PRAIRIE VIEW INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PRAIRIE VIEW INC (EIN 48-0642318)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202341309349304204
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-10T14:00:44-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1551 N WATERFRONT PKWY STE 300 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672066601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480642318 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARCY JOHNSON | InCareOfNm |
| Business Name Control | PRAI | BusinessNameControlTxt |
| Phone | 3162846310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCY JOHNSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3162832400 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARCY | PersonFirstNm |
| Person Last | JOHNSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P01663908 | PTIN |
| Phone | 3162652811 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARCY JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,152,865 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PRAIRIEVIEW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | NON-PROFIT BEHAVIORAL AND MENTAL HEALTH CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 424 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,701,059 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,637,734 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,122,740 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,856,257 | CYProgramServiceRevenueAmt |
| PY Investment Income | $164,341 | PYInvestmentIncomeAmt |
| CY Investment Income | $255,550 | CYInvestmentIncomeAmt |
| PY Other Revenue | $280,367 | PYOtherRevenueAmt |
| CY Other Revenue | $90,697 | CYOtherRevenueAmt |
| PY Total Revenue | $24,268,507 | PYTotalRevenueAmt |
| CY Total Revenue | $20,840,238 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $85,897 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $90,612 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,849,726 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,348,821 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $19,877 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,434,229 | PYOtherExpensesAmt |
| CY Other Expenses | $5,009,354 | CYOtherExpensesAmt |
| PY Total Expenses | $21,369,852 | PYTotalExpensesAmt |
| CY Total Expenses | $21,448,787 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,898,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$608,549 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,128,204 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,254,290 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,971,996 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,506,253 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,156,208 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,748,037 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT OF CHRIST. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,841,348 | ExpenseAmt |
| Grant | $90,612 | GrantAmt |
| Revenue | $16,933,077 | RevenueAmt |
| Desc | A SPECTRUM OF SERVICES PROVIDED TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS - INPATIENT HOSPITALIZATION AND INTENSIVE OUTPATIENT, EMERGENCY ASSESSMENT SERVICES, PSYCHOLOGICAL TESTING, A SPECIAL RESIDENTIAL SCHOOL AND EXPERIENTIAL, ADVENTURE-BASED LEARNING. FOR THOSE WITH MORE SEVERE AND PERSISTENT MENTAL ILLNESS, SPECIAL SERVICES ARE PROVIDED WITH NURSING AND COMMUNITY-BASED SUPPORT. | Desc |
| Total Program Service Expenses | $17,841,348 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 424 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCY JOHNSON | PersonNm |
| Phone | 3162846310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| GARY FAST | ||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | Yes (X) | $296,693 | $0 | $58,051 | ||
| SATINDER MAHAL | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $253,363 | $0 | $46,338 | Yes (X) | ||
| DAVID HON | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $214,064 | $0 | $67,311 | Yes (X) | ||
| MERCEDES PERALES | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $229,350 | $0 | $40,460 | Yes (X) | ||
| AVEEKSHIT TRIPATHI | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $225,085 | $0 | $29,460 | Yes (X) | ||
| TIFFANY HUXMAN | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $133,260 | $0 | $12,765 | Yes (X) | ||
| MARCY JOHNSON | ||||||||
| CHIEF EXECUTIVE OFFICER | 39.0 | 1.0 | Yes (X) | $116,991 | $0 | $6,941 | ||
| TROY BIGGS | ||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $36,999 | $0 | $4,354 | ||
| JOHN WALTNER | ||||||||
| BOARD CHAIR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ARLENE HETT | ||||||||
| TREASURER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LINDA OGDEN | ||||||||
| BOARD CHAIR ELECT | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TOM KUESER | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTINE CROUSE-DICK | ||||||||
| CHAIR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ERIC MASSANARI | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| MARTY WARD | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| MELISSA SCHEFFLER-HOYLE | ||||||||
| SECRETARY | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GARY HAND | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| ANGELA HOLEMAN | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| HEATHER KILPATRICK-O'CONNOR | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| ANGELA PEREZ | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| DREW SCHULTZ | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| TIM HODGE | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| MATT FUQUA | ||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||
| MATTHEW ANKENBRANDT | ||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,505,805 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $265,680 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NETSMART TECHNOLOGIES | |||||
| 4950 COLLEGE BLVD | OVERLAND PARK | KS | 66211 | BILLING SERVICES | $450,526 |
| SUPPLEMENTAL HEALTH CARE | |||||
| 1640 REDSTONE CENTER DR 200 | PARK CITY | UT | 84098 | AGENCY NURSING | $110,642 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,253,834 | GovernmentGrantsAmt |
| All Other Contributions | $383,900 | AllOtherContributionsAmt |
| Total Contributions | $3,637,734 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $16,531,385 | $16,531,385 |
| HEALTH MINISTRIES | 900099 | $324,872 | $324,872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,856,257 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $237,000 | TotalRevenueColumnAmt |
| Exclusion | $237,000 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $120,325 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $106,448 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,877 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,877 | TotalRevenueColumnAmt |
| Exclusion | $13,877 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $224,519 | SecuritiesAmt |
| Other | $210 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $206,179 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,340 | SecuritiesAmt |
| Other | $210 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,550 | TotalRevenueColumnAmt |
| Exclusion | $18,550 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | All Other Misc Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $76,820 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,820 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,820 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,820 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $76,820 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,840,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,933,077 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $269,427 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,612 | TotalAmt |
| Program Services | $90,612 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,408 | TotalAmt |
| Management And General | $523,408 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,351,580 | TotalAmt |
| Program Services | $11,060,256 | ProgramServicesAmt |
| Management And General | $2,287,203 | ManagementAndGeneralAmt |
| Fundraising | $4,121 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,990 | TotalAmt |
| Program Services | $188,012 | ProgramServicesAmt |
