TRI-COUNTY BEHAVIORAL HEALTHCARE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TRI-COUNTY BEHAVIORAL HEALTHCARE (EIN 76-0032662)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-03-25
IRS object ID
201130849349300418
Schema version
2009v1.7
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)
Timestamp2011-03-25T17:25:25-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID N MILLER & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17660 WOODWAY SUITE 320AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77063ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760032662EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRI-COUNTY MENTAL HEALTH MENTALBusinessNameLine1
Business Name Line2RETARDATION SERVICESBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlTRI-NameControl
Phone9367568331Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11506 FM 2854AddressLine1
CityCONROECity
StateTXState
ZIP Code77305ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMildred McduffeyName
TitleCFOTitle
Phone9367568331Phone
Date Signed2011-03-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCarlos TaboadaName
Phone7139776888Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1TRICOUNTY SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMildred McduffeyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11506 FM 2854AddressLine1
CityConroeCity
StateTXState
ZIP Code77035ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23741015GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteTRICOUNTYSERVICES.ORGWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionState AuthorityTypeOfOrgOtherDescription
Year Formation1965YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO ENSURE THE PROVISION OF QUALITY SERVICES FOR INDIVIDUALS WITH MENTAL ILLNESS AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees404TotalNbrEmployees
Total Nbr Volunteers55TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year503955ContributionsGrantsPriorYear
Contributions Grants Current Year1165063ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20888200ProgramServiceRevenuePriorYear
Program Service Revenue CY22276923ProgramServiceRevenueCY
Investment Income Prior Year26825InvestmentIncomePriorYear
Investment Income Current Year16922InvestmentIncomeCurrentYear
Other Revenue Prior Year367312OtherRevenuePriorYear
Other Revenue Current Year281890OtherRevenueCurrentYear
Total Revenue Prior Year21786292TotalRevenuePriorYear
Total Revenue Current Year23740798TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year966493GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY663882GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13001370SalariesEtcPriorYear
Salaries Etc Current Year13539058SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8018748OtherExpensePriorYear
Other Expenses Current Year8221609OtherExpensesCurrentYear
Total Expenses Prior Year21986611TotalExpensesPriorYear
Total Expenses Current Year22424549TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-200319RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1316249RevenuesLessExpensesCY
Total Assets BOY12250447TotalAssetsBOY
Total Assets EOY12386744TotalAssetsEOY
Total Liabilities BOY5113746TotalLiabilitiesBOY
Total Liabilities EOY3933794TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7136701NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8452950NetAssetsOrFundBalancesEOY
Mission DescriptionThe taxpayer is a public agency that performs services for the intellectually and developmentally disabled in Montgomery, Walker and Liberty counties in Texas.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10157236Expense
Revenue10858622Revenue
DescriptionPROVIDED ADULT MENTAL HEALTH SERVICES TO 5,214 INDIVIDUALSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6760546Expense
Revenue7227380Revenue
DescriptionPROVIDED SERVICES TO 863 ADULT, CHILD AND ADOLESCENT INTELLECTUALLY AND DEVELOPMENTALLY DISABLED INDIVIDUALSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1768060Expense
Revenue1890150Revenue
DescriptionPROVIDED CHILD AND ADOLESCENT MENTAL HEALTH SERVICES TO 1,134 INDIVIDUALSDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1681562Expense
Revenue1726734Revenue
DescriptionOTHER PROGRAMS-VariousDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1681562TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1726734TotalOfOtherProgramServiceRev
Total Program Service Expense20367404TotalProgramServiceExpense
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees404NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SHERYL BALDWINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9367568331TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11506 FM 2854AddressLine1
CityCONROECity
StateTXState
ZIP Code77305ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CECIL MCKNIGHT
CHAIRPERSON1.00X000
LEN GEORGE
VICE CHAIRMAN1.00X000
JANET QURESHI
SECRETARY1.00X000
A J HARTEL
MEMBER1.00X000
MORRIS JOHNSON
MEMBER1.00X000
BRAD BOWDER
MEMBER1.00X000
MARK MALTSBERGER
MEMBER1.00X000
DAVID WALKER
MEMBER1.00X000
SHARON WALKER
MEMBER1.00X000
CYNTHIA SILL
EXECUTIVE DIRECTOR40.00134985015057X
JONATHAN SNEED
MEDICAL DIRECTOR40.00188488022253X
LAURA CHAMPAGNE
STAFF PSYCHIATRIST40.00142570013772X
VACHHANI ASHOK
STAFF PSYCHIATRIST40.00182252020447X
WINAKER KENNETH
STAFF PSYCHIATRIST40.00183722020291X
FieldValueIRS element (for citing)
Total Reportable Comp From Org832017TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation91820TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EMPOWERMENT OPTIONS INC
2920 WEST DAVIS 140CONROETX77305MEDICAL SERVICES2661549
DIAMOND COMMERCIAL CONSTRUCTION
211 RIGS STCONROETX77301CONSTRUCTION545560
KINGWOOD PINES HOSPITAL
PO BOX 974357DALLASTX75397PSYCHIATRIC INPATIENT SVCS217175
DR ROBERT BOGAN
2450 LIGSTROM FLOWERSPRINGTX77388PSYCHIATRIST205413
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants889079GovernmentGrants
All Other Contributions275984AllOtherContributions
Total Contributions1165063TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
STATE CONTRACTS6241001323711513237115
MEDICARE & OTHER62410079563987956398
HOSPITAL DISTRICT FEES624100421512421512
PATIENT FEES624100374945374945
VOCATIONAL CONTRACT FE624100180462180462

