CLUB NOVA COMMUNITY INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CLUB NOVA COMMUNITY INC (EIN 27-0103430)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202531359349300413
Schema version: 2023v6.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T08:37:22-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	561304727	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLACKMAN & SLOOP ADVISORS INC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1414 RALEIGH ROAD SUITE 300	AddressLine1Txt
City	CHAPEL HILL	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27517	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	270103430	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLUB NOVA COMMUNITY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CLUB	BusinessNameControlTxt
Phone	9199686682	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	103-D WEST MAIN ST	AddressLine1Txt
City	CARRBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27510	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS BOND	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	9192404573	PhoneNum
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANDREA WOODELL EASON	PreparerPersonNm
PTIN	P00361629	PTIN
Phone	9199428700	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS BOND	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	304 SIMERVILLE ROAD	AddressLine1Txt
City	CHAPEL HILL	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27517	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$757,937	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLUBNOVA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	CLUB NOVA COMMUNITY, INC PROVIDES OPPORTUNITIES FOR INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS TO LEAD MEANINGFUL LIVES OF THEIR CHOICE IN THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	12	TotalEmployeeCnt
Total Volunteers	21	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$839,428	PYContributionsGrantsAmt
CY Contributions Grants	$359,247	CYContributionsGrantsAmt
PY Program Service Revenue	$252,442	PYProgramServiceRevenueAmt
CY Program Service Revenue	$348,288	CYProgramServiceRevenueAmt
PY Investment Income	$5,989	PYInvestmentIncomeAmt
CY Investment Income	$24,452	CYInvestmentIncomeAmt
PY Other Revenue	$4,105	PYOtherRevenueAmt
CY Other Revenue	$25,950	CYOtherRevenueAmt
PY Total Revenue	$1,101,964	PYTotalRevenueAmt
CY Total Revenue	$757,937	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	$492,911	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$528,768	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,294	CYTotalFundraisingExpenseAmt
PY Other Expenses	$281,794	PYOtherExpensesAmt
CY Other Expenses	$353,535	CYOtherExpensesAmt
PY Total Expenses	$774,705	PYTotalExpensesAmt
CY Total Expenses	$882,303	CYTotalExpensesAmt
PY Revenues Less Expenses	$327,259	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$124,366	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,521,146	TotalAssetsBOYAmt
Total Assets EOY	$4,375,381	TotalAssetsEOYAmt
Total Liabilities BOY	$94,442	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$74,566	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,426,704	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,300,815	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CLUB NOVA COMMUNITY, INC PROVIDES OPPORTUNITIES FOR INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS TO LEAD MEANINGFUL LIVES OF THEIR CHOICE IN THE COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$749,991	ExpenseAmt
Revenue	$348,288	RevenueAmt
Desc	CLUB NOVA WORKS WITH AND ADDRESSES THE NEEDS OF INDIVIDUALS DIAGNOSED WITH SERIOUS MENTAL ILLNESS PREDOMINANTLY SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDER, BIPOLAR DISORDER, AND MAJOR DEPRESSION SOME OF THE MOST DISABLING HEALTH CONDITIONS LOCALLY AND GLOBALLY. THE HUMAN COSTS OF MENTAL ILLNESS ARE STAGGERING. THE ILLNESS IMPACTS ESSENTIALLY EVERY FACET OF A PERSON'S LIFE AND PLACES INDIVIDUALS AT SIGNIFICANT RISK FOR THE FOLLOWING:- SUICIDE- PREMATURE DEATH (25-YEAR SHORTER LIFE EXPECTANCY)- CO-OCCURRING HEALTH CONDITIONS- HOSPITALIZATIONS- HOMELESSNESS- INCARCERATION- UNEMPLOYMENT- INTERRUPTED EDUCATIONS- INADEQUATE NUTRITION- CRISES- POVERTY APPROXIMATELY 95% OF OUR MEMBERS LIVE AT OR BELOW 30% OF THE AREA MEDIAN INCOME. POVERTY IS OFTEN ONE OF THEIR GREATEST CHALLENGES.AFTER SEVERAL YEARS, WE EMERGED SAFELY FROM, THOUGH CERTAINLY AFFECTED BY, THE GLOBAL COVID-19 PANDEMIC. THIS