MOUNTAIN STATES CHILDRENS HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN STATES CHILDRENS HOME INC (EIN 84-0516736)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349306581
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)
Timestamp2013-11-14T14:02:37-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GARRY L ALBERT CPA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14 WEST DRY CREEK CIRCLE SUITE 220AddressLine1
CityLITTLETONCity
StateCOState
ZIP Code80120ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840516736EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN STATES CHILDREN'S HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone3037766841Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1097AddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRANDY SCHOWName
TitleEXECUTIVE DIRECTORTitle
Phone3037766841Phone
Date Signed2013-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRY L ALBERT CPAName
Phone3036837171Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRANDY SCHOWNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1097AddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1704510GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.msch.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1960YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionMountain States Children's Home provides homes and counseling for children from abused, neglected or dysfunctional families.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees23TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1237197ContributionsGrantsPriorYear
Contributions Grants Current Year1546226ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year57670InvestmentIncomePriorYear
Investment Income Current Year158284InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1294867TotalRevenuePriorYear
Total Revenue Current Year1704510TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year745443SalariesEtcPriorYear
Salaries Etc Current Year840785SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year148423TotalFundrsngExpCurrentYear
Other Expense Prior Year610844OtherExpensePriorYear
Other Expenses Current Year574059OtherExpensesCurrentYear
Total Expenses Prior Year1356287TotalExpensesPriorYear
Total Expenses Current Year1414844TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-61420RevenuesLessExpensesPriorYear
Revenues Less Expenses CY289666RevenuesLessExpensesCY
Total Assets BOY3565658TotalAssetsBOY
Total Assets EOY3855423TotalAssetsEOY
Total Liabilities BOY7492TotalLiabilitiesBOY
Total Liabilities EOY7591TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3558166NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3847832NetAssetsOrFundBalancesEOY
Mission DescriptionMountain States Children's Home provides homes andMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1111172Expense
DescriptionMOUNTAIN STATES CHILDREN'S HOME PROVIDES HOMES AND COUNSELING FOR CHILDREN FROM ABUSED, NEGLECTED OR DYSFUNCTIONAL FAMILIES.Description
Total Program Service Expense1111172TotalProgramServiceExpense
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 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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees23NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMOUNTAIN STATES CHILDREN'S HOMENamePerson
Telephone Number3037766841TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114780 N 107THAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80504ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
RANDY SCHOW
Exec Dir40.00XXX9121900
RYAN WINGER
Director2.00000X
WILLIE RATLIFF
Director2.00000X
DON OSBORNE
Director2.00000X
RUSSELL KUSLER
Director2.00000X
MAC KILPATRICK
Director2.00000X
STEVE HASKEW
Director2.00000X
DALLAS SAFFER
Director2.00000X
JOHN RAKESTRAW
Director2.00000X
BRUCE HERBERGER
Director2.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org91219TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events54114FundraisingEvents
Government Grants5644GovernmentGrants
All Other Contributions1486468AllOtherContributions
Total Contributions1546226TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column158284TotalRevenueColumn
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events54114CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1704510TotalRevenueColumn
Related Or Exempt Function Income158284RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total650445Total
Program Services476516ProgramServices
Management And General84688ManagementAndGeneral
Fundraising89241Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total190340Total
Program Services139443ProgramServices
Management And General24782ManagementAndGeneral
Fundraising26115Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total168791Total
Program Services123656ProgramServices
Management And General21977ManagementAndGeneral
Fundraising23158Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Public Relations7701007701
Office & Admin156809130799238022208
Direct Child Care19619819619800
Food445604456000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1414844Total
Program Services1111172ProgramServices
Management And General155249ManagementAndGeneral
Fundraising148423Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY309127BOY
EOY603284EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY73495BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY37825BOY
EOY41317EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3548157LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1836241LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1866272BOY
EOY1711916EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1278939BOY
EOY1498906EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3565658BOY
EOY3855423EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7492BOY
EOY7591EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7492BOY
EOY7591EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3353550BOY
EOY3627604EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY204616BOY
EOY220228EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3558166BOY
EOY3847832EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3565658BOY
EOY3855423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses289666ReconcilationRevenueExpenses
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 RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1096493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1398767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1200885CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1167189CurrentTaxYearMinus1Year
Current Tax Year1474872CurrentTaxYear
Total6338206Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1096493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1398767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1200885CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1167189CurrentTaxYearMinus1Year
Current Tax Year1474872CurrentTaxYear
Total6338206Total
FieldValueIRS element (for citing)
Public Support Total5096338206PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80649CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45896CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46600CurrentTaxYearMinus1Year
Current Tax Year45782CurrentTaxYear
Total263001Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80649CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45896CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46600CurrentTaxYearMinus1Year
Current Tax Year45782CurrentTaxYear
Total263001Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total6601207Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96020PublicSupportPercentage509
Prior Year Support Percentage0.94650PriorYearSupportPercentage
Investment Income Percentage0.03980InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05350PriorYrInvestIncomePercentage
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 Basis43500InvestmentCostOrOtherBasis
Book Value43500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3147095InvestmentCostOrOtherBasis
Depreciation1512155Depreciation
Book Value1634940BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis181845InvestmentCostOrOtherBasis
Depreciation148369Depreciation
Book Value33476BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis175717InvestmentCostOrOtherBasis
Depreciation175717Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1711916TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1704510TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1704510RevenueSubtotal
Total Revenue Per Form9901704510TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1414844TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1414844ExpensesSubtotal
Total Expenses Per Form9901414844TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1AuctionNameOfEvent1
Name Of Event2NONENameOfEvent2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 10bThe MSCH Form 990 is prepared by a paid preparer and is
reviewed by the Executive Director and other authorized
staff prior to filing.
Pt XII, Line 2cThe MSCH Board of Directors have oversight into the audit
Pt XII, Line 2cof the financial statements.
Pt VI, Line 8aMSCH documents Board of Director meetings with written minutes.
Pt VI, Line 19MSCH governing documents may be available upon request.
Pt XIUnrealized gains on investment assets.
Pt VI, Line 11bMSCH management and Board of Directors
Form 990EZ, Part II, Line 24INVENTORIES PREPAIDS INVESTMENTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES

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