CATALYSIS INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CATALYSIS INC (EIN 26-2795800)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201103189349302200
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T08:56:42-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262795800 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THEDACARE CENTER FOR HEALTHCARE VALUE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | THED | NameControl |
| Phone | 9208311960 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W LAWRENCE ST | AddressLine1 |
| City | APPLETON | City |
| State | WI | State |
| ZIP Code | 54911 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HELEN ZAK | Name |
| Title | PRESIDENT AND COO | Title |
| Phone | 9208311960 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRI REXRODE CPA MST | Name |
| Phone | 9206620016 | Phone |
| Date Prepared | 2011-11-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | HELEN ZAK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W LAWRENCE ST | AddressLine1 |
| City | APPLETON | City |
| State | WI | State |
| ZIP Code | 54911 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1727182 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CREATEHEALTHCAREVALUE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | THEDACARE CENTER FOR HEALTHCARE VALUE IS WORKING TO CLOSE THE GAP BETWEEN VALUE CREATION AND MARKETPLACE REWARD. WE HOPE TO CREATE A HEALTHCARE MARKETPLACE THAT REWARDS PROVIDERS FOR DELIVERING VALUE MEASURED IN TERMS OF HIGHEST QUALITY AT THE LOWEST COST. WE ARE TARGETING THESE ISSUES BY PUBLISHING THE FRAMEWORK BY WHICH ORGANIZATIONS TRANSFORM THEMSELVES USING HEALTHCARE LEAN. OUR EXPERIENCE TELLS US THAT OUR GOAL NEEDS TO BE TO MAKE EVERY PERSON IN A HEALTH CARE ORGANIZATION A DAILY PROBLEM SOLVER. THE CENTER WILL TEACH TRANSFORMATION LEADERSHIP USING THE LESSONS AND FIRSTHAND EXPERIENCE GAINED FROM OUR AND OTHERS QUALITY JOURNEY.WE WILL SHARE OUR COLLECTIVE INSIGHT ON THE BEST WAYS TO UNITE EMPLOYERS, PROVIDERS AND PAYERS TO DEVELOP NEW MODELS OF CARE AND PAYMENT THAT RESULT IN GREATER EFFICIENCY AND EXPERTISE FOR HEALTHCARE PROVIDERS AND GREATER VALUE FOR PURCHASERS AND PATIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 500000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1000000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 160789 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 711622 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 756 | InvestmentIncomePriorYear |
| Investment Income Current Year | 900 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14660 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 661545 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1727182 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 437500 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 966143 | OtherExpensePriorYear |
| Other Expenses Current Year | 1012661 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 966143 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1450161 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -304598 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 277021 | RevenuesLessExpensesCY |
| Total Assets BOY | 739383 | TotalAssetsBOY |
| Total Assets EOY | 1460312 | TotalAssetsEOY |
| Total Liabilities BOY | 415195 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 859103 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 324188 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 601209 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO CREATE A HEALTHCARE MARKET PLACE THAT REWARDS VALUE. WE ARE ACCOMPLISHING THIS BY WORKING WITH LEADERS IN THE PROVIDER, EMPLOYER, INSURER, AND GOVERNMENT COMMUNITIES TO CREATE TRANSPARENCY OF HEALTHCARE PERFORMANCE, REDESIGNED CARE WHICH IS MEASURABLY LESS WASTEFUL WITH FEWER ERRORS AND PAYMENT SYSTEMS THAT REWARD PATIENT VALUE CREATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1162714 | Expense |
| Revenue | 726282 | Revenue |
| Description | TO BRING EMPLOYERS AND PROVIDERS TOGETHER TO DEVELOP NEW MODELS OF CARE AND REIMBURSEMENT THAT RESULT IN GREATER EFFICIENCY AND EXPERTISE FOR HEALTHCARE PROVIDERS, AND GREATER VALUE FOR PURCHASERS AND PATIENTS. | Description |
| Total Program Service Expense | 1162714 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| 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 | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 0 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JON G CARPENTER | NamePerson |
| Telephone Number | 6178712900 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W LAWRENCE ST 2ND FLOOR | AddressLine1 |
| City | APPLETON | City |
| State | WI | State |
| ZIP Code | 54911 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DANIEL ARIENS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MAUREEN BISIGNANO | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GEORGE KOENIGSAECKER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| GARY CONVIS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DEAN GRUNER MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RANDY LINTON MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ARNIE MILSTEIN MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PAUL O'NEILL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| WALT RUGLAND | ||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X |
| MICHAEL SACHS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOHN TORINUS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ORRY FIUME | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JEFF THOMPSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JIM WOMACK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOHN TOUSSAINT MD | ||||||
| EX-OFFICIO | 40.00 | 350000 | 0 | 87500 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 350000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 87500 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THEDACARE | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 122 W COLLEGE AVE | AddressLine1 |
| City | APPLETON | City |
| State | WI | State |
| ZIP Code | 54911 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | CONTRACTED MANAGEMENT AND EMPLOYEE SERVI | DescriptionOfServices |
| Compensation | 928092 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 1000000 | AllOtherContributions |
| Total Contributions | 1000000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HEALTHCARE MODELING IN | 541900 | 710622 | 710622 |
| OTHER INCOME | 541900 | 1000 | 1000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 711622 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 900 | TotalRevenueColumn |
| Exclusion | $900 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14660 | TotalRevenueColumn |