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column106491TotalRevenueColumn
Related Or Exempt Function Income106491RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue22276923TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17139TotalRevenueColumn
Related Or Exempt Function Income17139RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real164542Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real164542Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column164542TotalRevenueColumn
Related Or Exempt Function Income164542RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other217Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-217Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-217TotalRevenueColumn
Related Or Exempt Function Income-217RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events18500GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column18500TotalRevenueColumn
Exclusion$18,500ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code624100BusinessCode
Total Revenue Column98848TotalRevenueColumn
Related Or Exempt Function Income98848RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue98848TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23740798TotalRevenueColumn
Related Or Exempt Function Income22557235RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$18,500ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total663882Total
Program Services663882ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11236292Total
Program Services9829516ProgramServices
Management And General1406776ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total960118Total
Program Services839912ProgramServices
Management And General120206ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1124693Total
Program Services983882ProgramServices
Management And General140811ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total217955Total
Program Services190667ProgramServices
Management And General27288ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21649Total
Program Services18939ProgramServices
Management And General2710ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29962Total
Management And General29962ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total817151Total
Program Services817151ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total67827Total
Program Services59335ProgramServices
Management And General8492ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total237159Total
Program Services207467ProgramServices
Management And General29692ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total474544Total
Program Services415131ProgramServices
Management And General59413ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total367521Total
Program Services321508ProgramServices
Management And General46013ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total66361Total
Program Services66361ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total544696Total
Program Services476500ProgramServices
Management And General68196ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total103355Total
Program Services90415ProgramServices
Management And General12940ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SERVICE CONTRACTORS38227773822777
client costs668901668901
REPAIRS AND MAINTENANCE48300742253560472
VEHICLE EXPENSE17225015068421566
consumable supplies163875163875

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total180574Total
Program Services157966ProgramServices
Management And General22608ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22424549Total
Program Services20367404ProgramServices
Management And General2057145ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY729209BOY
EOY154820EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4755672BOY
EOY4735687EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1487045BOY
EOY1619407EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY84481BOY
EOY189723EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY29865BOY
EOY32515EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25130BOY
EOY36819EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11870913LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6819945LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4557052BOY
EOY5050968EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY573993BOY
EOY558805EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8000BOY
EOY8000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12250447BOY
EOY12386744EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1166402BOY
EOY1350862EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY762128BOY
EOY173155EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2310000BOY
EOY1635000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY224022BOY
EOY82567EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY651194BOY
EOY692210EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5113746BOY
EOY3933794EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY7136701BOY
EOY8452950EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7136701BOY
EOY8452950EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12250447BOY
EOY12386744EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Governmental Unit170b1 AvXGovernmentalUnit170b1Av

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)
Investment Cost Or Other Basis1670922InvestmentCostOrOtherBasis
Book Value1670922BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6500526InvestmentCostOrOtherBasis
Depreciation4581248Depreciation
Book Value1919278BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1965267InvestmentCostOrOtherBasis
Depreciation1569960Depreciation
Book Value395307BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1734198InvestmentCostOrOtherBasis
Depreciation668737Depreciation
Book Value1065461BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5050968TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
MEDICAID CONTINGENCY$284,520
ACCRUED VACATION$407,690
FieldValueIRS element (for citing)
Total Of Amounts692210TotalOfAmounts
Total Revenue23740798TotalRevenue
Total Expenses22424549TotalExpenses
Excess Or Deficit For Year1316249ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1316249ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23740798TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal23740798RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99023740798TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22424549TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal22424549ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022424549TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event118500GrossReceiptsEvent1
Gross Revenue Event118500GrossRevenueEvent1
Gross Receipts Total18500GrossReceiptsTotal
Gross Revenue Total Events18500GrossRevenueTotalEvents
Net Income Summary18500NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPrescription drugs and other consumable items provided to eligible individualsTypeOfGrant
Number Of Recipients1850NumberOfRecipients
Amount Of Non Cash Assistance663882AmountOfNonCashAssistance
Method Of ValuationBook value of Prescriptions givenMethodOfValuation
Description Of Non Cash AssistancePrescriptionsDescriptionOfNonCashAssistance

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CYNTHIA SILL
1349850000015057000150042000
JONATHAN SNEED
1884880000022253000210741000
LAURA CHAMPAGNE
1425700000013772000156342000
VACHHANI ASHOK
1822520000020447000202699000
WINAKER KENNETH
1837220000020291000204013000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11A PDF with the Form 990 is given to each member of the Board for their review before the return is filed.
Form 990, Part VI, Section B, line 12cThe Board reviews all major contracts and transactions. The CFO would advice the Board about any contract or transaction with a related party at the Board meeting. No such transaction occurred in this fiscal year.
Form 990, Part VI, Section B, line 15The Board reviews surveys and considers compensation paid by other local authorities for similar positions in Texas.
Form 990, Part VI, Section C, line 19The documents are provided to the public upon request.

Schedule R IRS990ScheduleR

FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Independence Communities Inc
D52366
Montgomery Supportive Housing Corp
D126856
Libert project
D10500

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