RD AVE 100AddressLine1
CityLARAMIECity
StateWYState
ZIP Code82070ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN830271501EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAGIC CITY ENTERPRISES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAGINameControl
Phone3076378869Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11780 WESTLAND ROADAddressLine1
CityCHEYENNECity
StateWYState
ZIP Code82001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURA MCKINNEYName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone3076378869Phone
Date Signed2013-10-31DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROLF E PETERSONName
Phone3077551040Phone
Date Prepared2013-11-04DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAURA MCKINNEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11780 WESTLAND ROADAddressLine1
CityCHEYENNECity
StateWYState
ZIP Code82001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9234951GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteMCEWYO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileWYStateLegalDomicile
Activity Or Mission DescriptionCREATE OPPORTUNITIES FOR PEOPLE WITH DISABILITIES TO ACHIEVE INDIVIDUAL SUCCESSActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees357TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year306223ContributionsGrantsPriorYear
Contributions Grants Current Year85008ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8631552ProgramServiceRevenuePriorYear
Program Service Revenue CY7899094ProgramServiceRevenueCY
Investment Income Prior Year3650InvestmentIncomePriorYear
Investment Income Current Year10292InvestmentIncomeCurrentYear
Other Revenue Prior Year692858OtherRevenuePriorYear
Other Revenue Current Year1240557OtherRevenueCurrentYear
Total Revenue Prior Year9634283TotalRevenuePriorYear
Total Revenue Current Year9234951TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5968508SalariesEtcPriorYear
Salaries Etc Current Year5555482SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3785861OtherExpensePriorYear
Other Expenses Current Year3524756OtherExpensesCurrentYear
Total Expenses Prior Year9754369TotalExpensesPriorYear
Total Expenses Current Year9080238TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-120086RevenuesLessExpensesPriorYear
Revenues Less Expenses CY154713RevenuesLessExpensesCY
Total Assets BOY3648326TotalAssetsBOY
Total Assets EOY3630640TotalAssetsEOY
Total Liabilities BOY1036817TotalLiabilitiesBOY
Total Liabilities EOY864418TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2611509NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2766222NetAssetsOrFundBalancesEOY
Mission DescriptionCREATE OPPORTUNITIES FOR PEOPLE WITH DISABILITIES TO ACHIEVE INDIVIDUAL SUCCESSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9080238Expense
DescriptionPROVIDE TRAINING, EMPLOYMENT, TRANSPORTATION AND HOUSING FOR DISABLED CLIENTSDescription
Total Program Service Expense9080238TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees357NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 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 PersonMIA PATTERSONNamePerson
Telephone Number3076378869TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11780 WESTLAND ROADAddressLine1
CityCHEYENNECity
StateWYState
ZIP Code82001ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
FLOYD ESQUIBEL
CHAIRMAN2.00XX000
CHUCK KLINE
DIRECTOR2.00X000
ROBERT GODFREY
SECRETARY2.00X000
MARTIN MCGUFFEY
DIRECTOR2.00X000
TERRI LORENZON
DIRECTOR2.00X000
FRED REED
DIRECTOR2.00X000
COL WAYNE HANSEN
TREASURER2.00X000
DR WILLIAM RIDEOUT
DIRECTOR2.00X000
VERNICE MILLER
DIRECTOR2.00X000
JIM O'CONNOR
VICE CHAIR2.00XX000
DOUGLAS GASSELING
DIRECTOR2.00X000
JOHN SINK
PHYSICIAN40.00577223011513X
FieldValueIRS element (for citing)
Total Reportable Comp From Org577223TotalReportableCompFromOrg
Total Other Compensation11513TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants55710GovernmentGrants
All Other Contributions29298AllOtherContributions
Total Contributions85008TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLIENT CARE AND DEVELOPMENT62300063049246304924
SALES AND FEES62300013037061303706
TRAINING AND ADMIN FEES611710290464290464
FieldValueIRS element (for citing)
Total Program Service Revenue7899094TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5887TotalRevenueColumn
Related Or Exempt Function Income5887RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4405Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4405Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4405TotalRevenueColumn
Related Or Exempt Function Income4405RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column1240557TotalRevenueColumn
Related Or Exempt Function Income1240557RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1240557TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9234951TotalRevenueColumn
Related Or Exempt Function Income9149943RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5555482Total
Program Services5555482ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total361Total
Program Services361ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16925Total
Program Services16925ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total52664Total
Program Services52664ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5003Total
Program Services5003ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total80832Total
Program Services80832ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total27806Total
Program Services27806ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2903Total
Program Services2903ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total200215Total
Program Services200215ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total125340Total
Program Services125340ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PRODUCTION EXPENSE10186541018654
SUPPORT SERVICES671432671432
ADMINISTRTIVE EXPENSES501413501413
GENERAL REPAIRS214414214414

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total606794Total
Program Services606794ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9080238Total
Program Services9080238ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY520900BOY
EOY476468EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY554790BOY
EOY541610EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY727518BOY
EOY817922EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY39796BOY
EOY43687EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4767793LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3016840LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1805322BOY
EOY1750953EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3648326BOY
EOY3630640EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY856633BOY
EOY768887EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY25241BOY
EOY20625EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY19939BOY
EOY14986EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY135004BOY
EOY59920EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1036817BOY
EOY864418EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2611509BOY
EOY2766222EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2611509BOY
EOY2766222EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3648326BOY
EOY3630640EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses154713ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years215050CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years299156CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year306223CurrentTaxYearMinus1Year
Current Tax Year85008CurrentTaxYear
Total1025563Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7090160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5736676CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7855723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9325510CurrentTaxYearMinus1Year
Current Tax Year9145538CurrentTaxYear
Total39153607Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7210286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5951726CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8154879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9631733CurrentTaxYearMinus1Year
Current Tax Year9230546CurrentTaxYear
Total40179170Total
FieldValueIRS element (for citing)
Public Support Total50940179170PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7210286CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5951726CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8154879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9631733CurrentTaxYearMinus1Year
Current Tax Year9230546CurrentTaxYear
Total40179170Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis15660InvestmentCostOrOtherBasis
Book Value15660BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3479275InvestmentCostOrOtherBasis
Other Cost Or Other Basis94668OtherCostOrOtherBasis
Depreciation2092998Depreciation
Book Value1480945BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis469035InvestmentCostOrOtherBasis
Depreciation339067Depreciation
Book Value129968BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis709155InvestmentCostOrOtherBasis
Depreciation584775Depreciation
Book Value124380BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1750953TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$59,920
NOTE PAYABLE
ROUNDING
FieldValueIRS element (for citing)
Total Of Amounts59920TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt9234951TotRevenueEtcAuditedFinclStmt
Revenue Subtotal9234951RevenueSubtotal
Total Revenue Per Form9909234951TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9080238TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9080238ExpensesSubtotal
Total Expenses Per Form9909080238TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Name PersonJOHN SINKNamePerson
TitlePHYSICIANTitle
Base Compensation Filing Org577223BaseCompensationFilingOrg
Deferred Comp Filing Org11513DeferredCompFilingOrg
Total Compensation Filing Org588736TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS REVIEWED BY THE BOARD AND CEO BEFORE IT IS SIGNED AND FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD DETERMINES THE CEO'S SALARY AND RAISES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE CEO AND THE BOARD DETERMINE THE COMPENSATION FOR OTHER HIGHLY COMPENSATED AND KEY EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, BOARD MINUTES, FINANCIAL STATEMENTS AND THE TAX RETURN ARE MADE AVAILABLE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9PRIOR PERIOD RESTATEMENT 0

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