WAS NO SMALL ACCOMPLISHMENT. DURING THE PANDEMIC WE RAISED THE REMAINING FUNDS NECESSARY TO COMPLETE THE CONSTRUCTION OF A MUCH-NEEDED NEW LARGER FACILITY. THIS WAS NO SMALL FEAT EITHER. DESPITE THE INCREASED MATERIAL AND OTHER COSTS DURING THE PANDEMIC, WE COMPLETED CONSTRUCTION OF OUR NEW BUILDING DEBT FREE. WE ARE, HOWEVER, RAISING FUNDS FOR OUR INTERIOR FURNISHINGS SINCE THOSE FUNDS WERE NECESSARY TO COVER THE INCREASED COSTS OF THE PROJECTOUR NEW SPACE ALLOWS FOR FUTURE GROWTH WITH THE SPACE TO MORE THAN DOUBLE OUR MEMBERSHIP CAPACITY AND OUR IMPACTS. THE SPACES IN OUR NEW BUILDING ARE DESIGNED TO FACILITATE OUR TRANSFORMATIVE WORK. THE INTENTIONAL DESIGN BRINGS PEOPLE TOGETHER IN OPEN, FLEXIBLE, AND CONNECTED SPACES, BUILDING UPON THE EXTRAORDINARY EXISTING COMMUNITY WE HAVE FOSTERED.WE ARE REBUILDING OUR TRANSITIONAL EMPLOYMENT PROGRAM. DURING THE HEIGHT OF THE PANDEMIC, WE HAD TO HALT ALL TRANSITIONAL EMPLOYMENT PLACEMENTS (TEPS). DURING THE PAST 1 YEARS, WE HAVE BUILT OUR TE PROGRAM UP TO 5 PLACEMENTS. OUR TE SITES INCLUDE A NEW PARTNER, CANDLESCIENCE, PROVIDING 4 TEPS AND A RENEWED PARTNER, TOWN OF CARRBORO, PROVIDING 1 POSITION. CLUB NOVA HAS A BUSTLING GROUP OF YOUNG ADULT MEMBERS WHO ARE EAGER TO WORK AND SUPPORT EACH OTHER, AND WE CONTINUE TO SUPPORT OUR AGING MEMBERS. ACROSS THE ADULT LIFESPAN, YOUNG ADULT AND SENIOR MEMBERS ARE BLENDING LEARNING FROM AND SUPPORTING EACH OTHER. THE ONSET OF SERIOUS MENTAL ILLNESS IS OFTEN LATE ADOLESCENCE / EARLY ADULTHOOD INTERRUPTING EDUCATION, CAREERS, AND RELATIONSHIPS. IT IS ESSENTIAL THAT WE ASSIST OUR YOUNG ADULTS BY PROVIDING THE SUPPORTS NEEDED TO QUICKLY RE-ENGAGE IN EDUCATIONAL ENDEAVORS AND CAREER BUILDING.IN 2024, WE RECEIVED 3-YEAR (THE HIGHEST) ACCREDITATIONS FROM BOTH CLUBHOUSE INTERNATIONAL AND CARF INTERNATIONAL. "A THREE-YEAR ACCREDITATION IS AWARDED TO CLUBHOUSES THAT SUBSTANTIALLY ADHERE TO EACH OF THE CATEGORIES OF THE INTERNATIONAL STANDARDS (MEMBERSHIP, RELATIONSHIPS, SPACE, WORK-ORDERED-DAY, EMPLOYMENT, EDUCATION, FUNCTIONS OF THE HOUSE, AND FUNDING GOVERNANCE AND ADMINISTRATION). THESE CLUBHOUSES OPERATE IN A TRULY EFFECTIVE MANNER PROVIDING EXCELLENT OPPORTUNITIES FOR CLUBHOUSE MEMBERS WHERE WELL-GROUNDED COLLEGIAL RELATIONSHIPS EXIST AND ARE FOSTERED BY THE CULTURAL NORMS OF THE CLUBHOUSE COMMUNITY." CARF ACCREDITATION ENSURES THAT OUR NON-PROFIT AND BUSINESS PRACTICES MEET HIGH STANDARDS.OUR GRAND OPENING OF OUR NEW BUILDING WAS A TOUCHING, HEARTFELT, MEMORABLE EXPERIENCE. OUR NEW CLUBHOUSE SPACE IS EVIDENCE OF THE DEPTH AND BREADTH OF WHAT HAPPENS WHEN THE COMMUNITY COMES TOGETHER. CLUB NOVA'S STRENGTHS AND ACCOMPLISHMENTS COME FROM OUR COMMUNITY'S CONTINUED GENEROSITY AND BELIEF IN OUR WORK CHANGING THE LIVES OF OUR MEMBERS FOR THE BETTER.CLUB NOVA HAS STRONG OUTCOMES AND IS COST EFFECTIVE. OUR WORK IS LIFE-SAVING AND LIFE CHANGING. INVESTING IN CLUB NOVA IS INVESTING IN LIVES AND COMMUNITY AND A SOLID INVESTMENT. WE ROUTINELY TRACK OUTCOMES AND HAVE EXTENSIVE EXPERIENCE EVALUATING OUR WORK.	Desc
Total Program Service Expenses	$749,991	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KAREN KINCAID DUNN	PersonNm
Phone	9199686682	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	103-D WEST MAIN ST	AddressLine1Txt
City	CARRBORO	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27510	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
JANE PAULSEN
BOARD MEMBER	6.00	Yes (X)	$0	$0	$0
MATTHEW COX
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
ERRIN STAUNTON
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
JAY MILLER
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
GRETCHEN DAVIS
PRESIDENT/SECRETARY	15.00	Yes (X)	$0	$0	$0	Yes (X)
MARGARET MILLER GROWE
VICE PRESIDENT (SABATICAL)	2.00	Yes (X)	$0	$0	$0	Yes (X)
SUE ESTROFF
VICE PRESIDENT	2.00	Yes (X)	$0	$0	$0	Yes (X)
GARY D GADDY
VICE PRESIDENT EMERITUS	2.00	Yes (X)	$0	$0	$0	Yes (X)
TOM BOND
TREASURER	3.00	Yes (X)	$0	$0	$0	Yes (X)
CHARLENE LEE
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
ESPHUR E FOSTER
PRESIDENT EMERITUS	2.00	Yes (X)	$0	$0	$0	Yes (X)
KAREN KINCAID DUNN
EXECUTIVE DIRECTOR	40.00		$84,917	$0	$18,667	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$84,917	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$18,667	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROFESSIONAL BUILDING SYSTEMS	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MILLSTONE DRIVE 101	AddressLine1Txt
City	HILLSBOROUGH	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27278	ZIPCd

