FURP.ORG / PUBLIC DATA EXPLORER

OUTREACH COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OUTREACH COMMUNITY HEALTH CENTERS INC (EIN 39-1353282)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-23
IRS object ID
201102669349301100
Schema version
2010v3.4
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)
Timestamp2011-09-23T15:40:17-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line111414 W PARK PLACE STE 200AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53224ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391353282EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH CARE FOR THE HOMELESS OF MILWAUKEE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone4143742400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 W CAPITOL DRIVEAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53206ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameN LEE CARROLLName
TitleEXECUTIVE DIRECTORTitle
Phone4143742400Phone
Date Signed2011-09-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKARIN HARMSName
Phone4144634411Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonN LEE CARROLLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1711 W CAPITOL DRIVEAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53206ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8136505GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHCHM.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO ENSURE THAT MEN, WOMEN, AND CHILDREN IN THE GREATER MILWAUKEE AREA RECEIVE THE QUALITY HEALTH CARE, HOUSING, AND SUPPORTIVE SERVICES THEY NEED IN ORDER TO LIVE AT THE HIGHEST POSSIBLE LEVEL OF SELF-SUFFICIENCY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees103TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5279999ContributionsGrantsPriorYear
Contributions Grants Current Year5870916ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2150152ProgramServiceRevenuePriorYear
Program Service Revenue CY2174172ProgramServiceRevenueCY
Investment Income Prior Year33441InvestmentIncomePriorYear
Investment Income Current Year26254InvestmentIncomeCurrentYear
Other Revenue Prior Year33438OtherRevenuePriorYear
Other Revenue Current Year65163OtherRevenueCurrentYear
Total Revenue Prior Year7497030TotalRevenuePriorYear
Total Revenue Current Year8136505TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1760381GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1707924GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3638014SalariesEtcPriorYear
Salaries Etc Current Year4041157SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1661516OtherExpensePriorYear
Other Expenses Current Year1962646OtherExpensesCurrentYear
Total Expenses Prior Year7059911TotalExpensesPriorYear
Total Expenses Current Year7711727TotalExpensesCurrentYear
Revenues Less Expenses Prior Year437119RevenuesLessExpensesPriorYear
Revenues Less Expenses CY424778RevenuesLessExpensesCY
Total Assets BOY5393518TotalAssetsBOY
Total Assets EOY5869404TotalAssetsEOY
Total Liabilities BOY1053002TotalLiabilitiesBOY
Total Liabilities EOY1141834TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4340516NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4727570NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENSURE THAT MEN, WOMEN, AND CHILDREN IN THE GREATER MILWAUKEE AREA RECEIVE THE QUALITY HEALTH CARE, HOUSING, AND SUPPORTIVE SERVICES THEY NEED IN ORDER TO LIVE AT THE HIGHEST POSSIBLE LEVEL OF SELF-SUFFICIENCY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4865046Expense
Grants1382656Grants
Revenue2207458Revenue
DescriptionMEDICAL, MENTAL, HEALTH, AND DENTAL SERVICES (7,926 CLIENTS SERVED)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1713045Expense
Grants0Grants
Revenue0Revenue
DescriptionSTREET OUTREACH AND CLIENT SERVICES (4,371 CLIENTS SERVED)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense274087Expense
Grants325268Grants
Revenue31877Revenue
DescriptionCRISIS AND TRANSITIONAL HOUSING (43 CLIENTS SERVED)Description
FieldValueIRS element (for citing)
Total Program Service Expense6852178TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees103NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIM PRITZLNamePerson
Telephone Number4143742400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1711 W CAPITOL DRAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53206ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JAMES W HILL
BOARD MEMBER2.00X000
WARNER L JACKSON
BOARD MEMBER2.00X000
MARY JIRKU-WEBER
BOARD MEMBER2.00X000
DANIEL M ORTEGO
BOARD MEMBER2.00X000
SUZANNE RING-WAGNER
BOARD MEMBER2.00X000
FR CLETUS PFAB
BOARD MEMBER2.00X000
KAREN DOTSON
BOARD MEMBER2.00X000
SUE SCHULER
BOARD MEMBER2.00X000
TIM WALSH
PRESIDENT2.00X000X
HOLLY PATZER
VICE PRESIDENT2.00X000X
CRAIG D KAMMHOLZ
SECRETARY/TREASURER2.00X000X
NORMA LEE CARROLL
EXECUTIVE DIRECTOR40.00128906011622X
DR TONY THRASHER
PSYCHIATRIC SERVICES40.0012556404849X
DR MICHAEL WEINSTEIN
PRIMARY CARE PHYSICIAN40.00110054017767X
FieldValueIRS element (for citing)
Total Reportable Comp From Org364524TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation34238TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SALVATION ARMY
11315 W WATERTOWN PLANK ROADMILWAUKEEWI53226EMERGENCY SHELTER/CASE MANAGEMENT218563
COMMUNITY ADVOCATES
4906 W FOND DU LAC AVEMILWAUKEEWI53216CRISIS INTERVENTION183746
ELEAZAR SAN AGUSTIN MD
4390 DRUID COURTBROOKFIELDWI53005PSYCHIATRIC SERVICES167860
COLUMBIA ST MARY'S HOSPITAL
1027 N 9TH STREETMILWAUKEEWI53233MEDICAL SERVICES162707
GUEST HOUSE
1216 N 13TH STREETMILWAUKEEWI53205EMERGENCY SHELTER106705
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants5765517GovernmentGrants
All Other Contributions105399AllOtherContributions
Total Contributions5870916TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
THIRD PARTY BILLING62410018524071852407
PHARMACY REVENUE624100289888289888
RENTAL INCOME6242003187731877
FieldValueIRS element (for citing)
Total Program Service Revenue2174172TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column26254TotalRevenueColumn
Exclusion$26,254ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code624100BusinessCode
Total Revenue Column65163TotalRevenueColumn
Related Or Exempt Function Income65163RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue65163TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8136505TotalRevenueColumn
Related Or Exempt Function Income2239335RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$26,254ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1707924Total
Program Services1707924ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total140529Total
Program Services28106ProgramServices
Management And General112423ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2969329Total
Program Services2594158ProgramServices
Management And General375171ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total74892Total
Program Services66067ProgramServices
Management And General8825ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total466932Total
Program Services411791ProgramServices
Management And General55141ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total389475Total
Program Services330522ProgramServices
Management And General58953ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32180Total
Program Services5892ProgramServices
Management And General26288ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total648529Total
Program Services648529ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total122661Total
Program Services108759ProgramServices
Management And General13902ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total307560Total
Program Services238921ProgramServices
Management And General68639ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total104651Total
Program Services98064ProgramServices
Management And General6587ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29863Total
Program Services27777ProgramServices
Management And General2086ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total63437Total
Management And General63437ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62300Total
Program Services62231ProgramServices
Management And General69ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY COSTS240981240981
EQUIPMENT REPAIR AND MA18721915453832681
COMMUNICATIONS860687413811930
PRINTING AND PUBLICATIO25359223363023
MISCELLANEOUS18753258016173

