BOSTON MOUNTAIN RURAL HEALTH CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BOSTON MOUNTAIN RURAL HEALTH CENTER INC (EIN 71-0717967)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-30
- IRS object ID
- 202343039349301074
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-30T10:25:22-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | PO BOX 3667 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710717967 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOSTON MOUNTAIN RURAL HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DEBBIE ACKERSON | InCareOfNm |
| Business Name Control | BOST | BusinessNameControlTxt |
| Phone | 8704483796 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1030 | AddressLine1Txt |
| City | MARSHALL | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 726501030 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBBIE ACKERSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8704483796 | PhoneNum |
| Signature | 2023-10-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DEBBIE | PersonFirstNm |
| Person Last | ACKERSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBBIE ACKERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1030 | AddressLine1Txt |
| City | MARSHALL | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 726501030 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,937,038 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BMRHC.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY, FAMILY-CENTERED, COMPREHENSIVE, COORDINATED PRIMARY, PREVENTATIVE AND BEHAVIORAL HEALTH CARE SERVICES TO PERSONS IN NORTH CENTRAL AND NORTHWEST ARKANSAS | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 289 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,604,868 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,934,498 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,782,947 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,988,754 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45,814 | PYInvestmentIncomeAmt |
| CY Investment Income | -$102,156 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,352,835 | PYOtherRevenueAmt |
| CY Other Revenue | $5,268,838 | CYOtherRevenueAmt |
| PY Total Revenue | $31,786,464 | PYTotalRevenueAmt |
| CY Total Revenue | $30,089,934 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,781,563 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,590,920 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,627,184 | PYOtherExpensesAmt |
| CY Other Expenses | $6,158,240 | CYOtherExpensesAmt |
| PY Total Expenses | $22,408,747 | PYTotalExpensesAmt |
| CY Total Expenses | $24,749,160 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,377,717 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,340,774 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,485,948 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,651,640 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,153,757 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,020,222 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,332,191 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,631,418 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE QUALITY, FAMILY-CENTERED, COMPREHENSIVE, COORDINATED PRIMARY, PREVENTIVE AND BEHAVIORAL HEALTH CARE SERVICES TO PERSONS IN NORTH CENTRAL AND NORTHWEST ARKANSAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $20,712,392 | ExpenseAmt |
| Revenue | $22,192,327 | RevenueAmt |
| Desc | PROVIDING QUALITY HEALTH CARE, PREVENTIVE CARE AND BEHAVIORAL HEALTH CARE SERVICES TO THE INDIVIDUALS IN THE ORGANIZATION'S SERVICE AREA. | Desc |
| Total Program Service Expenses | $20,712,392 | 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 | false | 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 | false | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | 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 | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 80 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 289 | 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 | Yes (true) | 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 | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBBIE ACKERSON | PersonNm |
| Phone | 8704483796 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2265 HWY 65 N | AddressLine1Txt |
| City | MARSHALL | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72650 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| LARRY JENNINGS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $348,318 | $0 | $26,311 | ||
| CHARLES JACKSON | ||||||||
| Physician | 40.0 | 0.0 | Yes (X) | $292,995 | $0 | $27,765 | ||
| DAWN PHELPS | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $275,145 | $0 | $25,604 | ||
| TRAVIS EMBRY | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $273,911 | $0 | $25,394 | ||
| ASISH GHOSH | ||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $252,834 | $0 | $19,266 | ||
| DEBBIE ACKERSON | ||||||||
| CEO | 40.0 | 0.0 | $243,459 | $0 | $22,171 | Yes (X) | ||
| JENNIFER DEPRIEST | ||||||||
| CHIEF CLINICAL OFFICER | 40.0 | 0.0 | $220,706 | $0 | $23,419 | Yes (X) | ||
| BECKY BLAIR | ||||||||
| CFO | 40.0 | 0.0 | $173,398 | $0 | $19,985 | Yes (X) | ||
| NICOLE DEPRIEST | ||||||||
| COMPLIANCE OFFICER | 40.0 | 0.0 | $143,141 | $0 | $18,690 | Yes (X) | ||
| ELIZABETH HARRIS | ||||||||
| CCOO | 40.0 | 0.0 | $131,692 | $0 | $12,477 | Yes (X) | ||
| LISA WEAVER | ||||||||
| CHIEF STRATEGY OFFICER | 40.0 | 0.0 | $81,680 | $0 | $13,737 | Yes (X) | ||
| MATTHEW CLOUD | ||||||||
| IT DIRECTOR | 40.0 | 0.0 | $48,256 | $0 | $9,029 | Yes (X) | ||
| KORTNI DIXON | ||||||||
| CIO | 40.0 | 0.0 | $22,341 | $0 | $2,716 | Yes (X) | ||
| DONNA SAMPLES | ||||||||
| BOARD CHAIR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CHRIS GRAHAM | ||||||||
| TREASURER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CHELLA REYNOLDS | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DAVID DOSHIER | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MARY LYNN EMMETT | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| CHARLIE REECE | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DEBBIE HOLT | ||||||||
| VICE CHAIR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| GERALDINE LITTLETON | ||||||||
| SECRETARY | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| STEVE REEVES | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| PATSY MCCUTHEON | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,507,876 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $246,564 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UAMS | |||||
| 4310 MARKHAM STREET | LITTLE ROCK | AR | 72205 | PROVIDER SERVICES | $118,730 |
| CPI | |||||
| PO BOX 7 | MAMMOTH SPRINGS | AR | 72554 | 340B PHARMACY CONS | $204,000 |
| GREGORY CONSTRUCTION | |||||
| PO BOX 710 | MOUNTAIN HOME | AR | 72654 | BUILDING CONTRACTOR | $560,238 |
| ECLINICAL WORKS | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | COMPUTER SERVICES | $195,820 |
| FORVIS | |||||
| PO BOX 3667 | LITTLE ROCK | AR | 72205 | AUDIT SERVICES | $124,419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,934,498 | GovernmentGrantsAmt |
| Total Contributions | $7,934,498 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621110 | $16,981,753 | $16,981,753 |
| BAD DEBT RECOVERY | 621110 | $7,001 | $7,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,988,754 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,236 | TotalRevenueColumnAmt |
| Exclusion | $17,236 | 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 | $11,375 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,375 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,375 | TotalRevenueColumnAmt |
| Exclusion | $11,375 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $488,928 | SecuritiesAmt |
| Other | $198,444 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $497,362 | SecuritiesAmt |
| Other | $309,402 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$8,434 | SecuritiesAmt |
| Other | -$110,958 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$119,392 | TotalRevenueColumnAmt |
| Exclusion | -$119,392 | 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 | $8,243,913 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,040,340 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,203,573 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,203,573 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MR COPY FEES | 900099 | $7,025 | $7,025 |
| MISCELLANEOUS INCOME | 900099 | $46,865 | $46,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $53,890 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,089,934 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,192,327 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$36,891 | 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 | $0 | TotalAmt |
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 | $1,186,899 | TotalAmt |
| Management And General | $1,186,899 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 | $14,031,206 | TotalAmt |
| Program Services | $12,334,125 | ProgramServicesAmt |
| Management And General | $1,697,081 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,056 | TotalAmt |
| Program Services | $490,559 | ProgramServicesAmt |
| Management And General | $67,497 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,769,121 | TotalAmt |
| Program Services | $1,555,145 | ProgramServicesAmt |
| Management And General | $213,976 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,638 | TotalAmt |
| Program Services | $919,168 | ProgramServicesAmt |
| Management And General | $126,470 | ManagementAndGeneralAmt |
| Fundraising | $0 | 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 | $65,801 | TotalAmt |
| Program Services | $57,842 | ProgramServicesAmt |
| Management And General | $7,959 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,419 | TotalAmt |
| Program Services | $119,040 | ProgramServicesAmt |
| Management And General | $16,379 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160,457 | TotalAmt |
| Program Services | $1,020,099 | ProgramServicesAmt |
| Management And General | $140,358 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,472 | TotalAmt |
| Program Services | $365,220 | ProgramServicesAmt |
| Management And General | $50,252 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,875 | TotalAmt |
| Program Services | $556,328 | ProgramServicesAmt |
| Management And General | $76,547 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,699 | TotalAmt |
| Program Services | $503,431 | ProgramServicesAmt |
| Management And General | $69,268 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,062 | TotalAmt |
| Program Services | $200,478 | ProgramServicesAmt |
| Management And General | $27,584 | ManagementAndGeneralAmt |
| Fundraising | $0 | 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 | $99,526 | TotalAmt |
| Program Services | $87,488 | ProgramServicesAmt |
| Management And General | $12,038 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,578 | TotalAmt |
| Program Services | $574,527 | ProgramServicesAmt |
| Management And General | $79,051 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,409 | TotalAmt |
| Program Services | $98,813 | ProgramServicesAmt |
| Management And General | $13,596 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL EXPENSES | $810,211 | $712,216 | $97,995 | $0 |
| COVID 19 EXPENSES | $686,240 | $603,239 | $83,001 | $0 |
| EQUIPMENT EXPENSE | $268,918 | $236,392 | $32,526 | $0 |
| DUES AND SUBSCRIPTIONS | $118,789 | $104,421 | $14,368 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,784 | TotalAmt |
| Program Services | $173,861 | ProgramServicesAmt |
| Management And General | $23,923 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,749,160 | TotalAmt |
| Program Services | $20,712,392 | ProgramServicesAmt |
| Management And General | $4,036,768 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,441,725 | BOYAmt |
| EOY | $13,068,286 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,001,709 | BOYAmt |
| EOY | $6,191,499 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,345 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,150,345 | BOYAmt |
| EOY | $6,948,210 | 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 | $68,195 | BOYAmt |
| EOY | $83,116 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,452,788 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,528,891 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,410,629 | BOYAmt |
| EOY | $12,923,897 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $436,632 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,485,948 | BOYAmt |
| EOY | $39,651,640 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,077,033 | BOYAmt |
| EOY | $2,020,222 | 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 | $76,724 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,153,757 | BOYAmt |
| EOY | $2,020,222 | 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 | $32,332,191 | BOYAmt |
| EOY | $37,631,418 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,332,191 | BOYAmt |
| EOY | $37,631,418 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,485,948 | BOYAmt |
| EOY | $39,651,640 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,340,774 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$41,547 | 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,040,298 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,225,139 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,389,685 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,604,868 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,934,498 | CurrentTaxYearAmt |
| Total | $35,194,488 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,040,298 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,225,139 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,389,685 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,604,868 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,934,498 | CurrentTaxYearAmt |
| Total | $35,194,488 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $35,194,488 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $117,436 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,669 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,479 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,611 | CurrentTaxYearAmt |
| Total | $256,252 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $112,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,624 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,155 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,669 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,890 | CurrentTaxYearAmt |
| Total | $249,869 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $35,700,609 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $87,779,087 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98582 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98079 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,628,282 | OtherCostOrOtherBasisAmt |
| Book Value | $1,628,282 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,009,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,329,751 | DepreciationAmt |
| Book Value | $9,679,876 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,023 | DepreciationAmt |
| Book Value | $32,837 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,894,352 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,159,117 | DepreciationAmt |
| Book Value | $735,235 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $847,667 | OtherCostOrOtherBasisAmt |
| Book Value | $847,667 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,923,897 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $33,199,685 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$41,547 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,151,298 | OtherRevenueAmt |
| Revenue Not Reported | $3,109,751 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,089,934 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $30,089,934 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,900,458 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,151,298 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,151,298 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,749,160 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $24,749,160 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| FORM 990, SCHEDULE D, PART XI, LINE 2D | COGS $3,040,340 REVENUE INCLUDED AS EXPENSE PER AUDIT $110,958 _____________________________________________________ TOTAL $3,151,298 |
| FORM 990, SCHEDULE D, PART XII, LINE 2D | COGS $3,040,340 REVENUE INCLUDED AS EXPENSE PER AUDIT $110,958 _____________________________________________________ TOTAL $3,151,298 |
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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBBIE ACKERSON | ||||||||||||||
| CEO | $193,870 | $0 | $49,589 | $0 | $0 | $0 | $12,370 | $0 | $9,801 | $0 | $265,630 | $0 | $0 | $0 |
| BECKY BLAIR | ||||||||||||||
| CFO | $137,406 | $0 | $33,240 | $0 | $2,752 | $0 | $7,091 | $0 | $12,894 | $0 | $193,383 | $0 | $0 | $0 |
| JENNIFER DEPRIEST | ||||||||||||||
| CHIEF CLINICAL OFFICER | $162,221 | $0 | $43,860 | $0 | $14,625 | $0 | $10,525 | $0 | $12,894 | $0 | $244,125 | $0 | $0 | $0 |
| NICOLE DEPRIEST | ||||||||||||||
| COMPLIANCE OFFICER | $110,728 | $0 | $28,493 | $0 | $3,920 | $0 | $5,796 | $0 | $12,894 | $0 | $161,831 | $0 | $0 | $0 |
| LARRY JENNINGS | ||||||||||||||
| PHYSICIAN | $296,594 | $0 | $30,089 | $0 | $21,635 | $0 | $16,510 | $0 | $9,801 | $0 | $374,629 | $0 | $0 | $0 |
| TRAVIS EMBRY | ||||||||||||||
| PHYSICIAN | $245,580 | $0 | $18,716 | $0 | $9,615 | $0 | $12,500 | $0 | $12,894 | $0 | $299,305 | $0 | $0 | $0 |
| ASISH GHOSH | ||||||||||||||
| PHYSICIAN | $221,580 | $0 | $17,416 | $0 | $13,838 | $0 | $11,250 | $0 | $8,016 | $0 | $272,100 | $0 | $0 | $0 |
| CHARLES JACKSON | ||||||||||||||
| Physician | $270,580 | $0 | $22,415 | $0 | $0 | $0 | $14,871 | $0 | $12,894 | $0 | $320,760 | $0 | $0 | $0 |
| DAWN PHELPS | ||||||||||||||
| PHYSICIAN | $245,580 | $0 | $29,565 | $0 | $0 | $0 | $12,710 | $0 | $12,894 | $0 | $300,749 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JENNIFER DEPRIEST AND NICOLE DEPRIEST HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DID NOT DOCUMENT THE MEETINGS OF ITS COMMITTEES BECAUSE NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S EXECUTIVE DIRECTOR AND CFO WILL CONDUCT A REVIEW OF THE FORM 990. THE ORGANIZATION ALSO MAKES THE FORM 990 AVAILABLE TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AT THEIR DISCRETION |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL NEW HIRES ARE APPROVED BY THE EXECUTIVE DIRECTOR WHO IS MADE AWARE OF ANY POSSIBLE CONFLICTS TO THE POLICY WHEN MAKING THE DECISION TO HIRE. THE COMPLIANCE OFFICER IS AVAILABLE TO DISCUSS POTENTIAL CONFLICTS OF INTEREST WITH EMPLOYEES AND/OR BOARD MEMBERS. IF A SUPERVISOR IS UNABLE TO TAKE CORRECTIVE ACTION FOR A CONFLICT OF INTEREST THE ISSUE IS THEN FORWARDED TO ADMINISTRATIVE STAFF AND IF NECESSARY TO THE BOARD OF DIRECTORS FOR FINAL RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | THE CEO'S COMPENSATION IS DETERMINED ON AN ANNUAL BASIS BY A REVIEW FROM THE BOARD OF DIRECTORS. IT IS AT THE DISCRETION OF THE CEO TO DETERMINE AND EVALUATE KEY OFFICERS FOR ANNUAL RAISES BASED ON FAIR MARKET VALUE, EXPERIENCE AND EDUCATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |