FIRST CHOICE COMMUNITY HEALTH CENTERS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FIRST CHOICE COMMUNITY HEALTH CENTERS (EIN 56-1205213)
Tax period
2010-12-01 to 2011-11-30
Filed
2012-03-28
IRS object ID
201240889349300109
Schema version
2010v3.7
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)
Timestamp2012-03-28T09:25:30-05:00Timestamp
Tax Period End Date2011-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SITTERSON & BARKER P ABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1399AddressLine1
CityKINSTONCity
StateNCState
ZIP Code28503ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561205213EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FIRST CHOICE COMMUNITY HEALTH CTRSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFIRSNameControl
Phone9108935402Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER BAddressLine1
CityMAMERSCity
StateNCState
ZIP Code27552ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHEILA SIMMONSName
TitleCEOTitle
Phone9108935402Phone
Date Signed2012-03-23DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM W BARKERName
Phone2525232106Phone
Date Prepared2012-03-23DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHEILA SIMMONSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER ROADAddressLine1
CityMAMERSCity
StateNCState
ZIP Code27552ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5447358GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FIRSTCHOICECHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF HEALTHCARE TO UNDERSERVED POPULATION OF HARNETT COUNTY, NC AND SURROUNDING AREAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees72TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1827847ContributionsGrantsPriorYear
Contributions Grants Current Year2449578ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3210870ProgramServiceRevenuePriorYear
Program Service Revenue CY2988945ProgramServiceRevenueCY
Investment Income Prior Year11756InvestmentIncomePriorYear
Investment Income Current Year8670InvestmentIncomeCurrentYear
Other Revenue Current Year165OtherRevenueCurrentYear
Total Revenue Prior Year5050473TotalRevenuePriorYear
Total Revenue Current Year5447358TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2487078SalariesEtcPriorYear
Salaries Etc Current Year2112759SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2135635OtherExpensePriorYear
Other Expenses Current Year2096884OtherExpensesCurrentYear
Total Expenses Prior Year4622713TotalExpensesPriorYear
Total Expenses Current Year4209643TotalExpensesCurrentYear
Revenues Less Expenses Prior Year427760RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1237715RevenuesLessExpensesCY
Total Assets BOY6196247TotalAssetsBOY
Total Assets EOY7947960TotalAssetsEOY
Total Liabilities BOY265402TotalLiabilitiesBOY
Total Liabilities EOY779400TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5930845NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7168560NetAssetsOrFundBalancesEOY
Mission DescriptionPROVISION OF HEALTHCARE TO UNDERSERVED POPULATION OF HARNETT COUNTY, NC AND SURROUNDING AREAS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3335022Expense
DescriptionPROVIDED MEDICAL AND DENTAL CARE SERVICE TO THE DISADVANTAGED POPULATION OF HARNETT COUNTY, NC. FIVE CLINIC SITES ARE OPERATED IN THE COUNTY WHICH PROVIDE CARE TO OVER 12,000 PATIENTS PER YEAR. SERVICES INCLUDE MEDICAL CARE FOR CHILDREN, TEENS AND ADULTS, OB/GYN CARE, PRENATAL CARE, FAMILY PLANNING, AS WELL AS PREVENTIVE AND RESTORATIVE DENTAL CARE. SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. FEES FOR SERVICES ARE ON A SLIDING SCALE BASED ON THE FEDERAL POVERTY GUIDELINES.Description
Total Program Service Expense3335022TotalProgramServiceExpense
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 SecuritiestrueReportInvestOthSecurities
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 With109629NumberFormsTransmittedWith1096
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FIRST CHOICE COMMUNITY HEALTH CENTEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9108935402TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 MEDICAL CENTER ROADAddressLine1
Address Line21000 MEDICAL CENTER ROADAddressLine2
CityMAMERSCity
StateNCState
ZIP Code27552ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RUSSEL HIEB
VICE-CHAIR2.00XX000
ROBIN JONES
TREASURER2.00XX000
DR CATHERINE EVANS
DIRECTOR1.00X000
DONNA MCNEIL
CHAIRPERSON2.00XX000
RACHEL BARNES
SECRETARY2.00XX000
RON DAVIS
DIRECTOR1.00X000
DR EDWARD FUBARA
DIRECTOR1.00X000
RODNEY STEWART
DIRECTOR1.00X000
FRANK GONZALEZ
DIRECTOR1.00X000
RAYMOND COLE
DIRECTOR1.00X000
KATHRYN FERGUSON
DIRECTOR1.00X000
EUGENE GONZALES
DIRECTOR1.00X000
SHEILA SIMMONS
CEO50.00X13174304674
DR MARVIN LEWIS
CMO50.00X000
WALTER KICAK
DIRECTOR OF50.00X000
LEON FOWLER
40.0016421408000X
JAIMITA PATEL
40.0012110400X
AMRITPAL MANES
40.0011263303592X
JEAN JOH
40.0010660600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org636300TotalReportableCompFromOrg
Total Other Compensation16266TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonEHSNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE METROPLEX DRAddressLine1
Address Line2SUITE 500AddressLine2
CityBIRMINGHAMCity
StateALState
ZIP Code35209ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesIT SERVICESDescriptionOfServices
Compensation173099Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants2449578GovernmentGrants
Total Contributions2449578TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Total Revenue Column2988945TotalRevenueColumn
Related Or Exempt Function Income2988945RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2988945TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8670TotalRevenueColumn
Exclusion$8,670ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column165TotalRevenueColumn
Related Or Exempt Function Income165RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue165TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5447358TotalRevenueColumn
Related Or Exempt Function Income2989110RelatedOrExemptFunctionIncome
Exclusion$8,670ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1765842Total
Program Services1443942ProgramServices
Management And General321900ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27333Total
Program Services22377ProgramServices
Management And General4956ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total173173Total
Program Services137542ProgramServices
Management And General35631ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total146411Total
Program Services116600ProgramServices
Management And General29811ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9219Total
Management And General9219ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78610Total
Management And General78610ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9408Total
Management And General9408ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total82158Total
Program Services7246ProgramServices
Management And General74912ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total52912Total
Program Services51795ProgramServices
Management And General1117ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11649Total
Program Services4227ProgramServices
Management And General7422ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total384312Total
Program Services365481ProgramServices
Management And General18831ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total24598Total
Program Services4484ProgramServices
Management And General20114ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS454349454349
MAT'LS, SUPPLIES, POSTAGE26423121626047971
PURCHASED SERVICES24607320242843645
CONTRACT SERVICES1065728367522897
REPAIRS & MAINTENANCE1061241021673957