| Management And General | $47,598 | ManagementAndGeneralAmt |
| Fundraising | $2,380 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,747 | TotalAmt |
| Program Services | $1,162,024 | ProgramServicesAmt |
| Management And General | $31,165 | ManagementAndGeneralAmt |
| Fundraising | $1,558 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,041,096 | TotalAmt |
| Program Services | $822,466 | ProgramServicesAmt |
| Management And General | $208,219 | ManagementAndGeneralAmt |
| Fundraising | $10,411 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,300 | TotalAmt |
| Management And General | $51,300 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,180 | TotalAmt |
| Management And General | $51,180 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,417 | TotalAmt |
| Management And General | $14,417 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,890,482 | TotalAmt |
| Program Services | $1,834,656 | ProgramServicesAmt |
| Management And General | $55,264 | ManagementAndGeneralAmt |
| Fundraising | $563 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,334 | TotalAmt |
| Program Services | $12,334 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,137 | TotalAmt |
| Program Services | $613,099 | ProgramServicesAmt |
| Management And General | $61,856 | ManagementAndGeneralAmt |
| Fundraising | $181 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859 | TotalAmt |
| Program Services | $1,859 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,339 | TotalAmt |
| Program Services | $470,196 | ProgramServicesAmt |
| Management And General | $1,089 | ManagementAndGeneralAmt |
| Fundraising | $54 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,145 | TotalAmt |
| Program Services | $102,858 | ProgramServicesAmt |
| Management And General | $1,243 | ManagementAndGeneralAmt |
| Fundraising | $44 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,413 | TotalAmt |
| Management And General | $2,413 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $633,504 | TotalAmt |
| Program Services | $405,604 | ProgramServicesAmt |
| Management And General | $227,900 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,233 | TotalAmt |
| Program Services | $274,098 | ProgramServicesAmt |
| Management And General | $135 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| REPAIRS & MAINTENANCE | $205,003 | $205,003 | ||
| Drugs & Pharmaceuticals | $133,623 | $133,623 | ||
| Dues & Subscriptions | $80,282 | $80,042 | $232 | $8 |
| Equipment Rental | $240,308 | $231,748 | $8,526 | $34 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,796 | TotalAmt |
| Program Services | $152,858 | ProgramServicesAmt |
| Management And General | $14,414 | ManagementAndGeneralAmt |
| Fundraising | $523 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,448,787 | TotalAmt |
| Program Services | $17,841,348 | ProgramServicesAmt |
| Management And General | $3,587,562 | ManagementAndGeneralAmt |
| Fundraising | $19,877 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$120,170 | BOYAmt |
| EOY | -$141,646 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,058,839 | BOYAmt |
| EOY | $2,588,154 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,038,333 | BOYAmt |
| EOY | $1,875,005 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,141 | BOYAmt |
| EOY | $241,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,723,227 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,058,017 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,239,626 | BOYAmt |
| EOY | $4,665,210 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,878,174 | BOYAmt |
| EOY | $3,740,976 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $811,261 | BOYAmt |
| EOY | $285,129 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,128,204 | BOYAmt |
| EOY | $13,254,290 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,757,727 | BOYAmt |
| EOY | $2,370,791 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,424 | BOYAmt |
| EOY | $12,177 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,776 | BOYAmt |
| EOY | $24,129 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,069 | BOYAmt |
| EOY | $99,156 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,971,996 | BOYAmt |
