MEMPHIS CENTER FOR REPRODUCTIVE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MEMPHIS CENTER FOR REPRODUCTIVE (EIN 62-0931089)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-07-18
- IRS object ID
- 201202009349300205
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-18T08:12:14-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITEHORN TANKERSLEY & DAVIS PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 OAKLEAF OFFICE LANE | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 381174811 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620931089 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMPHIS CENTER FOR REPRODUCTIVE | BusinessNameLine1 |
| Business Name Line2 | HEALTH INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMP | NameControl |
| Phone | 9012743550 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1726 POPLAR AVE | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 38104 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | REBECCA TERRELL | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 9012743550 | Phone |
| Date Signed | 2012-06-26 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEE E HOOD | Name |
| Phone | 9017675080 | Phone |
| Date Prepared | 2012-07-18 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1383199 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | MCRH-TN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH CARE SERVICES INCLUDING OPERATIVE AND POST OPERATIVE CARE AND COUNSELING - ALL FACETS OF REPRODUCTIVE HEALTH AND EDUCATION ON BIRTH CONTROL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 32 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 21037 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 30165 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1420581 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1339886 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1964 | InvestmentIncomePriorYear |
| Investment Income Current Year | 734 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6241 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12414 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1449823 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1383199 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 50 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 595678 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 738824 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 817638 | OtherExpensePriorYear |
| Other Expenses Current Year | 772909 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1413366 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1511733 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 36457 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -128534 | RevenuesLessExpensesCY |
| Total Assets BOY | 1366396 | TotalAssetsBOY |
| Total Assets EOY | 1234479 | TotalAssetsEOY |
| Total Liabilities BOY | 595524 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 592141 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 770872 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 642338 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH CARE SERVICES INCLUDING OPERATIVE AND POST OPERATIVE CARE AND COUNSELING - ALL FACETS OF REPRODUCTIVE HEALTH AND EDUCATION ON BIRTH CONTROL. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1305859 | Expense |
| Revenue | 1352300 | Revenue |
| Description | HEALTH CARE SERVICES INCLUDE OPERATIVE AND POST OPERATIVE CARE AND COUNSELING - ALL FACETS OF REPRODUCTIVE HEALTH AND EDUCATION ON BIRTH CONTROL. EXAMS AND LAB TESTS FOR WOMEN WHO ARE NOT PREGNANT ARE PROVIDED | Description |
| Total Program Service Expense | 1305859 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 32 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | TN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | REBECCA TERRELL | NamePerson |
| Telephone Number | 9012743550 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1726 POPLAR AVE | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 38104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| LAURA ROGERS | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| CONNIE LANHAM | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| SARA JANE GOODMAN | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| DEBRA BARTELLI | ||||||
| MBR AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| VIRGINIA LEONARD | ||||||
| MBR AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| STEPHANIE MYERS-FERREIRA | ||||||
| MBR AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| PAT SPENCE | ||||||
| MBR AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| KC WARREN | ||||||
| MBR AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| MARY KAY CAMPBELL | ||||||
| MBR AT LARGE | X | 0 | 0 | 0 | ||
| REBECCA TERRELL | ||||||
| EX. DIRECTOR | 45.00 | X | 73635 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 73635 | TotalReportableCompFromOrg |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 30165 | AllOtherContributions |
| Noncash Contributions | 9180 | NoncashContributions |
| Total Contributions | 30165 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PATIENT FEES | 998312 | 998312 |
| NATIONAL FEDERATION REVENUE | 172871 | 172871 |
| GRANT REVENUE | 168703 | 168703 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1339886 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 734 | TotalRevenueColumn |
| Exclusion | $734 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Total Revenue Column | 12414 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12414 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 12414 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1383199 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1352300 | RelatedOrExemptFunctionIncome |
