RURAL HEALTH SERVICES CONSORTIUM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH SERVICES CONSORTIUM INC (EIN 62-1240690)
Tax period
2010-04-01 to 2011-03-31
Filed
2011-07-29
IRS object ID
201112109349301011
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-29T10:38:21-07:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY HORNE CPA & ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1732 WEST MAIN STREETAddressLine1
CityLEBANONCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621240690EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RURAL HEALTH SERVICES CONSORTIUM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRURANameControl
Phone4232729163Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 850AddressLine1
CityROGERSVILLECity
StateTNState
ZIP Code37857ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA BUCKName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone4232729163Phone
Date Signed2011-07-29DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2011-07-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA BUCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 850AddressLine1
CityROGERSVILLECity
StateTNState
ZIP Code37857ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15583935GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees249TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3972043ContributionsGrantsPriorYear
Contributions Grants Current Year3665591ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11601507ProgramServiceRevenuePriorYear
Program Service Revenue CY11913047ProgramServiceRevenueCY
Investment Income Prior Year11293InvestmentIncomePriorYear
Investment Income Current Year5297InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15584843TotalRevenuePriorYear
Total Revenue Current Year15583935TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11443591SalariesEtcPriorYear
Salaries Etc Current Year11154120SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3782949OtherExpensePriorYear
Other Expenses Current Year4025728OtherExpensesCurrentYear
Total Expenses Prior Year15226540TotalExpensesPriorYear
Total Expenses Current Year15179848TotalExpensesCurrentYear
Revenues Less Expenses Prior Year358303RevenuesLessExpensesPriorYear
Revenues Less Expenses CY404087RevenuesLessExpensesCY
Total Assets BOY13041344TotalAssetsBOY
Total Assets EOY13144366TotalAssetsEOY
Total Liabilities BOY3270621TotalLiabilitiesBOY
Total Liabilities EOY2969556TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9770723NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10174810NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11617560Expense
Revenue11913047Revenue
DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 111,800 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense11617560TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees249NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLINDA BUCKNamePerson
Telephone Number4232724980TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14966 HIGHWAY 11AddressLine1
CityROGERSVILLECity
StateTNState
ZIP Code37857ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KENNETH BAILEY
BOARD MEMBER1.00X000
J PAUL FRYE
BOARD MEMBER1.00X000
WILLIAM JUSTIS JR
BOARD MEMBER1.00X000
ROLAND BAILEY
BOARD MEMBER1.00X000
TERRY CUNNINGHAM
BOARD MEMBER1.00X000
ROBERT CUTSHAW
BOARD MEMBER1.00X000
CLOYCE ELLER
BOARD MEMBER1.00X000
HOLLIS CABLE
BOARD MEMBER1.00X000
BENJAMIN HOPKINS
BOARD MEMBER1.00X000
JACQUELINE Y CHARLES
BOARD MEMBER1.00X000
BETTY JO GREENE
BOARD MEMBER1.00X000
SILVIA DE FREGOSO
BOARD MEMBER1.00X000
EMILY MILSAPS
BOARD MEMBER1.00X000
LINDA BUCK
CHIEF EXECUTIVE OFFICER40.00120314025265X
JOSE VELASCO
MEDICAL DIRECTOR40.00239838054745X
MARK DALLE-AVE
MEDICAL DIRECTOR40.00182554034534X
WES HANSON
MEDICAL DIRECTOR40.00141807026995X
BENNY BREWSTER
CHIEF FINANCIAL OFFICER408606213134X
CHRIS CALENDINE
PHYSICIAN4023302529443X
JOSEPH ALDER
PHYSICIAN4016898024123X
JOHN SHORT
PHYSICIAN4015339737514X
NILADRI DAS
PHYSICIAN4012812819445X
KAREN HARSH
PHYSICIAN401338438404X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1587948TotalReportableCompFromOrg
Total Other Compensation273602TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NEXTGENBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 809390AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606809390ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCOMPUTER SUPPORTDescriptionOfServices
Compensation187116Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants3236735GovernmentGrants
All Other Contributions428856AllOtherContributions
Total Contributions3665591TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column11913047TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue11913047TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5297TotalRevenueColumn
Exclusion$5,297ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15583935TotalRevenueColumn
Related Or Exempt Function Income11913047RelatedOrExemptFunctionIncome
Exclusion$5,297ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total628767Total
Program Services422392ProgramServices
Management And General206375ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8374093Total
Program Services6824529ProgramServices
Management And General1549564ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total116522Total
Program Services94383ProgramServices
Management And General22139ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1410726Total
Program Services1131931ProgramServices
Management And General278795ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total624012Total