| EOY | $2,506,253 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,860,750 | BOYAmt |
| EOY | $7,092,697 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,295,458 | BOYAmt |
| EOY | $3,655,340 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,156,208 | BOYAmt |
| EOY | $10,748,037 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,128,204 | BOYAmt |
| EOY | $13,254,290 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$608,549 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$799,622 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,229,262 | BeginningYearBalanceAmt |
| Contributions | $523 | ContributionsAmt |
| Investment Earnings Or Losses | -$564,694 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $129,750 | OtherExpendituresAmt |
| End Year Balance | $3,535,341 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,496,289 | BeginningYearBalanceAmt |
| Contributions | $6,615 | ContributionsAmt |
| Investment Earnings Or Losses | $861,341 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $134,983 | OtherExpendituresAmt |
| End Year Balance | $4,229,262 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,795,209 | BeginningYearBalanceAmt |
| Contributions | $3,646 | ContributionsAmt |
| Investment Earnings Or Losses | $155,604 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $458,170 | OtherExpendituresAmt |
| End Year Balance | $3,496,289 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,642,352 | BeginningYearBalanceAmt |
| Contributions | $3,819 | ContributionsAmt |
| Investment Earnings Or Losses | $251,956 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $102,918 | OtherExpendituresAmt |
| End Year Balance | $3,795,209 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,388,469 | BeginningYearBalanceAmt |
| Contributions | $6,015 | ContributionsAmt |
| Investment Earnings Or Losses | $298,219 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50,351 | OtherExpendituresAmt |
| End Year Balance | $3,642,352 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.03170 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.57980 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.38850 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $588,359 | OtherCostOrOtherBasisAmt |
| Book Value | $588,359 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,372,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,571,896 | DepreciationAmt |
| Book Value | $3,800,508 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $809,808 | OtherCostOrOtherBasisAmt |
| Depreciation | $771,725 | DepreciationAmt |
| Book Value | $38,083 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,892,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,714,396 | DepreciationAmt |
| Book Value | $178,436 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $59,824 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,665,210 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE LIABILITY | $21,990 |
| ANNUITIES PAYABLE | $2,166 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $75,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $99,156 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,025,989 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$799,622 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$799,622 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,825,611 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $14,417 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $210 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $14,627 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,840,238 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,434,160 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$210 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$210 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,434,370 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $14,417 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $14,417 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,448,787 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THE ENDOWMENT FUNDS ARE INTENDED TO SUPPORT PROGRAMS FOR THE ORGANIZATION. |
