APPALACHIAN COMMUNITY HEALTH CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
APPALACHIAN COMMUNITY HEALTH CENTER INC (EIN 55-0483699)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-01-21
IRS object ID
201120219349300807
Schema version
2009v1.4
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)
Timestamp2011-01-21T15:45:08-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Suttle & Stalnaker PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11411 Virginia Street East Suite 100AddressLine1
CityCharlestonCity
StateWVState
ZIP Code25301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550483699EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1APPALACHIAN COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAPPANameControl
Phone3046363232Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1725 YOKUM STREETAddressLine1
CityELKINSCity
StateWVState
ZIP Code26241ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD KILEYName
TitleEXECUTIVE DIRECTORTitle
Phone3046363232Phone
Date Signed2011-01-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHorace W Emery CPAName
Phone3043434126Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD KILEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1725 YOKUM STREETAddressLine1
CityELKINSCity
StateWVState
ZIP Code26241ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3599986GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ACHCINC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1965YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionThe mission of Appalachian Community Health Center is to identify, respond and serve the behavioral health needs and promote physical, social, emotional and intellectual well-being of consumers and the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees120TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2038433ContributionsGrantsPriorYear
Contributions Grants Current Year1542866ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2373835ProgramServiceRevenuePriorYear
Program Service Revenue CY2030146ProgramServiceRevenueCY
Investment Income Prior Year35607InvestmentIncomePriorYear
Investment Income Current Year22610InvestmentIncomeCurrentYear
Other Revenue Prior Year18690OtherRevenuePriorYear
Other Revenue Current Year4364OtherRevenueCurrentYear
Total Revenue Prior Year4466565TotalRevenuePriorYear
Total Revenue Current Year3599986TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3141788SalariesEtcPriorYear
Salaries Etc Current Year2813047SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1452463OtherExpensePriorYear
Other Expenses Current Year1060540OtherExpensesCurrentYear
Total Expenses Prior Year4594251TotalExpensesPriorYear
Total Expenses Current Year3873587TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-127686RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-273601RevenuesLessExpensesCY
Total Assets BOY1912039TotalAssetsBOY
Total Assets EOY1921640TotalAssetsEOY
Total Liabilities BOY955608TotalLiabilitiesBOY
Total Liabilities EOY1134082TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY956431NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY787558NetAssetsOrFundBalancesEOY
Mission DescriptionPurpose of the Organization is to provide comprehensive community behavioral health services to the local community including Mental Health, Substance Abuse and Mental Retardation/Developmental Disability services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense877194Expense
Revenue940078Revenue
DescriptionWaiver Services - State funded Medicaid program designed to deliver services to individuals in their home and community as an alternative to receiving services in an Intermediate Care FacilityDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense471321Expense
Revenue277635Revenue
DescriptionService Coordination - case management program designed to provide a single point of contact to ensure patients needs are metDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense350147Expense
Revenue175407Revenue
DescriptionSubstance Abuse - federally funded program offering a comprehensive array of substance abuse assessment and treatment services to meet the varying needs of those who are abusing or addicted to alcohol or other drugs of abuseDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1389434Expense
Revenue637026Revenue
DescriptionMedical Services - program dedicated to enhancing the emotional and behavioral health through professional treatment servicesYouth Programs - programs focused on the mental and physical well-being of youthDay Program - program focusing on the diagnosis and treatment of emotional and behavioral health problems in a day time treatmentClinical & Rehabilitation - programs directed toward clinical rehabilitation services for eligible individuals Crisis - comprehensive array of programs designed to stabilize the conditions of acute or severe psychiatric symptomsOther programsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1389434TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev637026TotalOfOtherProgramServiceRev
Total Program Service Expense3088096TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Individuals0GrantsToIndividuals
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees120NumberOfEmployees
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
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1richard kileyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3046363232TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1725 YOKUM STREETAddressLine1
CityELKINSCity
StateWVState
ZIP Code26241ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
GARy schoonover
board Member1.00X000
anona berry
board Member1.00X000
JAMES FARRY
executive committee2.00X000
EDWARD TYRE
board Member1.00X000
THREASIA WITT
executive committee2.00X000
denise campbell
board Member1.00X000
james farrell
board Member1.00X000
paul gabel
board Member1.00X000
richard cardot
board Member1.00X000
jacqueline burns
board Member1.00X000
JAMES SAYERS
president2.00000X
DEanna Hovey
SEC/Treasurer2.00000X
VIRGINIA MERSON
vice president2.00000X
RICHARD KILEY
EXECUTIVE DIRECTOR40.008459206296X
JOY MESSENGER
ASSOCIATE DIRECTOR40.008576206453X
FieldValueIRS element (for citing)
Total Reportable Comp From Org170354TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation12749TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants1542866GovernmentGrants
Total Contributions1542866TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCLIENT FEESDescription
Business Code900099BusinessCode
Total Revenue Column2030146TotalRevenueColumn
Related Or Exempt Function Income2030146RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2030146TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column22610TotalRevenueColumn
Exclusion$22,610ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHERDescription
Business Code900099BusinessCode
Total Revenue Column4364TotalRevenueColumn
Exclusion$4,364ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4364TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3599986TotalRevenueColumn
Related Or Exempt Function Income2030146RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$26,974ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total183103Total
Program Services146482ProgramServices
