FURP.ORG / PUBLIC DATA EXPLORER

SACOPEE VALLEY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SACOPEE VALLEY HEALTH CENTER (EIN 01-0347381)
Tax period
2011-06-01 to 2012-05-31
Filed
2012-10-25
IRS object ID
201212999349300341
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)
Timestamp2012-10-25T16:03:21-00:00Timestamp
Tax Period End Date2012-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RHR Smith and CompanyBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13 Old Orchard RoadAddressLine1
CityBuxtonCity
StateMEState
ZIP Code04093ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010347381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sacopee Valley Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSACONameControl
Phone2076258126Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 777AddressLine1
CityParsonsfieldCity
StateMEState
ZIP Code04047ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePatricia PeabodyName
TitleExecutive DirectorTitle
Date Signed2012-10-22DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKryston Lemay CPAName
Phone8003007708Phone
Date Prepared2012-10-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMaryagnes GillmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 777AddressLine1
CityParsonsfieldCity
StateMEState
ZIP Code04047ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3432536GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionMedical ServicesActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees55TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1591592ContributionsGrantsPriorYear
Contributions Grants Current Year1307691ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1911086ProgramServiceRevenuePriorYear
Program Service Revenue CY2009648ProgramServiceRevenueCY
Investment Income Prior Year66InvestmentIncomePriorYear
Investment Income Current Year64InvestmentIncomeCurrentYear
Other Revenue Prior Year22419OtherRevenuePriorYear
Other Revenue Current Year115133OtherRevenueCurrentYear
Total Revenue Prior Year3525163TotalRevenuePriorYear
Total Revenue Current Year3432536TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2349791SalariesEtcPriorYear
Salaries Etc Current Year2554560SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year700724OtherExpensePriorYear
Other Expenses Current Year721091OtherExpensesCurrentYear
Total Expenses Prior Year3050515TotalExpensesPriorYear
Total Expenses Current Year3275651TotalExpensesCurrentYear
Revenues Less Expenses Prior Year474648RevenuesLessExpensesPriorYear
Revenues Less Expenses CY156885RevenuesLessExpensesCY
Total Assets BOY2170912TotalAssetsBOY
Total Assets EOY2164556TotalAssetsEOY
Total Liabilities BOY853759TotalLiabilitiesBOY
Total Liabilities EOY694187TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1317153NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1470369NetAssetsOrFundBalancesEOY
Mission DescriptionProviding the best healthcare for our community.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2411049Expense
DescriptionProviding medical services on a sliding scale fee basis in a rural, medically underserved area.Description
Total Program Service Expense2411049TotalProgramServiceExpense
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 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 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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees55NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPatricia PeabodyNamePerson
Telephone Number2076258126TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line170 Main StreetAddressLine1
CityPorterCity
StateMEState
ZIP Code04068ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
David Bower
Board Member005.00X000
Jeanne Carufel
Board Member005.00X000
Kathy Chaiklin
Board Member005.00X000
Colleen Coates
Board Member005.00X000
Sheila Foley
Board Member005.00X000
Linda Gerard
Board Member005.00X000
Scott Good
Board Member005.00X000
Judy Watson Ingram
President005.00X000X
Douglas Kleinman
Vice President005.00X000X
Betty Lawrence
Secretary005.00X000X
Sean Petone
Board Member005.00X000
Paul Poulin
Board Member005.00X000
Louise Tooley
Board Member005.00X000
Margaret Zack
Treasurer005.00X000X
Joseph Fahey
Doctor040.0014080800X
Jeffrey Ray
Doctor040.0015825400X
Sachiko Kaizuka
Doctor040.0010886600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org407928TotalReportableCompFromOrg
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Great Falls ConstructionBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line120 Mechanic StreetAddressLine1
CityGorhamCity
StateMEState
ZIP Code04038ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesConstructionDescriptionOfServices
Compensation160324Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants1263739GovernmentGrants
All Other Contributions43952AllOtherContributions
Total Contributions1307691TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient service revenueDescription
Business Code621400BusinessCode
Total Revenue Column2009648TotalRevenueColumn
Related Or Exempt Function Income2009648RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2009648TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column64TotalRevenueColumn
Exclusion$64ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther incomeDescription
Total Revenue Column115133TotalRevenueColumn
Related Or Exempt Function Income115133RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue115133TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3432536TotalRevenueColumn
Related Or Exempt Function Income2124781RelatedOrExemptFunctionIncome
Exclusion$64ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2185804Total
Program Services1737369ProgramServices
Management And General448435ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total162655Total
Program Services131751ProgramServices
Management And General30904ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total206101Total
Program Services168401ProgramServices
Management And General37700ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9455Total
Management And General9455ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42062Total
Program Services18498ProgramServices
Management And General23564ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26029Total
Program Services19752ProgramServices
Management And General6277ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total36985Total
Management And General36985ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15796Total
Program Services6715ProgramServices
