WESTERN HEALTH SCREENING: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN HEALTH SCREENING (EIN 83-0293596)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-03-12
- IRS object ID
- 201330719349300548
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-03-12T17:31:59-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810386935 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMERS MCNEA & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 25TH STREET WEST | AddressLine1 |
| City | BILLINGS | City |
| State | MT | State |
| ZIP Code | 591024662 | 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 | 830293596 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN HEALTH SCREENING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 4062523225 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 30157 | AddressLine1 |
| City | BILLINGS | City |
| State | MT | State |
| ZIP Code | 591070157 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARGE BELL-HALL | Name |
| Title | SECRETARY-TREASURER | Title |
| Phone | 4062523225 | Phone |
| Date Signed | 2013-03-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD A MATUSIAK | Name |
| PTIN | P00524085 | PTIN |
| Phone | 4066522320 | Phone |
| Date Prepared | 2013-03-04 | DatePrepared |
| 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 | MARGE BELL-HALL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 339 SOUTH 26TH STREET | AddressLine1 |
| City | BILLINGS | City |
| State | MT | State |
| ZIP Code | 59107 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1557323 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WESTERNHEALTHSCREENING.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | WY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE INDIVIDUALS WITH HEALTH SCREENING SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3 | TotalNbrEmployees |
| Total Nbr Volunteers | 1200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1838866 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1521398 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3572 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 30461 | OtherRevenuePriorYear |
| Other Revenue Current Year | 32353 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1869327 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1557323 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 198324 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 194857 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1604302 | OtherExpensePriorYear |
| Other Expenses Current Year | 1427956 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1802626 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1622813 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 66701 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -65490 | RevenuesLessExpensesCY |
| Total Assets BOY | 443877 | TotalAssetsBOY |
| Total Assets EOY | 378387 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 443877 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 378387 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH SCREENING SERVICES TO OVER 30,000 INDIVIDUALS LOCATED IN UTAH, MONTANA, WYOMING, COLORADO, NEBRASKA,AND SOUTH DAKOTA OPERATING ON A NON PROFIT BASIS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1622813 | Expense |
| Revenue | 1557323 | Revenue |
| Description | HEALTH SCREENING SERVICES PROVIDED TO OVER 30,000 INDIVIDUALS IN WYOMING, COLORADO, UTAH, MONTANA AND SOUTH DAKOTA. | Description |
| Total Program Service Expense | 1622813 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 3 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | 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 | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGE BELL-HALL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4062523225 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 339 SOUTH 26TH STREET | AddressLine1 |
| City | BILLINGS | City |
| State | MT | State |
| ZIP Code | 591070157 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer |
|---|---|---|---|---|---|---|---|
| MARGE BELL-HALL | |||||||
| SECRETARY-TREASURER | 50.00 | X | X | 55862 | 0 | 0 | |
| CHRIS JONES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL GOLOB | |||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| JEANNA GOLOB | |||||||
| DIRECTOR | 1.00 | X | 675 | 0 | 0 | ||
| JERRY KIRKEGAARD | |||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | ||
| CHRISTINA VICTORIA GODBEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MATT ROBERTSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SANDRA BELL | |||||||
| FORMER SECRETRAY-TREASURER | 50.00 | 68280 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 124817 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUEST DIAGNOSTICS INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 695 S BROADWAY | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80209 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | LAB SERVICES | DescriptionOfServices |
| Compensation | 981744 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| BLOOD SCREENINGS | 621500 | 1455092 | 1455092 |
| WHS CONNECTIVITY PROGR | 621500 | 59907 | 59907 |
| BIOMWTRIC FEES | 621500 | 3675 | 3675 |
| PHLEBOTOMIST FEE | 621500 | 2554 | 2554 |
| OSTEO HEEL SCAN | 621500 | 170 | 170 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1521398 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3525 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3525 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3525 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3525 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PARADIGM & MUST WELL I | 621500 | 19302 | 19302 |
| POSTAGE INCOME | 621500 | 13051 | 13051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 32353 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1557323 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1557323 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56537 | Total |
| Program Services | 56537 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118135 | Total |
| Program Services | 118135 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5220 | Total |
| Program Services | 5220 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14965 | Total |
| Program Services | 14965 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1580 | Total |
| Program Services | 1580 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6877 | Total |
| Program Services | 6877 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36629 | Total |
| Program Services | 36629 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10148 | Total |
| Program Services | 10148 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92344 | Total |
| Program Services | 92344 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2795 | Total |
| Program Services | 2795 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71504 | Total |