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 4B | GAIN/LOSS ON DISPOSAL 210 |
| SCHEDULE D, PART XII, LINE 2D | GAIN/LOSS ON DISPOSAL (210) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $279,490 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $279,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,189,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,461,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,728,257 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.26500 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,468,859 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,461,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,007,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.28070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,494,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,461,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,033,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.28210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $896,009 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $1,184,403 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,841,036 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$656,633 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 E FIRST ST | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PRAIRIEVIEW.ORG | WebsiteAddressTxt |
| State License | M040001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | PSYCHIATRIC HOSPITAL WITH OUTPATIENT SERVICES | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE VIEW INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://prairieview.org/resources | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://prairieview.org/resources | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | STAKEHOLDERS FROM OUR CATCHMENT AREA WERE REPRESENTED THROUGH THE MEMBERS OF OUR THREE COUNTY COMMUNITY ADVISORY COMMITTEES. REPRESENTATIVES TO THE COMMUNITY HEALTH ASSESSMENT CORE COMMITTEE OFFERED INPUT. INFORMATION WAS ALSO GATHERED FROM THE LOCAL UNITED WAY OFFICE. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | NEWTON MEDICAL CENTER |
| SCHEDULE H, PART V, SECTION B, LINE 6B | NEWTON FIRE/EMS, HARVEY COUNTY HEALTH DEPARTMENT, HEALTH MINISTRIES CLINIC INC., HEALTHY HARVEY COALITION |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NEEDS OUTSIDE THE SCOPE OF SERVICES PROVIDED BY PRAIRIE VIEW ARE BEING PROVIDED BY NEWTON MEDICAL CENTER, THE LOCAL COUNTY HEALTH DEPARTMENT AND FQHC - HEALTH MINISTRIES CLINIC, INC. THESE IDENTIFIED NEEDS INCLUDE COMMUNITY HOUSING, SERVICES FOR HOMELESS PERSONS, CHILD CARE SERVICES, DENTAL SERVICES, ETC. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | IN ADDITION TO MEETING THE INCOME ELIGIBILITY LIMITS AND PROOF OF RESIDENCY, THE FINANCIAL ASSISTANCE POLICY EXPLAINS SUPPORTING DOCUMENTS THAT MUST BE SUPPLIED WITH THE APPLICATION TO DEMONSTRATE FINANCIAL NEED. |
| SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, AND 16C | https://prairieview.org/admissions/financial-assistance |
| SCHEDULE H, PART V, SECTION B, LINE 16J | FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION, DISCHARGE, AND THROUGHOUT THE COURSE OF TREATMENT TO REVIEW FINANCIAL STATUS. IF IT IS SUSPECTED THE PATIENT WOULD QUALIFY FOR DISCOUNTED CHARGES THROUGH THE FAP, THE PATIENT IS ENCOURAGED TO APPLY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| NEWTON OUTPATIENT CLINIC | ||||
| 1901 E FIRST ST | NEWTON | KS | 67114 | OUTPATIENT CLINIC |
| WICHITA EAST OUTPATIENT CLINIC | ||||
| 9333 E 21ST ST N | WICHITA | KS | 672062927 | OUTPATIENT CLINIC |
| TURNING POINT | ||||
| 1901 E FIRST ST | NEWTON | KS | 67114 | PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY |
| MCPHERSON OUTPATIENT CLINIC | ||||
| 1102 HOSPITAL DR | MCPHERSON | KS | 674602318 | OUTPATIENT CLINIC |
| WICHITA WEST OUTPATIENT CLINIC | ||||
| 7570 W 21ST ST N STE 1026-D | WICHITA | KS | 672051734 | OUTPATIENT CLINIC |
| HILLSBORO OUTPATIENT CLINIC | ||||
