VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-10-04
IRS object ID
201112779349300701
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)
Timestamp2011-10-04T06:33:43-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTHCARE SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone7063229599Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 DELAUNAY AVEAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARAH LANGName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7063229599Phone
Date Signed2011-09-29DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2011-10-04DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSARAH LANGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11315 DELAUNAY AVEAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4410679GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileGAStateLegalDomicile
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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees75TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2863751ContributionsGrantsPriorYear
Contributions Grants Current Year2535352ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1786830ProgramServiceRevenuePriorYear
Program Service Revenue CY1887224ProgramServiceRevenueCY
Investment Income Prior Year543InvestmentIncomePriorYear
Investment Income Current Year-11897InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4651124TotalRevenuePriorYear
Total Revenue Current Year4410679TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2662146SalariesEtcPriorYear
Salaries Etc Current Year3089586SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1288662OtherExpensePriorYear
Other Expenses Current Year1193777OtherExpensesCurrentYear
Total Expenses Prior Year3950808TotalExpensesPriorYear
Total Expenses Current Year4283363TotalExpensesCurrentYear
Revenues Less Expenses Prior Year700316RevenuesLessExpensesPriorYear
Revenues Less Expenses CY127316RevenuesLessExpensesCY
Total Assets BOY2355373TotalAssetsBOY
Total Assets EOY3233085TotalAssetsEOY
Total Liabilities BOY642495TotalLiabilitiesBOY
Total Liabilities EOY1392891TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1712878NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1840194NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2959906Expense
Revenue1887224Revenue
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 25,800 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense2959906TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees75NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSARAH LANGNamePerson
Telephone Number7063229599TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11315 DELAUNAY AVE SUITE 201AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PHILLIP ALDRIDGE
BOARD MEMBER1.00X000
MATTIE K WRIGHT
BOARD MEMBER1.00X000
VIRGINIA DICKERSON
BOARD MEMBER1.00X000
TONY WHITEHURST
BOARD MEMBER1.00X000
KENNETH B CROOKS JR
BOARD MEMBER1.00X000
ROBERT W PATRICK
BOARD MEMBER1.00X000
KARON BUSH
BOARD MEMBER1.00X000
CARLOS HUERTAS
BOARD MEMBER1.00X000
LASHUN SCOTT
BOARD MEMBER1.00X000
JOSEPH LEFCOURT
BOARD MEMBER1.00X000
MIKE MAYHEW
BOARD MEMBER1.00X000
SARAH LANG
CHIEF EXECUTIVE OFFICER40.009247203708X
RICHARD E WOOD
MEDICAL DIRECTOR40.00147913011703X
JENNIFER MELVIN
CHIEF FINANCIAL OFFICER40.006249709046X
DERRALYN M HARRIS
PHYSICIAN40.0015431106809X
ANDREA NEITA
PHYSICIAN40.00145975010969X
SOYINI FLETCHER
PHYSICIAN40.0011144506056X
JULIANE REYNOLDS
PHYSICIAN4010666110778X
FieldValueIRS element (for citing)
Total Reportable Comp From Org821274TotalReportableCompFromOrg
Total Other Compensation59069TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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 Line1HECHT BURDEDSHAW ARCHITECTS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1758AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319021758ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesARCHITECTURAL SERVICESDescriptionOfServices
Compensation159822Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants2419563GovernmentGrants
All Other Contributions115789AllOtherContributions
Total Contributions2535352TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column1887224TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue1887224TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-11897TotalRevenueColumn
Exclusion-$11,897ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4410679TotalRevenueColumn
Related Or Exempt Function Income1887224RelatedOrExemptFunctionIncome
Exclusion-$11,897ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total302882Total
Program Services147913ProgramServices
Management And General154969ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2305727Total
Program Services1849506ProgramServices
Management And General456221ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total309905Total
Program Services237933ProgramServices
Management And General71972ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total171072Total
Program Services130015ProgramServices
Management And General41057ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9809Total
Program Services0ProgramServices
Management And General9809ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18500Total
Program Services0ProgramServices
Management And General18500ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total200120Total
Program Services34607ProgramServices
Management And General165513ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total393285Total
Program Services262898ProgramServices
Management And General130387ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total69159Total
Program Services0ProgramServices
Management And General69159ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total209082Total
Program Services167266ProgramServices
Management And General41816ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total80300Total
Program Services51572ProgramServices
Management And General28728ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total13451Total
Program Services10760ProgramServices
Management And General2691ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total166966Total
Program Services56034ProgramServices
Management And General110932ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total33105Total
Program Services11402ProgramServices
Management And General21703ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4283363Total
Program Services2959906ProgramServices
Management And General1323457ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY277118BOY
EOY53896EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY126925BOY
EOY259865EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY32634BOY
EOY54112EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28079BOY
EOY10938EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3974402LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1120128LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1878617BOY
EOY2854274EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12000BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2355373BOY
EOY3233085EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY323818BOY
EOY579019EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY318677BOY
EOY813872EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY642495BOY
EOY1392891EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1712878BOY
EOY1840194EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1712878BOY
EOY1840194EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2355373BOY
EOY3233085EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses127316ReconcilationRevenueExpenses
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 Years1269619CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1780583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2167903CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2863751CurrentTaxYearMinus1Year
Current Tax Year2535352CurrentTaxYear
Total10617208Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1269619CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1780583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2167903CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2863751CurrentTaxYearMinus1Year
Current Tax Year2535352CurrentTaxYear
Total10617208Total
FieldValueIRS element (for citing)
Public Support Total17010617208PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2956CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1544CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year543CurrentTaxYearMinus1Year
Current Tax Year-11897CurrentTaxYear
Total-1970Total
FieldValueIRS element (for citing)
Total Support10615238TotalSupport
Gross Receipts From Admissions Etc7407178GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99880PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis863163InvestmentCostOrOtherBasis
Book Value863163BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1060580InvestmentCostOrOtherBasis
Depreciation935587Depreciation
Book Value124993BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2050659InvestmentCostOrOtherBasis
Depreciation184541Depreciation
Book Value1866118BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2854274TotalOfBookValueLandBuildings
Total Revenue4410679TotalRevenue
Total Expenses4283363TotalExpenses
Excess Or Deficit For Year127316ExcessOrDeficitForYear
Excess Or Deficit Per FS127316ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4410679TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4410679RevenueSubtotal
Total Revenue Per Form9904410679TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4283363TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4283363ExpensesSubtotal
Total Expenses Per Form9904283363TotalExpensesPerForm990

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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
RICHARD E WOOD
1479131170315961678785
DERRALYN M HARRIS
1543116809161120160594
ANDREA NEITA
14597510969156944

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 AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI-B, Line 11aTHE CEO, CFO AND THE FINANCE COMMITTEE REVIEWS THE FORM 990.
Pt VI-B, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI-B, Line 15STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.

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