Program Services505450ProgramServices
Management And General118562ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11587Total
Program Services0ProgramServices
Management And General11587ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27245Total
Program Services0ProgramServices
Management And General27245ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total430804Total
Program Services37120ProgramServices
Management And General393684ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2296832Total
Program Services1697122ProgramServices
Management And General599710ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total557263Total
Program Services470680ProgramServices
Management And General86583ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total200578Total
Program Services163187ProgramServices
Management And General37391ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total501419Total
Program Services270766ProgramServices
Management And General230653ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15179848Total
Program Services11617560ProgramServices
Management And General3562288ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1593345BOY
EOY1889751EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2153768BOY
EOY2031681EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY268202BOY
EOY282761EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45317BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11981807LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3859186LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8164837BOY
EOY8122621EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY815875BOY
EOY817552EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13041344BOY
EOY13144366EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1126531BOY
EOY986523EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2144090BOY
EOY1983033EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3270621BOY
EOY2969556EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9770723BOY
EOY10174810EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9770723BOY
EOY10174810EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13041344BOY
EOY13144366EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses404087ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2697113CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2862183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3058463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3736389CurrentTaxYearMinus1Year
Current Tax Year3411858CurrentTaxYear
Total15766006Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2697113CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2862183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3058463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3736389CurrentTaxYearMinus1Year
Current Tax Year3411858CurrentTaxYear
Total15766006Total
FieldValueIRS element (for citing)
Public Support Total17015766006PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years97259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11293CurrentTaxYearMinus1Year
Current Tax Year5297CurrentTaxYear
Total231486Total
FieldValueIRS element (for citing)
Total Support15997492TotalSupport
Gross Receipts From Admissions Etc69068496GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98550PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98190PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage
Facts And Circumstances TestPT II LINE 17A:;FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1007147InvestmentCostOrOtherBasis
Book Value1007147BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7710635InvestmentCostOrOtherBasis
Depreciation1929822Depreciation
Book Value5780813BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis44088InvestmentCostOrOtherBasis
Depreciation7079Depreciation
Book Value37009BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3219937InvestmentCostOrOtherBasis
Depreciation1922285Depreciation
Book Value1297652BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8122621TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRESERVE FOR CAPITAL IMPROVEMENTDescription
Book Value817552BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets817552TotalBookValueOtherAssets
Total Revenue15583935TotalRevenue
Total Expenses15179848TotalExpenses
Excess Or Deficit For Year404087ExcessOrDeficitForYear
Excess Or Deficit Per FS404087ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15583935TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15583935RevenueSubtotal
Total Revenue Per Form99015583935TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15179848TotExpensesEtcAuditedFinclStmt
Expenses Subtotal15179848ExpensesSubtotal
Total Expenses Per Form99015179848TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
JOSE VELASCO
2398383300021745294583261515
MARK DALLE-AVE
182554260008534217088191513
WES HANSON
141807693120064168802173888
CHRIS CALENDINE
2330251550013942262467244961
JOSEPH ALDER
168980434319780193103202881
JOHN SHORT
1533971650021014190911198010

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-C, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2cTHE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.
Pt VI-B, Line 12cTHE BOARD REVIEWS AND EACH MEMBER READS POLICY AND SIGNS DISCLOSURE.
Pt VI-B, Line 15STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.
Pt VI-B, Line 11aTHE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.

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