VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-24
IRS object ID
201222989349300207
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)
Timestamp2012-10-24T06:34:03-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTHCARE SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone7063229599Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31903ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARAH LANGName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7063229599Phone
Date Signed2012-10-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2012-10-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonSARAH LANGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING RDAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10286498GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileGAStateLegalDomicile
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 Employees72TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2535352ContributionsGrantsPriorYear
Contributions Grants Current Year8058603ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1887224ProgramServiceRevenuePriorYear
Program Service Revenue CY2227895ProgramServiceRevenueCY
Investment Income Prior Year-11897InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4410679TotalRevenuePriorYear
Total Revenue Current Year10286498TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3089586SalariesEtcPriorYear
Salaries Etc Current Year3093472SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1193777OtherExpensePriorYear
Other Expenses Current Year1269127OtherExpensesCurrentYear
Total Expenses Prior Year4283363TotalExpensesPriorYear
Total Expenses Current Year4362599TotalExpensesCurrentYear
Revenues Less Expenses Prior Year127316RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5923899RevenuesLessExpensesCY
Total Assets BOY3233085TotalAssetsBOY
Total Assets EOY10911865TotalAssetsEOY
Total Liabilities BOY1392891TotalLiabilitiesBOY
Total Liabilities EOY3147772TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1840194NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7764093NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2979165Expense
Revenue2227895Revenue
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 30,600 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense2979165TotalProgramServiceExpense
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
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees72NumberOfEmployees
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
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 PersonSARAH LANGNamePerson
Telephone Number7063229599TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PHILLIP ALDRIDGE
BOARD MEMBER1.00X000
MATTIE K WRIGHT
BOARD MEMBER1.00X000
VIRGINIA DICKERSON
BOARD MEMBER1.00X000
TONY WHITEHURST
BOARD MEMBER1.00X000
KENNETH B CROOKS JR
BOARD MEMBER1.00X000
ROBERT W PATRICK
BOARD MEMBER1.00X000
KARON BUSH
BOARD MEMBER1.00X000
CARLOS HUERTAS
BOARD MEMBER1.00X000
LASHUN SCOTT
BOARD MEMBER1.00X000
JOSEPH LEFCOURT
BOARD MEMBER1.00X000
MIKE MAYHEW
BOARD MEMBER1.00X000
DOROTHY MABRY
BOARD MEMBER1.00X000
SARAH LANG
CHIEF EXECUTIVE OFFICER40.009596103060X
JENNIFER MELVIN
CHIEF FINANCIAL OFFICER40.0057927015599X
JUDITH BENNETT
PHYSICIAN4015847810897X
ANDREA NEITA
PHYSICIAN4014442410897X
WANDA GUY-CRAFT
PHYSICIAN4013615314219X
SOYINI FLETCHER
PHYSICIAN401141165616X
JULIANE REYNOLDS
PHYSICIAN4010201513154X
FieldValueIRS element (for citing)
Total Reportable Comp From Org809074TotalReportableCompFromOrg
Total Other Compensation73442TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
HECHT BURDEDSHAW ARCHITECTS INC
PO BOX 1758COLUMBUSGA319021758ARCHITECTURAL SERVICES151667
BATSON COOK COMPANY
PO BOX 554WEST POINTGA31833CONSTRUCTION1979917
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants7942022GovernmentGrants
All Other Contributions116581AllOtherContributions
Total Contributions8058603TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column2227895TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue2227895TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10286498TotalRevenueColumn
Related Or Exempt Function Income2227895RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total153888Total
Program Services0ProgramServices
Management And General153888ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2417722Total
Program Services1933771ProgramServices
Management And General483951ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total363885Total
Program Services265889ProgramServices
Management And General97996ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total157977Total
Program Services118483ProgramServices
Management And General39494ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16989Total
Program Services0ProgramServices
Management And General16989ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21820Total
Program Services0ProgramServices
Management And General21820ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total310953Total
Program Services226355ProgramServices
Management And General84598ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total369069Total
Program Services156279ProgramServices
Management And General212790ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total65402Total
Program Services0ProgramServices
Management And General65402ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total205112Total
Program Services149104ProgramServices
Management And General56008ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total69239Total
Program Services40315ProgramServices
Management And General28924ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total19662Total
Program Services15729ProgramServices
Management And General3933ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total176313Total
Program Services61586ProgramServices
Management And General114727ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total14568Total
Program Services11654ProgramServices
Management And General2914ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4362599Total
Program Services2979165ProgramServices
Management And General1383434ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY53896BOY
EOY165402EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY259865BOY
EOY189538EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY54112BOY
EOY79006EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10938BOY
EOY32456EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11741904LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1296441LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2854274BOY
EOY10445463EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3233085BOY
EOY10911865EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY579019BOY
EOY909424EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY813872BOY
EOY2238348EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1392891BOY
EOY3147772EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1840194BOY
EOY7764093EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1840194BOY
EOY7764093EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3233085BOY
EOY10911865EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5923899ReconcilationRevenueExpenses
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 Years1780583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2167903CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2863751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2535352CurrentTaxYearMinus1Year
Current Tax Year8058603CurrentTaxYear
Total17406192Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1780583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2167903CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2863751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2535352CurrentTaxYearMinus1Year
Current Tax Year8058603CurrentTaxYear
Total17406192Total
FieldValueIRS element (for citing)
Public Support Total17017406192PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4884CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years543CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year103CurrentTaxYearMinus1Year
Total7074Total
FieldValueIRS element (for citing)
Total Support17413266TotalSupport
Gross Receipts From Admissions Etc8492935GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99960PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99910PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis863163InvestmentCostOrOtherBasis
Book Value863163BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis8396826InvestmentCostOrOtherBasis
Depreciation214757Depreciation
Book Value8182069BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2481915InvestmentCostOrOtherBasis
Depreciation1081684Depreciation
Book Value1400231BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10445463TotalOfBookValueLandBuildings
Total Revenue10286498TotalRevenue
Total Expenses4362599TotalExpenses
Excess Or Deficit For Year5923899ExcessOrDeficitForYear
Excess Or Deficit Per FS5923899ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10286498TotRevenueEtcAuditedFinclStmt
Revenue Subtotal10286498RevenueSubtotal
Total Revenue Per Form99010286498TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4362599TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4362599ExpensesSubtotal
Total Expenses Per Form9904362599TotalExpensesPerForm990

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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JUDITH BENNETT
156351212710897169375
ANDREA NEITA
14442410897155321
WANDA GUY-CRAFT
13615314219150372

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 AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI, Line 11aTHE CEO, CFO AND THE FINANCE COMMITTEE REVIEWS THE FORM 990.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI, Line 15STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.

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