FURP.ORG / PUBLIC DATA EXPLORER

INDEPENDENT CASE MANAGEMENT INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INDEPENDENT CASE MANAGEMENT INC (EIN 71-0666268)
Tax period
2011-08-01 to 2012-07-31
Filed
2013-03-12
IRS object ID
201340719349300304
Schema version
2011v1.2
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)
Timestamp2013-03-12T07:22:01-05:00Timestamp
Tax Period End Date2012-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Leon Mourton CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12616 Old Forge DriveAddressLine1
CityLittle RockCity
StateARState
ZIP Code72227ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710666268EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDEPENDENT CASE MANAGEMENT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINDENameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line113310 KANIS ROADAddressLine1
CityLittle RockCity
StateARState
ZIP Code72211ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCindy AlberdingName
TitleExecutive DirecTitle
Phone5012280063Phone
Date Signed2013-03-05DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLeon MourtonName
Phone5012248762Phone
Date Prepared2013-03-09DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCindy AlberdingNameOfPrincipalOfficerPerson
Gross Receipts14092845GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionProvides independent case management to plan cordinator monitor and evaluate services provided to individuals with developmental disabilitiesActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees466TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year47314ContributionsGrantsPriorYear
Contributions Grants Current Year8484ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13081411ProgramServiceRevenuePriorYear
Program Service Revenue CY13979471ProgramServiceRevenueCY
Investment Income Prior Year30598InvestmentIncomePriorYear
Investment Income Current Year10222InvestmentIncomeCurrentYear
Other Revenue Current Year94668OtherRevenueCurrentYear
Total Revenue Prior Year13159323TotalRevenuePriorYear
Total Revenue Current Year14092845TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10810787SalariesEtcPriorYear
Salaries Etc Current Year10984215SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year16266TotalFundrsngExpCurrentYear
Other Expense Prior Year1015919OtherExpensePriorYear
Other Expenses Current Year992518OtherExpensesCurrentYear
Total Expenses Prior Year11826706TotalExpensesPriorYear
Total Expenses Current Year11976733TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1332617RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2116112RevenuesLessExpensesCY
Total Assets BOY7837417TotalAssetsBOY
Total Assets EOY10044379TotalAssetsEOY
Total Liabilities BOY640665TotalLiabilitiesBOY
Total Liabilities EOY714414TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7196752NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9329965NetAssetsOrFundBalancesEOY
Mission DescriptionProvides independent case management to plan cordinator monitor and evaluate services provided to individuals with developmental disabilitiesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11418817Expense
Grants8484Grants
Revenue13979471Revenue
DescriptionProvides independent case management to plan coordinate monitor and evaluate services provided to individuals with developmental disabilitiesDescription
Total Program Service Expense11418817TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J 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 MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees466NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHELLEY MYERSNamePerson
Telephone Number5012280063TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line113310 KANIS ROADAddressLine1
CityLittle RockCity
StateARState
ZIP Code72211ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Andy Carpenter
SecretartTreasurer1.00X000
Arnold Hurst
Director1.00X000
Cindy Alberding
Executive Director55.00X9747110914X
Joe Bryant
President1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org97471TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10914TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants8484GovernmentGrants
Total Contributions8484TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicad waiver funds6241001327995013279950
Supported employment6241004817148171
Organized Health Care D621110452115452115
Personal care income624100199235199235
FieldValueIRS element (for citing)
Total Program Service Revenue13979471TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10222TotalRevenueColumn
Exclusion$10,222ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Unemployment tax refund90009994595$94,595
FYE audit adjustment90000173$73
FieldValueIRS element (for citing)
Total Other Revenue94668TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14092845TotalRevenueColumn
Related Or Exempt Function Income13979471RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$104,890ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total80473Total
Program Services32188ProgramServices
Management And General48285ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9437074Total
Program Services9236284ProgramServices
Management And General200790ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27914Total
Program Services11166ProgramServices
Management And General16748ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total533449Total
Program Services521988ProgramServices
Management And General11461ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total905305Total
Program Services820796ProgramServices
Management And General84509ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24118Total
Management And General24118ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26000Total
Management And General26000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5895Total
Program Services5895ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total75378Total
Program Services75378ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total91354Total
Program Services91354ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total65033Total
Program Services65033ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29037Total
Program Services29037ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total59841Total
Program Services59841ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Organized Health Del System367495367495
Staff training6747067470
Bad Debt115681115681
Repairs & Maintenance2439924399

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total40817Total
Program Services10493ProgramServices
Management And General14058ManagementAndGeneral
Fundraising16266Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11976733Total
Program Services11418817ProgramServices
Management And General541650ManagementAndGeneral
Fundraising16266Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY49970BOY
EOY71361EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4345886BOY
EOY5422621EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1067532BOY
EOY1160773EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY27335BOY
EOY22392EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis913700LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec404189LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY511680BOY
EOY509511EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY540213BOY
EOY1554159EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1250000BOY
EOY1269572EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY44801BOY
EOY33990EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7837417BOY
EOY10044379EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY640665BOY
EOY714414EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY640665BOY
EOY714414EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7196752BOY
EOY9329965EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7196752BOY
EOY9329965EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7837417BOY
EOY10044379EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2116112ReconcilationRevenueExpenses
Reconcilation Other Changes17101ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years17965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7425CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17301CurrentTaxYearMinus1Year
Current Tax Year47314CurrentTaxYear
Total108970Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11123453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11115134CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13261823CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13046007CurrentTaxYearMinus1Year
Current Tax Year13081411CurrentTaxYear
Total61627828Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11141418CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11122559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13280788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13063308CurrentTaxYearMinus1Year
Current Tax Year13128725CurrentTaxYear
Total61736798Total
FieldValueIRS element (for citing)
Public Support Total50961736798PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4865CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4193CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4865CurrentTaxYearMinus1Year
Current Tax Year30958CurrentTaxYear
Total77120Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4865CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4193CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4865CurrentTaxYearMinus1Year
Current Tax Year30958CurrentTaxYear
Total77120Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11173657CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11127424CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13284981CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13068173CurrentTaxYearMinus1Year
Current Tax Year13159683CurrentTaxYear
Total61813918Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99880PublicSupportPercentage509
Investment Income Percentage0.00120InvestmentIncomePercentage
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)
Other Cost Or Other Basis72833OtherCostOrOtherBasis
Book Value72833BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis523405OtherCostOrOtherBasis
Depreciation134347Depreciation
Book Value389058BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis317462OtherCostOrOtherBasis
Depreciation269842Depreciation
Book Value47620BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings509511TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCertificate of DepositsDescription
Book Value1269572BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1269572TotalOfBookValueSecurities
Total Revenue14092845TotalRevenue
Total Expenses11976733TotalExpenses
Excess Or Deficit For Year2116112ExcessOrDeficitForYear
Excess Or Deficit Per FS2116112ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14113911TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments21066NetUnrealizedGainsInvestments
Revenue Not Rptd F99021066RevenueNotRptdF990
Revenue Subtotal14092845RevenueSubtotal
Total Revenue Per Form99014092845TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11976733TotExpensesEtcAuditedFinclStmt
Expenses Subtotal11976733ExpensesSubtotal
Total Expenses Per Form99011976733TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierOther revenues non included on Form 990 Part XII line 2dIdentifier
ExplanationRounding 1Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonLinda Carpenter-Midetowne SoftNamePerson
FieldValueIRS element (for citing)
RelationshipWife of DirectorRelationship
Amount Of Transaction12000AmountOfTransaction
Description Of TransactionBilling SoftwareDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Identifier01 990 Schedule L Placeholder 1Identifier
ExplanationMrs Carpenter wife of Andy Carpenter Board of Director Secretary and Treasurer owns Midtowne Software that provides the Medicaid billing software for Independent Case Management Inc ICM ICM is billed by Midtowne monthly and charged on a per unit basis for each employeeExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)The Executive Director and the Administration Operations Manager review the return before filing
02. Conflict of interest policy compliance (Part VI, line 12c)Servers and computers are all password protected training on confidentiality and HIPPA and records are subject to licensure review each year
03. CEO, executive director, top management comp (Part VI, line 15a)The independent members of the Board of Directors review and determine the compensation for the Executive Director
04. Other officer or key employee compensation (Part VI, line 15bThe Executive Director with input from the Board of Directors determine the compensation for employees
05. Governing documents, etc, available to public (Part VI, line 19)The documents are available on request
06. Explanation of other changes in net assets or fund balances (Part XI, line 5)This is the change in the unrealized gain on mutual funds