| Exclusion | $734 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73635 | Total |
| Program Services | 69953 | ProgramServices |
| Management And General | 3682 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 533055 | Total |
| Program Services | 506403 | ProgramServices |
| Management And General | 26652 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77949 | Total |
| Program Services | 71189 | ProgramServices |
| Management And General | 6760 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54185 | Total |
| Program Services | 51476 | ProgramServices |
| Management And General | 2709 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3295 | Total |
| Management And General | 3295 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10815 | Total |
| Management And General | 10815 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32308 | Total |
| Program Services | 32308 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20141 | Total |
| Program Services | 20141 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33973 | Total |
| Program Services | 22301 | ProgramServices |
| Management And General | 11672 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21449 | Total |
| Program Services | 21449 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11077 | Total |
| Program Services | 10808 | ProgramServices |
| Management And General | 269 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32425 | Total |
| Program Services | 32425 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51897 | Total |
| Management And General | 51897 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55287 | Total |
| Program Services | 55287 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHYSICIAN FEES | 153296 | 153296 |
| MEDICAL SUPPLIES | 88877 | 88877 |
| PHARMACEUTICALS | 75539 | 75539 |
| SECURITY | 32191 | 32191 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150339 | Total |
| Program Services | 62216 | ProgramServices |
| Management And General | 88123 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1511733 | Total |
| Program Services | 1305859 | ProgramServices |
| Management And General | 205874 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152478 | BOY |
| EOY | 80994 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50149 | BOY |
| EOY | 21829 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10840 | BOY |
| EOY | 5934 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1439080 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 313358 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1152929 | BOY |
| EOY | 1125722 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1366396 | BOY |
| EOY | 1234479 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62533 | BOY |
| EOY | 47987 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508254 | BOY |
| EOY | 500412 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24737 | BOY |
| EOY | 43742 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 595524 | BOY |
| EOY | 592141 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 770872 | BOY |
| EOY | 642338 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 770872 | BOY |
| EOY | 642338 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1366396 | BOY |
| EOY | 1234479 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -128534 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13000 | OtherCostOrOtherBasis |
| Book Value | 13000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 237477 | OtherCostOrOtherBasis |
| Depreciation | 164486 | Depreciation |
| Book Value | 72991 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1188603 | OtherCostOrOtherBasis |
| Depreciation | 148872 | Depreciation |
| Book Value | 1039731 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1125722 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | UNEARNED GRANT REVENUE | Description |
| Amount | $43,742 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 43742 | TotalOfAmounts |
| Total Revenue | 1383199 | TotalRevenue |
| Total Expenses | 1511733 | TotalExpenses |
| Excess Or Deficit For Year | -128534 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -128534 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1388149 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 4950 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 4950 | RevenueNotRptdF990 |
| Revenue Subtotal | 1383199 | RevenueSubtotal |
| Total Revenue Per Form990 | 1383199 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1516683 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 4950 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 4950 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1511733 | ExpensesSubtotal |
| Total Expenses Per Form990 | 1511733 | TotalExpensesPerForm990 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE EXECUTIVE DIRECTOR AND CPA PRESENT A DRAFT OF FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. DISCLOSURE FORMS ARE REQUIRED TO BE FILED ANNUALLY AND ARE REVIEWED BY THE PRESIDENT OF THE BOARD AND THE EXECUTIVE DIRETOR. INQUIRY IS MADE BY THE BOARD INTO CONTRACTS AND OTHER BUSINESS DEALINGS WITH THE ORGANIZATION TO ENSURE THAT CONFLICTS OF INTEREST DO NOT EXIST. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE BOARD IS COMPOSED OF PERSONS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENT. THE BOARD RELIES ON APPROPRIATE COMPARABLE DATA GATHERED BY AN INDEPENDENT SOURCE TO DETERMINE COMPENSATION AND DOCUMENTS ITS ACTIONS AT THE TIME THEY WERE TAKEN AND PRIOR TO PAYMENT OF THE COMPENSATION. THE PROCESS WAS UNDERTAKEN IN 2008. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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