| Program Services | 71504 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26031 | Total |
| Program Services | 26031 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| LABORATORY COST & SUPPL | 959856 | 959856 |
| CONTRACT LABOR & EXPRES | 120461 | 120461 |
| COMPUTOR PROGAMING & PR | 61041 | 61041 |
| POSTAGE AND PRINTING | 21017 | 21017 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17673 | Total |
| Program Services | 17673 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1622813 | Total |
| Program Services | 1622813 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286885 | BOY |
| EOY | 233112 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 25047 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 348787 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 229559 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155992 | BOY |
| EOY | 119228 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443877 | BOY |
| EOY | 378387 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443877 | BOY |
| EOY | 378387 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443877 | BOY |
| EOY | 378387 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443877 | BOY |
| EOY | 378387 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -65490 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1559660 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1625401 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1721372 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1838866 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1521398 | CurrentTaxYear |
| Total | 8266697 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1430 | CurrentTaxYearMinus2Years |
| Current Tax Year | 3525 | CurrentTaxYear |
| Total | 4955 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1559660 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1625401 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1722802 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1838866 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1524923 | CurrentTaxYear |
| Total | 8271652 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 8271652 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 203 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29 | CurrentTaxYearMinus3Years |
| Current Tax Year | 47 | CurrentTaxYear |
| Total | 279 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 203 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29 | CurrentTaxYearMinus3Years |
| Current Tax Year | 47 | CurrentTaxYear |
| Total | 279 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 32303 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 38013 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35518 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30461 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32353 | CurrentTaxYear |
| Total | 168648 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1592166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1663443 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1758320 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1869327 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1557323 | CurrentTaxYear |
| Total | 8440579 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98190 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 309124 | OtherCostOrOtherBasis |
| Depreciation | 212231 | Depreciation |
| Book Value | 96893 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39663 | OtherCostOrOtherBasis |
| Depreciation | 17328 | Depreciation |
| Book Value | 22335 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 119228 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART VI-OTHER - VEHICLES | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARGE BELL-HALL | ||||||||||||||
| SECRETARY-TREASURER | 55862 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 55862 | 0 | 0 | 0 |
| CHRIS JONES | ||||||||||||||
| DIRECTOR | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| MICHAEL GOLOB | ||||||||||||||
| PRESIDENT | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| JEANNA GOLOB | ||||||||||||||
| DIRECTOR | 0 | 0 | 0 | 0 | 675 | 0 | 0 | 0 | 0 | 0 | 675 | 0 | 0 | 0 |
| JERRY KIRKEGAARD | ||||||||||||||
| VICE PRESIDENT | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| CHRISTINA VICTORIA GODBEY | ||||||||||||||
| DIRECTOR | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| MATT ROBERTSON | ||||||||||||||
| DIRECTOR | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| SANDRA BELL | ||||||||||||||
| FORMER SECRETRAY-TREASURER | 68280 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 68280 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| SANDRA BELL | ||
| EMPLOYEE | MARGE BELL-HALL IS THE SECRETARY/TREASURER OF THE COMPANY. SHE IS THE DAUGHTER TO SANDRE BELL. CHARLES HALL IS HER HUSBAND. MARGE BELL-HALL RECEIVED W-2 WAGES TOTALING $55,862 DURING THE YEAR ENDED DECEMBER 31, 2012 WHICH IS DISCLOSUED ON SCHEDULE J. | 0 |
| MARJORIE BELL-HALL | ||
| SECRETARY/TREASURER AND EMPLOYEE | SANDRA BELL IS THE MOTHER OF MARGE BELL-HALL. SANDRA BELL RECEIVED W-2 WAGES TOTALING $68,280 DURING THE YEAR ENDED DECEMBER 31, 2012. | 0 |
| CHARLES HALL | ||
| EMPLOYEE | CHARLES HALL IS MARRIED TO MARJORIE BELL-HALL AND SANDRA BELL IS HIS MORTHER-IN-LAW. CHARLES HALL RECEIVED W-2 WAGES TOTALING $49,854 DURING THE YEAR ENDED DECEMBER 31, 2012. | 0 |
| MATT ROBERTSON | ||
| DIRECTOR | MATT ROBERTSON IS A DIRECTOR OF THE COMPANY. THE COMPANY LEASES ITS OFFICE FACTILTY AND PAID RENT TOTALING $10,148 TO MATT ROBERTSON DURING THE YEAR ENDED DECEMBER 31, 2012. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SEE SCHEDULE L. MARGE BELL-HALL IS THE SECRETARY/TREASURER. SHE IS THE DAUGHER TO SANDRA BELL (FORMER EXECUTIVE DIRECTOR AND SECRETARY/TREASURER) WHO IS AN EMPLOYEE AND CHARLES HALL (AN EMPLOYEE) IS HER HUSBAND. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS ARE VOLUNTARY POSITIONS. IF A POSITION IS VACATED THE BOARD WILL SEEK A QUALIFYING REPLACEMENT PREFERABLY WITH A MEDICAL BACKGROUND. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL BYLAW AND POLICY CHANGES ARE APPROVED BY THE MAJORITY OF THE BOARD OF DIRECTORS |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED AND APPROVED BY THE SECRETARY/TREASUER PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND EMPLOYEES CANNOT ENTER INTO ANY TRANSACTIONS OR SITUATIONS THAT WOULD COMPETE, OR COULD VIOLATE THE INTENT OF THE CONFLICT OF INTEREST POLICY WITH THE WESTERN HEALTH SCREENING. MARJORIE BELL-HALL OVERSEAS COMPLIANCE WITH THE COMPANY CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS DETERMINE THE SALARY FOR THE SECRETARY/TREASURER MARGE BELL-HALL. MARGE BELL-HALL DETERMINES THE COMPENSATION SALARY FOR THE ORGANIZATION OTHER REMAINING EMPLOYEES. OTHER EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL REPORTS - FORM 990 - ARE AVAILABLE UPON REQUEST AT THE COMPANY HEADQUARTER OFFICE. |
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