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total33085Total
Program Services28864ProgramServices
Management And General4221ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7711727Total
Program Services6852178ProgramServices
Management And General859549ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18076BOY
EOY30336EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3659090BOY
EOY3694920EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY644050BOY
EOY494057EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY382878BOY
EOY429378EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12720BOY
EOY12080EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16352BOY
EOY12000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1640149LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec700673LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY357573BOY
EOY939476EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY302779BOY
EOY257157EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5393518BOY
EOY5869404EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY638856BOY
EOY649124EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY132824BOY
EOY283690EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY281322BOY
EOY209020EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1053002BOY
EOY1141834EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4340516BOY
EOY4727570EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4340516BOY
EOY4727570EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5393518BOY
EOY5869404EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses424778ReconcilationRevenueExpenses
Reconcilation Other Changes-37724ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5162248CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5134391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5316773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5279999CurrentTaxYearMinus1Year
Current Tax Year5870916CurrentTaxYear
Total26764327Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5162248CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5134391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5316773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5279999CurrentTaxYearMinus1Year
Current Tax Year5870916CurrentTaxYear
Total26764327Total
FieldValueIRS element (for citing)
Public Support Total17026764327PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91459CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32499CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33441CurrentTaxYearMinus1Year
Current Tax Year26254CurrentTaxYear
Total240994Total
FieldValueIRS element (for citing)
Total Support27005321TotalSupport
Gross Receipts From Admissions Etc9046607GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99110PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99040PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis35000OtherCostOrOtherBasis
Book Value35000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1374916OtherCostOrOtherBasis
Depreciation541222Depreciation
Book Value833694BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis227283OtherCostOrOtherBasis
Depreciation159451Depreciation
Book Value67832BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2950OtherCostOrOtherBasis
Book Value2950BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings939476TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCLIENT PAYEE ACCOUNTDescription
Amount$209,020Amount
FieldValueIRS element (for citing)
Total Of Amounts209020TotalOfAmounts
Total Revenue8136505TotalRevenue
Total Expenses7711727TotalExpenses
Excess Or Deficit For Year424778ExcessOrDeficitForYear
Prior Period Adjustments-37724PriorPeriodAdjustments
Total Adjustments-37724TotalAdjustments
Excess Or Deficit Per FS387054ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8136505TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8136505RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908136505TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7711727TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7711727ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907711727TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
MEDICAL, DENTAL AND HOSPITAL EXPENSES PROVIDED108671382656
FOOD, SHELTER, AND CLOTHING4414325268

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE USE OF THE FUNDS FOR HEALTH CARE AND OTHER NECESSITIES IS MONITORED AGAINST THE REQUIREMENTS OF THE FEDERAL OR STATE GRANTS RECEIVED BY THE ORGANIZATION FOR SUCH PURPOSES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTOR. AN ELECTRONIC COPY IS PROVIDED TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
BOARD MEMBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE STATEMENTS ANNUALLY. THE STATEMENTS ARE THEN REVIEWED FOR POTENTIAL CONFLICTS.FORM 990, PART VI, SECTION B, LINE 12C
A WAGE AND SALARY SURVEY IS PERFORMED EVERY OTHER YEAR. RESULTS ARE PRESENTED TO THE FINANCE AND PERSONNEL COMMITTEE. THIS COMMITTEE MAKES RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD AFTER REVIEW OF SALARIES OF COMPARABLE ENTITIES AND THE MARKET.FORM 990, PART VI, SECTION B, LINE 15
ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:PRIOR PERIOD ADJUSTMENTS: -37,724.FORM 990, PART XI, LINE 5: