HARRISONBURG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HARRISONBURG COMMUNITY HEALTH CENTER INC (EIN 02-0813294)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-13
- IRS object ID
- 201212269349301726
- 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 | 2012-08-13T11:56:38-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020813294 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISONBURG COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HARR | NameControl |
| Phone | 5405685310 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 308 | AddressLine1 |
| City | HARRISONBURG | City |
| State | VA | State |
| ZIP Code | 22803 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPER NYE | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 5405685310 | Phone |
| Date Signed | 2012-08-13 | DateSigned |
| 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) |
|---|---|---|
| Name Of Principal Officer Person | CHRISTOPER NYE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 308 | AddressLine1 |
| City | HARRISONBURG | City |
| State | VA | State |
| ZIP Code | 22803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3846623 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | provide accessible health care | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 64 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 857708 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1970928 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1534158 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1874232 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2527 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1463 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2394393 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3846623 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1415575 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1773431 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 33720 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 33775 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 567735 | OtherExpensePriorYear |
| Other Expenses Current Year | 775146 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1983310 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2582297 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 411083 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1264326 | RevenuesLessExpensesCY |
| Total Assets BOY | 951381 | TotalAssetsBOY |
| Total Assets EOY | 2510029 | TotalAssetsEOY |
| Total Liabilities BOY | 92407 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 417057 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 858974 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2092972 | NetAssetsOrFundBalancesEOY |
| Mission Description | to be a leading provider of quality healthcare for the diverse | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2171352 | Expense |
| Revenue | 1874232 | Revenue |
| Description | PROVIDED ACCESSIBLE AND AFFORDABLE PRIMARY HEALTH CARE SERVICES IN HARRISONBURG, VA. AND THE SURROUNDING AREA. THERE WERE 17,315 PATIENT VISITS IN 2011. IN 2011, $731,075 OF SERVICES WERE PROVIDED TO INCOME ELIGIBLE PATIENTS AT NO COST UNDER THE SLIDING SCALE PROGRAM WHICH DISCOUNTS HEALTHCARE SERVICES. | Description |
| Total Program Service Expense | 2171352 | 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 | false | 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 | true | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | 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 |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 64 | 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 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANITA PARKER | NamePerson |
| Telephone Number | 5405685310 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 563 A NEFF AVENUE | AddressLine1 |
| City | HARRISONBURG | City |
| State | VA | State |
| ZIP Code | 22803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| GARY RACE | ||||||||
| President | 2.00 | X | X | 0 | 0 | 0 | ||
| ROBERT UNDERWOOD MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| DAVID COCKLEY PHD | ||||||||
| Treasurer | 1.50 | X | X | 0 | 0 | 0 | ||
| WAYNE WOODSON | ||||||||
| Secretary | 1.50 | X | X | 0 | 0 | 0 | ||
| RHONDA ZINGRAFF PHD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| JOHN TAYLOR | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| ALAN SHELTON | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| BETTY NEWELL | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| STEVEN PHILLIPS MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| JANE PIROOZ | ||||||||
| Vice President | 1.00 | X | 0 | 0 | 0 | |||
| CATHIE GALVIN | ||||||||
| Director | 1.50 | X | 0 | 0 | 0 | |||
| KAY HARRISON | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| MERINDA HAMBLIN DDS | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER NYE | ||||||||
| Executive Director | 40.00 | 78975 | 20963 | X | ||||
| BARBARA COFFIN | ||||||||
| Financial Director | 40 | 72584 | X | |||||
| JONATHAN MOSS MD | ||||||||
| Medical Director | 40 | 159218 | 25517 | X | X | |||
| HILLARY WHONDER GENUS | ||||||||
| Physician | 40 | 133590 | 19540 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 444367 | TotalReportableCompFromOrg |
| Total Other Compensation | 66020 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 1133137 | GovernmentGrants |
| All Other Contributions | 837791 | AllOtherContributions |
| Total Contributions | 1970928 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| Medical services | 621110 | 1747144 |
| Patient pharmacy | 446110 | 108246 |
| other income | 999999 | 18842 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1874232 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1463 | TotalRevenueColumn |
| Exclusion | $1,463 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3846623 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1874232 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,463 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 405104 | Total |
| Program Services | 215234 | ProgramServices |
| Management And General | 189870 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1140728 | Total |
| Program Services | 1059663 | ProgramServices |
| Management And General | 81065 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13570 | Total |
| Program Services | 13529 | ProgramServices |
| Management And General | 41 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128524 | Total |
| Program Services | 113940 | ProgramServices |
| Management And General | 14584 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85505 | Total |
| Program Services | 79304 | ProgramServices |
| Management And General | 6201 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2800 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2800 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56533 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 56533 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33720 | Total |
| Fundraising | 33720 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222464 | Total |
| Program Services | 220969 | ProgramServices |
| Management And General | 1495 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11308 | Total |
| Program Services | 11308 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71198 | Total |
| Program Services | 63798 | ProgramServices |
| Management And General | 7369 | ManagementAndGeneral |
| Fundraising | 31 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15595 | Total |
| Program Services | 14602 | ProgramServices |
| Management And General | 993 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77344 | Total |
| Program Services | 77344 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10456 | Total |
| Program Services | 7593 | ProgramServices |
| Management And General | 2839 | ManagementAndGeneral |
| Fundraising | 24 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14483 | Total |
| Program Services | 10221 | ProgramServices |
| Management And General | 4262 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28635 | Total |
| Program Services | 28635 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8990 | Total |
| Program Services | 8990 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| staff development and recruitment | 17729 | 16318 | 1411 | 0 |
| medical supplies and medications | 201389 | 201389 | 0 | 0 |
| dues and licenses | 6899 | 6899 | 0 | 0 |
| other | 29323 | 21616 | 7707 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2582297 | Total |
| Program Services | 2171352 | ProgramServices |
| Management And General | 377170 | ManagementAndGeneral |
| Fundraising | 33775 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14349 | BOY |
| EOY | 103889 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399426 | BOY |
| EOY | 267871 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3869 | BOY |
| EOY | 137516 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356486 | BOY |
| EOY | 294422 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15783 | BOY |
| EOY | 13611 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22611 | BOY |
| EOY | 38390 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1728883 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 74553 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138857 | BOY |
| EOY | 1654330 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 951381 | BOY |
| EOY | 2510029 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92407 | BOY |
| EOY | 346399 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 70658 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92407 | BOY |
| EOY | 417057 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 856934 | BOY |
| EOY | 2092972 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2040 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 858974 | BOY |
| EOY | 2092972 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 951381 | BOY |
| EOY | 2510029 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1264326 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -30328 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 220000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 184507 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1031305 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 857708 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1561033 | CurrentTaxYear |
| Total | 3854553 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 400935 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 974635 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1534158 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1874232 | CurrentTaxYear |
| Total | 4786960 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 223000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 585442 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2005940 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2391866 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3435265 | CurrentTaxYear |
| Total | 8641513 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1921 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2527 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1463 | CurrentTaxYear |
| Total | 5911 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1921 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2527 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1463 | CurrentTaxYear |
| Total | 5911 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 8635602 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8641513 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 769404 | OtherCostOrOtherBasis |
| Book Value | 769404 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32818 | OtherCostOrOtherBasis |
| Depreciation | 18140 | Depreciation |
| Book Value | 14678 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 177159 | OtherCostOrOtherBasis |
| Depreciation | 56413 | Depreciation |
| Book Value | 120746 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 749502 | OtherCostOrOtherBasis |
| Book Value | 749502 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1654330 | TotalOfBookValueLandBuildings |
| Total Revenue | 3846623 | TotalRevenue |
| Total Expenses | 2582297 | TotalExpenses |
| Excess Or Deficit For Year | 1264326 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 1264326 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3846623 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 3846623 | RevenueSubtotal |
| Total Revenue Per Form990 | 3846623 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2582297 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 2582297 | ExpensesSubtotal |
| Total Expenses Per Form990 | 2582297 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Agreement Ref Fundraising | true | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANSFIELD FUNDRAISING COUNSEL LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | consultation | Activity |
| Fundraiser Control Of Funds | false | FundraiserControlOfFunds |
| Gross Receipts | 12300 | GrossReceipts |
| Amount Retained By Contractor | 33719 | AmountRetainedByContractor |
| Net To Organization | -21419 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 12300 | TotalGrossReceipts |
| Total Retained By Contractors | 33719 | TotalRetainedByContractors |
| Total Net To Organization | -21419 | TotalNetToOrganization |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|
| JONATHAN MOSS MD | ||||
| 159218 | 23716 | 23131 | 206065 | |
| HILLARY WHONDER GENUS | ||||
| 132848 | 14254 | 17793 | 165637 | 742 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt XI | An adjustment was made to the beginning net assets to |
| reflect the allowance for doubtful accounts of $30,328. | |
| Pt VI, Line 15 | The Board of Directors determines the salary of the |
| Chief Executive Officer based on a survey of similar | |
| organizations across the state. | |
| Pt VI, Line 11a | The Finance Committee of the Board of Directors reviewed |
| the Form 990 before it was filed. |
Comments