Field	Value	IRS element (for citing)
Services	CONTRACTING SERVICES	ServicesDesc
Compensation	$201,191	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Government Grants	$231,481	GovernmentGrantsAmt
All Other Contributions	$127,766	AllOtherContributionsAmt
Total Contributions	$359,247	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID	623990	$307,013	$307,013
PSR	623990	$35,372	$35,372
MEAL SALES	722210	$5,903	$5,903

Field	Value	IRS element (for citing)
Total Program Service Revenue	$348,288	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,452	TotalRevenueColumnAmt
Exclusion	$24,452	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$25,950	TotalRevenueColumnAmt
Exclusion	$25,950	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$25,950	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$757,937	TotalRevenueColumnAmt
Related Or Exempt Func Income	$348,288	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$50,402	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$103,584	TotalAmt
Program Services	$103,584	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$369,454	TotalAmt
Program Services	$315,980	ProgramServicesAmt
Management And General	$45,818	ManagementAndGeneralAmt
Fundraising	$7,656	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$902	TotalAmt
Program Services	$238	ProgramServicesAmt
Management And General	$569	ManagementAndGeneralAmt
Fundraising	$95	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,681	TotalAmt
Program Services	$19,254	ProgramServicesAmt
Management And General	$3,793	ManagementAndGeneralAmt
Fundraising	$634	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,147	TotalAmt
Program Services	$27,481	ProgramServicesAmt
Management And General	$3,141	ManagementAndGeneralAmt
Fundraising	$525	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$51,629	TotalAmt
Program Services	$5,356	ProgramServicesAmt
Management And General	$45,723	ManagementAndGeneralAmt
Fundraising	$550	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,187	TotalAmt
Program Services	$30,908	ProgramServicesAmt
Management And General	$5,228	ManagementAndGeneralAmt
Fundraising	$2,051	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,144	TotalAmt
Program Services	$30,694	ProgramServicesAmt
Management And General	$5,450	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,535	TotalAmt
Program Services	$7,254	ProgramServicesAmt
Management And General	$854	ManagementAndGeneralAmt
Fundraising	$427	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$51	TotalAmt
Program Services	$51	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$96,546	TotalAmt
Program Services	$94,619	ProgramServicesAmt
Management And General	$1,285	ManagementAndGeneralAmt
Fundraising	$642	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$36,194	TotalAmt
Program Services	$31,935	ProgramServicesAmt
Management And General	$3,649	ManagementAndGeneralAmt
Fundraising	$610	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
REPAIRS AND MAINTENANCE	$26,875	$26,875	$0	$0
AUTO EXPENSE	$13,697	$13,697	$0	$0
FOOD AND PROVISIONS	$12,845	$12,845	$0	$0
BILLING AND SERVICE FEE	$12,608	$12,608	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,224	TotalAmt
Program Services	$16,612	ProgramServicesAmt
Management And General	$3,508	ManagementAndGeneralAmt
Fundraising	$104	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$882,303	TotalAmt
Program Services	$749,991	ProgramServicesAmt
Management And General	$119,018	ManagementAndGeneralAmt
Fundraising	$13,294	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$129,202	BOYAmt
EOY	$103,377	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$730,424	BOYAmt
EOY	$929,829	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$255,624	BOYAmt
EOY	$24,631	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,966	BOYAmt
EOY	$46,805	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,996	BOYAmt
EOY	$18,351	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,501,540	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$249,152	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,348,934	BOYAmt
EOY	$3,252,388	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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	$4,521,146	BOYAmt
EOY	$4,375,381	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$94,442	BOYAmt
EOY	$74,566	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$94,442	BOYAmt
EOY	$74,566	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	$4,329,473	BOYAmt
EOY	$4,223,505	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$97,231	BOYAmt
EOY	$77,310	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,426,704	BOYAmt
EOY	$4,300,815	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,521,146	BOYAmt
EOY	$4,375,381	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$124,366	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$1,523	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	$528,111	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,045,514	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$946,454	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$839,428	CurrentTaxYearMinus1YearAmt
Current Tax Year	$359,247	CurrentTaxYearAmt
Total	$4,718,754	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$85,790	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$343,395	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$285,967	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$715,152	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$528,111	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,131,304	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,289,849	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,125,395	CurrentTaxYearMinus1YearAmt
Current Tax Year	$359,247	CurrentTaxYearAmt
Total	$5,433,906	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$768,947	SubstantialContributorsTotAmt
Public Support Total170	$4,664,959	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$26,850	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,090	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$880	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,989	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,452	CurrentTaxYearAmt
Total	$59,261	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$30	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,365	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,564	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,071	CurrentTaxYearMinus1YearAmt
Current Tax Year	$25,950	CurrentTaxYearAmt
Total	$37,980	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$5,531,147	TotalSupportAmt
Gross Receipts Rltd Activities	$1,714,596	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.84340	PublicSupportCY170Pct
Public Support PY170	0.76660	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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,329	OtherCostOrOtherBasisAmt
Book Value	$49,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,264,227	OtherCostOrOtherBasisAmt
Depreciation	$97,648	DepreciationAmt
Book Value	$3,166,579	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,615	OtherCostOrOtherBasisAmt
Depreciation	$67,535	DepreciationAmt
Book Value	$36,080	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,369	OtherCostOrOtherBasisAmt
Depreciation	$83,969	DepreciationAmt
Book Value	$400	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,252,388	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$757,937	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$757,937	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$757,937	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$883,826	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,523	OtherExpensesIncludedAmt
Expenses Not Reported	$1,523	ExpensesNotReportedAmt
Expenses Subtotal	$882,303	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$882,303	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART XII, LINE 2D - OTHER ADJUSTMENTS:	FormAndLineReferenceDesc
Explanation	BAD DEBT EXPENSE 1,523.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED BY THE FINANCE COMMITTEE, THE ASSOCIATE DIRECTOR OF FINANCE, AND THE EXECUTIVE DIRECTOR BEFORE PROVIDING TO THE BOARD PRIOR TO APPROVAL AND SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD OF DIRECTORS RECEIVES THE CONFLICT OF INTEREST POLICY AS WELL AS CORPORATE COMPLIANCE POLICIES AND PROCEDURES. COMPLIANCE IS MONITORED BY THE BOARD AND EXECUTIVE DIRECTOR WHO ARE KEENLY AWARE OF THE IMPORTANCE OF THESE POLICIES.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION LEVELS ARE REVIEWED BY THE PRESIDENT AND HR COMMITTEE WHO RESEARCH COMPENSATION LEVELS FOR EQUIVALENT POSITIONS AND DETERMINE IF ANY CHANGES ARE NECESSARY.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	BAD DEBT EXPENSE -1,523.
FORM 990, PART XII, LINE 2C	FINANCE/AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FOR THE CURRENT YEAR.