| 508 S ASH ST | HILLSBORO | KS | 670630185 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE, THE PATIENT IS EXPECTED TO PROVIDE ALL PERSONAL AND FAMILY FINANCIAL INFORMATION REQUESTED BY THE ADMITTING DEPARTMENT AND/OR THE FINANCIAL COUNSELOR, AS WELL AS ALL INSURANCE INFORMATION. REFUSAL TO PROVIDE THIS INFORMATION AND/OR AUTHORIZE ASSIGNMENT OF INSURANCE BENEFITS RESULTS IN AN EXPECTATION THAT THE RESPONSIBLE PARTY WILL PAY THE FULL CHARGE AT THE TIME OF SERVICE FOR THE SERVICES RENDERED. FINANCIAL ASSISTANCE BECOMES AVAILABLE WHEN THE DOCUMENATION IS RECEIVED. SUBSEQUENT RETROACTIVE ADJUSTMENTS MAY BE MADE UP TO, BUT NOT EXCEEDING 30 DAYS PRIOR TO THE DATE THE INFORMATION IS PROVIDED. RESPONSIBLE PARTY IS DEFINED AS EITHER THE PATIENT AND/OR ALL OTHER PARTIES THAT HAVE LEGAL FINANCIAL RESPONSIBILITY FOR THE PATIENT. DOCUMENTS THAT MAY VALIDATE NEED FOR FINANCIAL ASSISTANCE ARE PRIOR YEAR INCOME TAX RETURNS, MOST CURRENT PAY STUB, OR A CERTIFIED STATEMENT FROM THE PATIENT OR GUARDIAN. |
| SCHEDULE H, PART I, LINE 7 | CALCULATION OF COST BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COSTS TO CHARGES. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTIONS WITH CUSTOMERS. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE AMOUNT OF BAD DEBT EXPENSE REPORTED WAS CALCULATED BY DETERMINING THE AMOUNT OF CHARGES WRITTEN OFF IN THE SYSTEM AS BAD DEBT FOR THE YEAR. |
| SCHEDULE H, PART III, LINE 3 | The costing methodology is based on the organization's medicare cost-to-charge ratio. While we recognize that there would be some bad debt expense attributable to patients eligible under the organization's charity care policy, we have no reasonable basis for estimating this figure. If eligibility is known, the amount would fall under charity care and not bad debt. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | SEE PAGE 21 OF THE AUDITED FINANCIALS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | THE CURRENT FISCAL YEAR MEDICARE COST REPORT WAS USED TO DETERMINE THE CURRENT YEAR MEDICARE ALLOWABLE COSTS. THE SHORTFALL SHOWN HERE IS NOT USED FOR COMMUNITY BENEFIT EXPENSE CALCULATIONS. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | PATIENTS WHO ARE KNOWN OR SUSPECTED TO QUALIFY FOR FINANCIAL ASSISTANCE ARE ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE THROUGH THE FINANCIAL ASSISTANCE POLICY. THIS ENCOURAGEMENT AND REFERENCE IS MADE MULTIPLE TIMES IN OUR COLLECTION POLICY. IF THE PATIENT CHOOSES NOT TO APPLY FOR FINANCIAL ASSISTANCE THEY ARE SUSCEPTIBLE TO NORMAL COLLECTION PROCEDURES. 30 DAYS PRIOR TO THE INITIATION OF ANY EXTRAORDINARY COLLECTION ACTIONS (ECA), ALL PATIENTS (REGARDLESS OF WHETHER THEY ARE SUSPECTED TO QUALIFY FOR FINANCIAL ASSISTANCE OR NOT) RECEIVE: 1) WRITTEN NOTICE THAT A FINANCIAL ASSISTANCE POLICY EXISTS, 2) A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FAP, AND 3) NOTICE THAT IF PAYMENT ARRANGEMENTS OR AN APPLICATION FOR FINANCIAL ASSISTANCE IS NOT RECEIVED WITHIN 30 DAYS THEIR BALANCE MAY GO TO COLLECTIONS. IF ECA ARE IN PLACE, AND A COMPLETED FAP APPLICATION IS RECEIVED, ECA IN PROGRESS IS SUSPENDED UNTIL A DETERMINATION IS MADE REGARDING FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART VI, LINE 2 | PRAIRIE VIEW PARTICIPATES IN THE COMMUNITY NEEDS ASSESSMENT COMPLETED BY THE UNITED WAY, HEALTH DEPARTMENT, AND THE CHAMBERS OF COMMERCE. IN ADDITION, PRAIRIE VIEW CONDUCTS ITS OWN LARGER ASSESSMENT ONCE EVERY THREE YEARS AS PART OF THE STRATEGIC PLANNING PROCESS. STAKEHOLDER INPUT SESSIONS IN THE THREE COUNTY COMMUNITY ADVISORY COMMITTEES (COMMUNITY MENTAL HEALTH CLINICS) ALSO INFORM AND ENHANCE THIS ACTIVITY. |
| SCHEDULE H, PART VI, LINE 3 | UPON ADMISSION TO PRAIRIE VIEW, PATIENTS AND/OR RESPONSIBLE PARTIES MEET WITH THEIR ASSIGNED FINANCIAL COUNSELOR. AT THIS TIME THE PATIENT OR GUARANTOR WILL RECEIVE ORAL AND WRITTEN INFORMATION REGARDING THE PATIENT'S FINANCIAL RESPONSIBILITY. AT THIS TIME THE PATIENT OR GUARANTOR WILL ALSO RECEIVE ORAL AND WRITTEN INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IF IT IS SUSPECTED THAT THEY WILL QUALIFY, AND/OR IF ABILITY TO PAY IS NOTED AS A CONCERN. PATIENTS ARE ALSO EDUCATED AT THIS TIME ON THEIR ABILITY TO APPLY FOR GOVERNMENTAL PROGRAMS IF IT IS DETERMINED THAT THEY MAY MEET THE QUALIFICATIONS (I.E. PRIMARILY MEDICAID). PRAIRIE VIEW STAFF WILL ASSIST THEM WITH THESE APPLICATIONS IF NECESSARY. |