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total266669Total
Program Services122449ProgramServices
Management And General144220ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4209643Total
Program Services3335022ProgramServices
Management And General874621ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3765773BOY
EOY281126EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY3122520EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY9702BOY
EOY570006EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY478766BOY
EOY557767EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45250BOY
EOY52239EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7241814LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4333346LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1877974BOY
EOY2908468EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY450000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18782BOY
EOY5834EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6196247BOY
EOY7947960EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY265402BOY
EOY779400EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY265402BOY
EOY779400EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5575882BOY
EOY7168560EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY354963BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5930845BOY
EOY7168560EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6196247BOY
EOY7947960EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1237715ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1332722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1477538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1594840CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1827847CurrentTaxYearMinus1Year
Current Tax Year2449578CurrentTaxYear
Total8682525Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2966258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2787229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2837444CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3210870CurrentTaxYearMinus1Year
Current Tax Year2989110CurrentTaxYear
Total14790911Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4298980CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4264767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4432284CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5038717CurrentTaxYearMinus1Year
Current Tax Year5438688CurrentTaxYear
Total23473436Total
FieldValueIRS element (for citing)
Public Support Total50923473436PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99646CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11756CurrentTaxYearMinus1Year
Current Tax Year8670CurrentTaxYear
Total219046Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99646CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11756CurrentTaxYearMinus1Year
Current Tax Year8670CurrentTaxYear
Total219046Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4398626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4328357CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4467668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5050473CurrentTaxYearMinus1Year
Current Tax Year5447358CurrentTaxYear
Total23692482Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99080PublicSupportPercentage509
Prior Year Support Percentage0.98670PriorYearSupportPercentage
Investment Income Percentage0.01000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis50000OtherCostOrOtherBasis
Book Value50000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3798181OtherCostOrOtherBasis
Depreciation1513224Depreciation
Book Value2284957BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2481078OtherCostOrOtherBasis
Depreciation1908901Depreciation
Book Value572177BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis912555OtherCostOrOtherBasis
Depreciation911221Depreciation
Book Value1334BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2908468TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLT CERTIFICATES OF DEPOSITDescription
Book Value450000BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities450000TotalOfBookValueSecurities
Total Revenue5447358TotalRevenue
Total Expenses4209643TotalExpenses
Excess Or Deficit For Year1237715ExcessOrDeficitForYear
Excess Or Deficit Per FS1237715ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5447358TotRevenueEtcAuditedFinclStmt
Revenue Subtotal5447358RevenueSubtotal
Total Revenue Per Form9905447358TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4209643TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4209643ExpensesSubtotal
Total Expenses Per Form9904209643TotalExpensesPerForm990

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 PersonLEON FOWLERNamePerson
Base Compensation Filing Org164214BaseCompensationFilingOrg
Deferred Comp Filing Org8000DeferredCompFilingOrg
Total Compensation Filing Org172214TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS SUBMITTED TO AND REVIEWED BY THE BOARD'S FINANCE COMMITTEE.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE DIRECTORS ARE REQUIRED TO COMPLETE A BOARD EVALUATION EVERY ANNUAL BOARD RETREAT AND THIS IS REVIEWED BY THE BYLAW COMMITTEE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION IS DETERMINED BY THE BOARD BASED UPON PERFORMANCE MEASURES AND INDEPENDENT SALARY COMPARISON MEASURES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION IS COMPARED EVERY YEAR TO AN ANNUAL SALARY SURVEY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.

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