RURAL HEALTH SERVICES CONSORTIUM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH SERVICES CONSORTIUM INC (EIN 62-1240690)
Tax period
2011-04-01 to 2012-03-31
Filed
2012-08-29
IRS object ID
201212429349300036
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)
Timestamp2012-08-29T13:57:35-07:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY HORNE CPA & ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1732 WEST MAIN STREETAddressLine1
CityLEBANONCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621240690EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RURAL HEALTH SERVICES CONSORTIUM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRURANameControl
Phone4232729163Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 850AddressLine1
CityROGERSVILLECity
StateTNState
ZIP Code37857ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA BUCKName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone4232729163Phone
Date Signed2012-08-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2012-08-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA BUCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 850AddressLine1
CityROGERSVILLECity
StateTNState
ZIP Code37857ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17867631GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees265TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3665591ContributionsGrantsPriorYear
Contributions Grants Current Year6171353ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11913047ProgramServiceRevenuePriorYear
Program Service Revenue CY11673339ProgramServiceRevenueCY
Investment Income Prior Year5297InvestmentIncomePriorYear
Investment Income Current Year22939InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15583935TotalRevenuePriorYear
Total Revenue Current Year17867631TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11154120SalariesEtcPriorYear
Salaries Etc Current Year12109650SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4025728OtherExpensePriorYear
Other Expenses Current Year4707447OtherExpensesCurrentYear
Total Expenses Prior Year15179848TotalExpensesPriorYear
Total Expenses Current Year16817097TotalExpensesCurrentYear
Revenues Less Expenses Prior Year404087RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1050534RevenuesLessExpensesCY
Total Assets BOY13144366TotalAssetsBOY
Total Assets EOY14156798TotalAssetsEOY
Total Liabilities BOY2969556TotalLiabilitiesBOY
Total Liabilities EOY2931454TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10174810NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11225344NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13159705Expense
Revenue11673339Revenue
DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 108,800 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense13159705TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees265NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLINDA BUCKNamePerson
Telephone Number4232724980TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14966 HIGHWAY 11AddressLine1
CityROGERSVILLECity
StateTNState
ZIP Code37857ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KENNETH BAILEY
BOARD MEMBER1.00X000
J PAUL FRYE
BOARD MEMBER1.00X000
WILLIAM JUSTIS JR
BOARD MEMBER1.00X000
TERRY CUNNINGHAM
BOARD MEMBER1.00X000
MINNIE MILLER
BOARD MEMBER1.00X000
ROBERT CUTSHAW
BOARD MEMBER1.00X000
CLOYCE ELLER
BOARD MEMBER1.00X000
HOLLIS CABLE
BOARD MEMBER1.00X000
BENJAMIN HOPKINS
BOARD MEMBER1.00X000
JACQUELINE Y CHARLES
BOARD MEMBER1.00X000
BETTY JO GREENE
BOARD MEMBER1.00X000
SILVIA DE FREGOSO
BOARD MEMBER1.00X000
LINDA BUCK
CHIEF EXECUTIVE OFFICER40.00121527020821X
WES HANSON
MEDICAL DIRECTOR40.00163299022433X
BENNY BREWSTER
CHIEF FINANCIAL OFFICER408040612297X
CHRIS CALENDINE
PHYSICIAN4023790917092X
JOSE VELASCO
PHYSICIAN4019212844254X
MARC DALLE-AVE
PHYSICIAN4018391131045X
JOHN SHORT
PHYSICIAN4015339822636X
KRISTEN FREEMAN
PHYSICIAN4012468921256X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1257267TotalReportableCompFromOrg
Total Other Compensation191834TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NEXTGEN
PO BOX 809390CHICAGOIL606809390COMPUTER SERVICES108434
BEESON LUSK & STEET INC
PO BOX 1909JOHNSON CITYTN376051909ARCHITECTURAL/ENGINEERING SERV120000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants3355087GovernmentGrants
All Other Contributions2816266AllOtherContributions
Total Contributions6171353TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column11673339TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue11673339TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column22939TotalRevenueColumn
Exclusion$22,939ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17867631TotalRevenueColumn
Related Or Exempt Function Income11673339RelatedOrExemptFunctionIncome
Exclusion$22,939ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total365232Total
Program Services163299ProgramServices
Management And General201933ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total9064092Total
Program Services7557800ProgramServices
Management And General1506292ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total318284Total
Program Services257810ProgramServices
Management And General60474ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1790556Total
Program Services1477153ProgramServices
Management And General313403ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total571486Total
Program Services462904ProgramServices
Management And General108582ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19782Total
Program Services0ProgramServices
Management And General19782ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31046Total
Program Services0ProgramServices
Management And General31046ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total582550Total
Program Services254201ProgramServices
Management And General328349ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2845411Total
Program Services2100260ProgramServices
Management And General745151ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total430875Total
Program Services394878ProgramServices
Management And General35997ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total201988Total
Program Services159291ProgramServices
Management And General42697ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total566964Total
Program Services306161ProgramServices
Management And General260803ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total28831Total
Program Services25948ProgramServices
Management And General2883ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16817097Total
Program Services13159705ProgramServices
Management And General3657392ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY425492BOY
EOY1168803EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1464259BOY
EOY1502438EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2031681BOY
EOY1932940EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY282761BOY
EOY231516EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12905724LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4426149LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8122621BOY
EOY8479575EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY817552BOY
EOY841526EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13144366BOY
EOY14156798EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY986523BOY
EOY1119425EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1983033BOY
EOY1812029EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2969556BOY
EOY2931454EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10174810BOY
EOY11225344EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10174810BOY
EOY11225344EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13144366BOY
EOY14156798EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1050534ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2862183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3058463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3736389CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3411858CurrentTaxYearMinus1Year
Current Tax Year6171353CurrentTaxYear
Total19240246Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2862183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3058463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3736389CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3411858CurrentTaxYearMinus1Year
Current Tax Year6171353CurrentTaxYear
Total19240246Total
FieldValueIRS element (for citing)
Public Support Total17019240246PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years97259CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5297CurrentTaxYearMinus1Year
Current Tax Year22939CurrentTaxYear
Total179836Total
FieldValueIRS element (for citing)
Total Support19420082TotalSupport
Gross Receipts From Admissions Etc58596515GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99070PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98550PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage
Facts And Circumstances TestPT II LINE 17A:;FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1007147InvestmentCostOrOtherBasis
Book Value1007147BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis8225887InvestmentCostOrOtherBasis
Depreciation2215952Depreciation
Book Value6009935BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3672690InvestmentCostOrOtherBasis
Depreciation2210197Depreciation
Book Value1462493BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8479575TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRESERVE FOR CAPITAL IMPROVEMENTSDescription
Book Value841526BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets841526TotalBookValueOtherAssets
Total Revenue17867631TotalRevenue
Total Expenses16817097TotalExpenses
Excess Or Deficit For Year1050534ExcessOrDeficitForYear
Excess Or Deficit Per FS1050534ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17867631TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17867631RevenueSubtotal
Total Revenue Per Form99017867631TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16817097TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16817097ExpensesSubtotal
Total Expenses Per Form99016817097TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
WES HANSON
163299787714756185932
CHRIS CALENDINE
237909118205273255002
JOSE VELASCO
1921282949814756236382
MARC DALLE-AVE
183911257435303214957
JOHN SHORT
153398788014756176034

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2cTHE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.
Pt VI, Line 12cTHE BOARD REVIEWS AND EACH MEMBER READS POLICY AND SIGNS DISCLOSURE.
Pt VI, Line 15STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.
Pt VI, Line 11aTHE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.

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