Management And General36621ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1845868Total
Program Services1525299ProgramServices
Management And General320569ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total309136Total
Program Services251724ProgramServices
Management And General57412ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total290447Total
Program Services236638ProgramServices
Management And General53809ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total184493Total
Program Services150161ProgramServices
Management And General34332ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7429Total
Management And General7429ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35390Total
Management And General35390ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1630Total
Management And General1630ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total257091Total
Program Services218854ProgramServices
Management And General38237ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total65481Total
Program Services48289ProgramServices
Management And General17192ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total258872Total
Program Services198413ProgramServices
Management And General60459ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total94423Total
Program Services88389ProgramServices
Management And General6034ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5414Total
Management And General5414ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total77795Total
Program Services58342ProgramServices
Management And General19453ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total120460Total
Program Services63936ProgramServices
Management And General56524ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER TAX703415610114240
MEDICAL SUPPLIES & FOOD39517315587959
postage & freight1074810617131
DUES71007100
USE TAX28632863

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5986Total
Program Services3293ProgramServices
Management And General2693ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3873587Total
Program Services3088096ProgramServices
Management And General785491ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8831BOY
EOY244317EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY915000BOY
EOY915000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY110600BOY
EOY50234EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY403807BOY
EOY323615EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY20250BOY
EOY15079EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2903BOY
EOY2056EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75821BOY
EOY72134EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2890538LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2591333LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY374827BOY
EOY299205EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1912039BOY
EOY1921640EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY368417BOY
EOY549946EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY587191BOY
EOY584136EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY955608BOY
EOY1134082EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY956431BOY
EOY787558EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY956431BOY
EOY787558EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1912039BOY
EOY1921640EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1838454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1796919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1972260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2038433CurrentTaxYearMinus1Year
Current Tax Year1542866CurrentTaxYear
Total9188932Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2761934CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2519013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2476928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2373835CurrentTaxYearMinus1Year
Current Tax Year2030146CurrentTaxYear
Total12161856Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4600388CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4315932CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4449188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4412268CurrentTaxYearMinus1Year
Current Tax Year3573012CurrentTaxYear
Total21350788Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50921350788PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35607CurrentTaxYearMinus1Year
Current Tax Year22610CurrentTaxYear
Total248409Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69477CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35607CurrentTaxYearMinus1Year
Current Tax Year22610CurrentTaxYear
Total248409Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92200CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27913CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25192CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18690CurrentTaxYearMinus1Year
Current Tax Year4364CurrentTaxYear
Total168359Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4748822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4413322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4538861CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4466565CurrentTaxYearMinus1Year
Current Tax Year3599986CurrentTaxYear
Total21767556Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98090PublicSupportPercentage509
Prior Year Support Percentage0.98060PriorYearSupportPercentage
Investment Income Percentage0.01140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis114276OtherCostOrOtherBasis
Book Value114276BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1074640OtherCostOrOtherBasis
Depreciation942332Depreciation
Book Value132308BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1259268OtherCostOrOtherBasis
Depreciation1230302Depreciation
Book Value28966BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis442354OtherCostOrOtherBasis
Depreciation418699Depreciation
Book Value23655BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings299205TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLIABILITY FOR PENSION BENEFITSDescription
Amount$584,136Amount
FieldValueIRS element (for citing)
Total Of Amounts584136TotalOfAmounts
Total Revenue3599986TotalRevenue
Total Expenses3873587TotalExpenses
Excess Or Deficit For Year-273601ExcessOrDeficitForYear
Other$104,728OtherAmount
Total Adjustments104728TotalAdjustments
Excess Or Deficit Per FS-168873ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3599986TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3599986RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903599986TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3873587TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3873587ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903873587TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationPENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11REVIEWED BY FINANCE COMMITTEE PRIOR TO FILING, if practical, otherwise reviewed after filing.
Form 990, Part VI, Section B, line 12cREVIEWED AS NECESSARY
Form 990, Part VI, Section B, line 15aCOMPARABLE STUDIES MADE BY EXECUTIVE COMMITTEE OF BOARD PERIODICALLY
Form 990, Part VI, Section C, line 19AVAILABLE UPON REQUEST
Form 990, part xi, line 2c explanationNO CHANGE IN PROCESS FROM PRIOR YEAR

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