Management And General9081ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total20039Total
Program Services9ProgramServices
Management And General20030ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total152224Total
Program Services21255ProgramServices
Management And General130969ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11465Total
Management And General11465ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purchased services571764039316783
Supplies1190059415724848
Staff training1263882704368
Telephone16093340912684

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total202124Total
Program Services161070ProgramServices
Management And General41054ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3275651Total
Program Services2411049ProgramServices
Management And General864602ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY78002BOY
EOY70439EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY430215BOY
EOY282247EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8863BOY
EOY8079EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3047774LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1354616LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1569574BOY
EOY1693158EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY84258BOY
EOY105633EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY5000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2170912BOY
EOY2164556EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY275858BOY
EOY228347EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY25656BOY
EOY62851EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY552245BOY
EOY402989EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY853759BOY
EOY694187EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1279128BOY
EOY1436792EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY38025BOY
EOY33577EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1317153BOY
EOY1470369EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2170912BOY
EOY2164556EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses156885ReconcilationRevenueExpenses
Reconcilation Other Changes-3669ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1125973CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1170384CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1481336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1591592CurrentTaxYearMinus1Year
Current Tax Year1307691CurrentTaxYear
Total6676976Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1559325CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1702877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1932391CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1911086CurrentTaxYearMinus1Year
Current Tax Year2009648CurrentTaxYear
Total9115327Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2685298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2873261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3413727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3502678CurrentTaxYearMinus1Year
Current Tax Year3317339CurrentTaxYear
Total15792303Total
FieldValueIRS element (for citing)
Public Support Total50915792303PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years133CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2089CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66CurrentTaxYearMinus1Year
Current Tax Year64CurrentTaxYear
Total2554Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years133CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2089CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66CurrentTaxYearMinus1Year
Current Tax Year64CurrentTaxYear
Total2554Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15847CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22419CurrentTaxYearMinus1Year
Current Tax Year115133CurrentTaxYear
Total195708Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2697750CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2889241CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3445875CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3525163CurrentTaxYearMinus1Year
Current Tax Year3432536CurrentTaxYear
Total15990565Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98760PublicSupportPercentage509
Prior Year Support Percentage0.99310PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00020PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis28960OtherCostOrOtherBasis
Book Value28960BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2271645OtherCostOrOtherBasis
Depreciation788457Depreciation
Book Value1483188BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis737939OtherCostOrOtherBasis
Depreciation566159Depreciation
Book Value171780BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9230OtherCostOrOtherBasis
Book Value9230BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1693158TotalOfBookValueLandBuildings
Total Revenue3432536TotalRevenue
Total Expenses3275651TotalExpenses
Excess Or Deficit For Year156885ExcessOrDeficitForYear
Net Unrealized GL On Investments-3669NetUnrealizedGLOnInvestments
Total Adjustments-3669TotalAdjustments
Excess Or Deficit Per FS153216ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3428867TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3669NetUnrealizedGainsInvestments
Revenue Not Rptd F990-3669RevenueNotRptdF990
Revenue Subtotal3432536RevenueSubtotal
Total Revenue Per Form9903432536TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3275651TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3275651ExpensesSubtotal
Total Expenses Per Form9903275651TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Name PersonJeffrey RayNamePerson
Base Compensation Filing Org158254BaseCompensationFilingOrg
Nontaxable Benefits Filing Org11635NontaxableBenefitsFilingOrg
Total Compensation Filing Org169889TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI11bThe board has the opportunity to review the 990 before it is filed.
Form 990 Part VI12cCompliance is enforced with the annual compliance document.
Form 990 Part VI15aThe Executive Directors salary is approved by the board.
Form 990 Part VI19Upon request
Form 990 Part XI5-3,669 is unrealized losses on investments.
Form 990 Part VI Section B Line 11b The board has the opportunity to review the 990 before it is filed. Form 990 Part VI Section B Line 12c Compliance is enforced with the annual compliance document. Form 990 Part VI Section B Line 15a The Executive Directors salary is approved by the board. Form 990 Part VI Section C Line 19 Upon request Form 990 Part XI Line 5 -3,669 is unrealized losses on investments.