| Exclusion | $14,660 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1727182 | TotalRevenueColumn |
| Related Or Exempt Function Income | 711622 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $15,560 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437500 | Total |
| Program Services | 393750 | ProgramServices |
| Management And General | 43750 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10997 | Total |
| Program Services | 10997 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 683621 | Total |
| Program Services | 484674 | ProgramServices |
| Management And General | 198947 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84004 | Total |
| Program Services | 84004 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28037 | Total |
| Program Services | 6768 | ProgramServices |
| Management And General | 21269 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16443 | Total |
| Program Services | 12332 | ProgramServices |
| Management And General | 4111 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102458 | Total |
| Program Services | 101258 | ProgramServices |
| Management And General | 1200 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12946 | Total |
| Program Services | 9709 | ProgramServices |
| Management And General | 3237 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13117 | Total |
| Management And General | 13117 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONSULTING | 24155 | 24155 | |
| HOSTING EXPENSE | 17187 | 17187 | |
| MEMBER EDUCATION | 14135 | 14135 | |
| MISCELLANEOUS | 5561 | 3745 | 1816 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1450161 | Total |
| Program Services | 1162714 | ProgramServices |
| Management And General | 287447 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 647167 | BOY |
| EOY | 1183999 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62080 | BOY |
| EOY | 223890 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 77198 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 26275 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30136 | BOY |
| EOY | 50923 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 739383 | BOY |
| EOY | 1460312 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245404 | BOY |
| EOY | 232970 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169791 | BOY |
| EOY | 626133 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 415195 | BOY |
| EOY | 859103 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324188 | BOY |
| EOY | 601209 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 324188 | BOY |
| EOY | 601209 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 739383 | BOY |
| EOY | 1460312 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 277021 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 | 0 | FederalGrantAuditRequired |
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 Minus2 Years | 1000000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 500000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1000000 | CurrentTaxYear |
| Total | 2500000 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 25254 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 160789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 710622 | CurrentTaxYear |
| Total | 896665 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1025254 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 660789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1710622 | CurrentTaxYear |
| Total | 3396665 | 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) |
|---|---|---|
| Current Tax Year Minus2 Years | 989722 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 493385 | CurrentTaxYearMinus1Year |
| Current Tax Year | 982728 | CurrentTaxYear |
| Total | 2465835 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 989722 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 493385 | CurrentTaxYearMinus1Year |
| Current Tax Year | 982728 | CurrentTaxYear |
| Total | 2465835 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 930830 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2582 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 756 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16560 | CurrentTaxYear |
| Total | 19898 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2582 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 756 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16560 | CurrentTaxYear |
| Total | 19898 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1027836 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 661545 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1727182 | CurrentTaxYear |
| Total | 3416563 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.27240 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00580 | InvestmentIncomePercentage |
| Private Foundation509 | X | PrivateFoundation509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77198 | OtherCostOrOtherBasis |
| Depreciation | 26275 | Depreciation |
| Book Value | 50923 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 50923 | TotalOfBookValueLandBuildings |
| Total Revenue | 1727182 | TotalRevenue |
| Total Expenses | 1450161 | TotalExpenses |
| Excess Or Deficit For Year | 277021 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 277021 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1727182 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1727182 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1727182 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1450161 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1450161 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1450161 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | IN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUBSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT-RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN TOUSSAINT MD | NamePerson |
| Base Compensation Filing Org | 350000 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 350000 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION ADOPTED A POLICY FOR JOHN TOUSSAINT AND KIM ZWIERS TO REVIEW THE 990 PRIOR TO FILING. IN ADDITION, THE BOARD MEMBERS HAVE AN OPPORTUNITY TO SEE THE RETURN VIA E-MAIL BEFORE SUBMITTING. | |
| ANNUALLY EACH DIRECTOR, PRINICIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT AND IN ADDITION PERIODIC REVIEWS ARE PERFORMED. | FORM 990, PART VI, SECTION B, LINE 12C | |
| INDEPENDENT CONTRACTORS ARE SELECTED BASED ON THE REQUIRED SKILL SET AND AVAILABILITY TO COMPLETE PROJECTS AS DIRECTED BY ORGANIZATIONAL LEADERSHIP. ALL COMPENSATION IS PAID TO AN UNRELATED NONPROFIT MANAGEMENT COMPANY THAT UTILIZES THE APPROPRIATE PROCESSES IN DETERMINING COMPENSATION LEVELS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. | FORM 990, PART VI, SECTION C, LINE 19 |