ST CROIX REGIONAL FAMILY HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ST CROIX REGIONAL FAMILY HEALTH CENTER (EIN 01-0467073)
Tax period: 2009-04-01 to 2010-03-31
Filed: 2011-02-04
IRS object ID: 201100359349300105
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-04T08:41:41-06:00	Timestamp
Tax Period End Date	2010-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RON L BEAULIEU & CO CPAs	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	41 BATES STREET	AddressLine1
City	PORTLAND	City
State	ME	State
ZIP Code	04103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	010467073	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Croix Regional Family Health Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STCR	NameControl
Phone	2077965014	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	136 Mill Street	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Sharon Bhadelia	Name
Title	Chief Executive Officer	Title
Phone	2077965014	Phone
Date Signed	2011-02-02	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Ron L Beaulieu CPA	Name
Phone	2077751717	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Harry Bailey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	136 Mill Street	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1175868	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1991	YearFormation
State Legal Domicile	ME	StateLegalDomicile
Activity Or Mission Description	Primary health care services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	12	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	935780	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1172862	ProgramServiceRevenueCY
Investment Income Prior Year	1225	InvestmentIncomePriorYear
Investment Income Current Year	596	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1966	OtherRevenuePriorYear
Other Revenue Current Year	2410	OtherRevenueCurrentYear
Total Revenue Prior Year	938971	TotalRevenuePriorYear
Total Revenue Current Year	1175868	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	493295	SalariesEtcPriorYear
Salaries Etc Current Year	546419	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	433687	OtherExpensePriorYear
Other Expenses Current Year	429151	OtherExpensesCurrentYear
Total Expenses Prior Year	926982	TotalExpensesPriorYear
Total Expenses Current Year	975570	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11989	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	200298	RevenuesLessExpensesCY
Total Assets BOY	1365457	TotalAssetsBOY
Total Assets EOY	1292368	TotalAssetsEOY
Total Liabilities BOY	668714	TotalLiabilitiesBOY
Total Liabilities EOY	395327	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	696743	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	897041	NetAssetsOrFundBalancesEOY
Mission Description	Primary health care services.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	540472	Expense
Revenue	1175272	Revenue
Description	Providing medical services for the residents of the downeast region of Maine.	Description
Total Program Service Expense	540472	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	9	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	12	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Sharon Bhadelia	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2077965014	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	136 Mill Street	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
Harry Bailey
Chair	2.00	X	X	0	0	0
Arlene Borm
Vice Chair	2.00	X	X	0	0	0
David Borm
Secretary/Treasurer	2.00	X	X	0	0	0
Linda Bailey
Member	2.00	X		0	0	0
Charles Murphy
Member	2.00	X		0	0	0
Nancy Marshall
Member	2.00	X		0	0	0
Bert Ward
Member	2.00	X		0	0	0
Sandra Bailey
Member	2.00	X		0	0	0
Michael Marshall
Member	2.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	Christine A White MD	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 70	AddressLine1
City	Princeton	City
State	ME	State
ZIP Code	04668	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	Psychiatrist	DescriptionOfServices
Compensation	105100	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient fees	621110	654368	654368
Medicaid/Medicare	621110	518494	518494

Field	Value	IRS element (for citing)
Total Program Service Revenue	1172862	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	596	TotalRevenueColumn
Exclusion	$596	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other income	Description
Business Code	561000	BusinessCode
Total Revenue Column	2410	TotalRevenueColumn
Related Or Exempt Function Income	2410	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2410	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1175868	TotalRevenueColumn
Related Or Exempt Function Income	1175272	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$596	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	417157	Total
Program Services	201288	ProgramServices
Management And General	215869	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	92289	Total
Program Services	4740	ProgramServices
Management And General	87549	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	36973	Total
Program Services	15090	ProgramServices
Management And General	21883	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	12564	Total
Management And General	12564	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1531	Total
Management And General	1531	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	24176	Total
Program Services	17049	ProgramServices
Management And General	7127	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10208	Total
Management And General	10208	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	20249	Total
Program Services	18858	ProgramServices
Management And General	1391	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3452	Total
Program Services	2172	ProgramServices
Management And General	1280	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	16202	Total
Program Services	16202	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	43569	Total
Program Services	43569	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8027	Total
Program Services	8027	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Contracted and purchase	207550	207550
Utilities	24925	24925
Maintenance and repairs	24873	24873
Equipment expense	8173	1232	6941
Telephone	8019	20	7999

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	15633	Total
Program Services	-45123	ProgramServices
Management And General	60756	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	975570	Total
Program Services	540472	ProgramServices
Management And General	435098	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	93672	BOY
EOY	95693	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	345993	BOY
EOY	44018	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	610	BOY
EOY	1968	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	12833	BOY
EOY	11966	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1503829	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	399137	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	877744	BOY
EOY	1104692	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	34605	BOY
EOY	34031	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1365457	BOY
EOY	1292368	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	66421	BOY
EOY	67973	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	257565	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	344728	BOY
EOY	327354	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	668714	BOY
EOY	395327	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	667138	BOY
EOY	867067	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	29605	BOY
EOY	29974	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	696743	BOY
EOY	897041	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1365457	BOY
EOY	1292368	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year	518494	CurrentTaxYear
Total	518494	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	791046	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	871176	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1026881	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	935780	CurrentTaxYearMinus1Year
Current Tax Year	654368	CurrentTaxYear
Total	4279251	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	791046	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	871176	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1026881	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	935780	CurrentTaxYearMinus1Year
Current Tax Year	1172862	CurrentTaxYear
Total	4797745	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	4797745	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	534	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1558	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1630	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1225	CurrentTaxYearMinus1Year
Current Tax Year	596	CurrentTaxYear
Total	5543	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	534	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1558	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1630	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1225	CurrentTaxYearMinus1Year
Current Tax Year	596	CurrentTaxYear
Total	5543	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	35350	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	38266	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2771	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1966	CurrentTaxYearMinus1Year
Current Tax Year	2410	CurrentTaxYear
Total	80763	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	826930	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	911000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1031282	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	938971	CurrentTaxYearMinus1Year
Current Tax Year	1175868	CurrentTaxYear
Total	4884051	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98230	PublicSupportPercentage509
Prior Year Support Percentage	0.98080	PriorYearSupportPercentage
Investment Income Percentage	0.00110	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00120	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22249	OtherCostOrOtherBasis
Book Value	22249	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1201485	OtherCostOrOtherBasis
Depreciation	363854	Depreciation
Book Value	837631	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	232725	OtherCostOrOtherBasis
Depreciation	35283	Depreciation
Book Value	197442	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47370	OtherCostOrOtherBasis
Book Value	47370	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1104692	TotalOfBookValueLandBuildings
Total Revenue	1175868	TotalRevenue
Total Expenses	975570	TotalExpenses
Excess Or Deficit For Year	200298	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	200298	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1175868	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1175868	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1175868	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	975570	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	975570	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	975570	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 2	Arlene and David Borm have a family relationship.
Form 990, Part VI, Section B, line 11	The Board Treasurer reviews the 990 and provides a copy to all the Board Members, before it is submitted to the IRS.
Form 990, Part VI, Section B, line 12c	Each Board Member must read the conflict of interest policy and each Member must sign off that they understand the policy.
Form 990, Part VI, Section C, line 19	All documents are available to the public.