| SCHEDULE H, PART VI, LINE 4 | PRAIRIE VIEW'S INPATIENT PSYCHIATRIC HOSPITAL IS A 20-BED FACILITY LOCATED IN NEWTON, KANSAS. NEWTON IS THE COUNTY SEAT AND MOST POPULOUS CITY IN HARVEY COUNTY. ACCORDING TO 2018 DEMOGRAPHIC DATA, HARVEY COUNTY HAD A POPULATION OF 34,210. IN THAT YEAR, THE MEDIAN INCOME WAS $55,687, 6.2% OF RESIDENTS HAD NO INSURANCE, AND 11.2% WERE LIVING BELOW THE POVERTY LINE. THE RAILROAD, AGRICULTURE MANUFACTURERS, AND FARMING HAVE A LONG HISTORY IN HARVEY COUNTY AND MAKE UP MOST OF THE WORKFORCE. HARVEY COUNTY HAS A HOSPITAL SYSTEM, A FEDERALLY QUALIFIED HEALTHCARE CENTER, AND SEVERAL PRIVATE PRIMARY CARE PHYSICIAN OFFICES. THERE ARE SEVENTY-SIX CHURCHES, EIGHT LONG-TERM CARE FACILITIES, AND TWO LOCAL COLLEGES THAT ARE ALSO PRESENT IN THE COMMUNITY. THE HOSPITAL'S TREATMENT PROGRAM IS FOCUSED ON PROVIDING A SAFE ENVIRONMENT WITH A VARIETY OF TREATMENT MODALITIES DESIGNED TO MEET THE INDIVIDUAL NEEDS OF THE CLIENTS REFERRED. PRAIRIE VIEW HOSPITAL ACCEPTS ADMISSIONS 24 HOURS/DAY, 7 DAYS A WEEK. |
| SCHEDULE H, PART VI, LINE 5 | PRAIRIE VIEW'S MISSION IS "TO FOSTER HEALING AND GROWTH IN INDIVIDUALS AND COMMUNITIES BY PROVIDING BEHAVIORAL AND MENTAL HEALTH CARE SERVICES WITH COMPASSION, COMPETENCE, AND STEWARDSHIP IN THE SPIRIT OF CHRIST." OUR MISSION IS TO BRING MENTAL HEALTH SERVICES AND MENTAL HEALTH EDUCATION TO THE COMMUNITIES WE SERVE. PRAIRIE VIEW IS A LEADER IN PROVIDING RESOURCES AND TALENT TO DECREASE THE STIGMA AND INCREASE UNDERSTANDING. PRAIRIE VIEW PROFESSIONALS PROVIDE TRAINING TO COMMUNITY PARTNERS, INCLUDING LAW ENFORCEMENT, EDUCATION, AND HEALTH CARE PROVIDERS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| SHP ASSISTANCE | 12 | $87,668 | FMV |
| YLINK GRANT | 1 | $2,944 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE USE OF GRANT FUNDS ARE MONITORED THROUGH THE PRACTICE OF DIRECTLY APPLYING FUNDS TO THE PATIENT ACCOUNTS FOR MEDICAL EXPENSES AND OTHER EXPENSES FOR THE HOMELESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY FAST | ||||||||||||||
| MEDICAL DIRECTOR | $293,978 | $0 | $1,725 | $0 | $990 | $0 | $34,987 | $0 | $23,064 | $0 | $354,744 | $0 | $0 | $0 |
| SATINDER MAHAL | ||||||||||||||
| PSYCHIATRIST | $234,739 | $0 | $18,474 | $0 | $150 | $0 | $27,683 | $0 | $18,655 | $0 | $299,701 | $0 | $0 | $0 |
| MERCEDES PERALES | ||||||||||||||
| PSYCHIATRIST | $206,283 | $0 | $22,077 | $0 | $990 | $0 | $19,631 | $0 | $20,829 | $0 | $269,810 | $0 | $0 | $0 |
| AVEEKSHIT TRIPATHI | ||||||||||||||
| PSYCHIATRIST | $180,153 | $0 | $44,782 | $0 | $150 | $0 | $28,453 | $0 | $1,007 | $0 | $254,545 | $0 | $0 | $0 |
| DAVID HON | ||||||||||||||
| PSYCHIATRIST | $209,049 | $0 | $4,025 | $0 | $990 | $0 | $35,825 | $0 | $31,486 | $0 | $281,375 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER AND THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD PRIOR TO FILING THE 990 WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MANAGEMENT AND THE BOARD REVIEW ACTIVITY THAT MAY CREATE A CONFLICT OF INTEREST. Actual or potential conflicts of interest must be disclosed to the board. After disclosure and discussion of the conflict, the interested person must leave the meeting while the remaining board members discuss and vote on whether a conflict exists. If a conflict does exist, the board will determine whether they can obtain a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If that is not reasonably possible, the disinterested members will vote to determine whether the transaction or arrangement is fair and reasonable, in the organization's best interest, and to the organization's benefit. |
| FORM 990, PART VI, SECTION B, LINE 15A | VICE PRESIDENT OF HUMAN RESOURCES COLLECTS AND DISSEMINATES THIRD-PARTY SALARY SURVEY INFORMATION TO THE EXECUTIVE COMMITTEE FOR CONSIDERATION DURING THE ANNUAL CEO REVIEW, THEN MEETS WITH BOARD CHAIR AND BOARD EXECUTIVE COMMITTEE TO DETERMINE CEO COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THIS INFORMATION IS NOT NORMALLY AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEADOWLARK HOUSING INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 467 | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481079169 | EIN |
| Primary Activities | HOUSING | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PVI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |