STRATEGY STUDIO / PUBLIC DATA EXPLORER

HIS CENTRE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HIS CENTRE (EIN 82-3399298)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-27
IRS object ID
202241479349300604
Schema version
2021v4.0
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

FieldValueIRS element (for citing)
Return2022-05-27T06:33:17-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273473554PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHRIVER CARMONA & COMPANY PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17550 IH-10 Ste 504AddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78229ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN823399298EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HIS CENTREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHISCBusinessNameControlTxt
Phone8302284504PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11781 E AMMANN RDAddressLine1Txt
CityBULVERDECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78163ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMECHELLE SALMONPersonNm
Person TitleCEOPersonTitleTxt
Signature2022-05-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMECHELLEPersonFirstNm
Person LastSALMONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER CARMONA CPAPreparerPersonNm
PTINP01489415PTIN
Phone2106800350PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMECHELLE SALMONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11781 E AMMANN RDAddressLine1Txt
CityBULVERDECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78163ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,692,123GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HISCENTRE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTo transform lives through innovative medical education and research opportunities that improve healthcare quality to patients around the world.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$177,570PYContributionsGrantsAmt
CY Contributions Grants$205,542CYContributionsGrantsAmt
PY Program Service Revenue$1,032,316PYProgramServiceRevenueAmt
CY Program Service Revenue$1,421,478CYProgramServiceRevenueAmt
PY Investment Income$11,325PYInvestmentIncomeAmt
CY Investment Income$17,527CYInvestmentIncomeAmt
PY Other Revenue$33,452PYOtherRevenueAmt
CY Other Revenue$39,104CYOtherRevenueAmt
PY Total Revenue$1,254,663PYTotalRevenueAmt
CY Total Revenue$1,683,651CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$534,573PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$540,346CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,973CYTotalFundraisingExpenseAmt
PY Other Expenses$741,608PYOtherExpensesAmt
CY Other Expenses$925,641CYOtherExpensesAmt
PY Total Expenses$1,276,181PYTotalExpensesAmt
CY Total Expenses$1,465,987CYTotalExpensesAmt
PY Revenues Less Expenses-$21,518PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$217,664CYRevenuesLessExpensesAmt
Total Assets BOY$945,172TotalAssetsBOYAmt
Total Assets EOY$1,243,808TotalAssetsEOYAmt
Total Liabilities BOY$150,572TotalLiabilitiesBOYAmt
Total Liabilities EOY$231,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$794,600NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,012,264NetAssetsOrFundBalancesEOYAmt
MissionH.I.S. CENTRE, A TEXAS NONPROFIT CORPORATION ("H.I.S.") IS LOCATED IN SPRING BRANCH, COMAL COUNTY, TEXAS. THE PURPOSES OF H.I.S. GENERALLY ARE TO OPERATE EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED FORM TIME TO TIME OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAW (THE "CODE"), BY ENGAGING DIRECTLY IN SUPPORT OF SUCH PURPOSES OR BY MAKING DISTRIBUTIONS TO OTHER ORGANIZATIONS FOR USE, BY THE DISTRIBUTEES, IN SUPPORT OF SUCH PURPOSES AND TO ENGAGE IN ANY AND ALL LAWFUL ACTIVITIES INCIDENTAL TO THE FOREGOING PURPOSES. H.I.S.'S ACTIVITIES FOCUS ON TWO GENERAL AREAS: (I) ADMINISTER AND MANAGE COMPREHENSIVE EDUCATIONAL PROGRAMS AND TRAINING SESSIONS FOR EMERGENCY MEDICAL PROFESSIONALS IN ORDER TO PROVIDE PREHOSPITAL EMERGENCY MEDICAL CARE ("EDU"), AND (II) PROVIDE A COMMUNITY HEALTH PROGRAM ("CHP") USING MOBILE HEALTHCARE PRACTITIONERS ("MHP').MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,063,752ExpenseAmt
Revenue$1,149,681RevenueAmt
DescESTABLISHED IN 2010 UNDER THE DIRECTION OF A MEDICAL DIRECTOR IN ORDER TO CREATE A COMPREHENSIVE PROGRAM TO CREDENTIAL THE CLINICAL AND OPERATIONAL ABILITIES OF EMERGENCY MEDICAL SERVICE ("EMS") PROVIDERS IN PROVIDING PREHOSPITAL EMERGENCY MEDICAL CARE. A QUALITY ASSURANCE/QUALITY IMPROVEMENT PROGRAM WAS ALSO DEVELOPED AND IMPLEMENTED TO MONITOR COMPLIANCE AND TO ENSURE THE DELIVERY OF HIGH QUALITY, SAFE PATIENT CARE BY THE ORGANIZATION AND ITS PROVIDERS THAT COMPLETE THE EDU PROGRAMS AND TRAINING SESSIONS ("PARTICIPATING EMS"). BY PARTICIPATING, IN THE EDUS, THE PARTICIPATING EMS PROVIDERS ESTABLISH BEST PRACTICES AND PROVIDE THE HIGHEST QUALITY CARE TO THE PATIENTS IN THEIR COMMUNITIES. SPECIFICALLY, THE GOALS OF THE EDU ARE ACCOMPLISHED BY UNDERTAKING THE FOLLOWING ACTIVITIES:1. CLINICAL CREDENTIALING PROGRAMS AS SET FORTH BY A MEDICAL DIRECTOR(S) TO ALL PERSONNEL PROVIDING CARE UNDER THE MEDICAL DIRECTOR(S) LICENSE, AUTHORITY, AND OVERSIGHT.2. ANNUAL PARAMEDIC 12 LEAD EKG COURSE & TEST PREP FOR CRITICAL THINKING.3. MONTHLY MORBIDITY AND MORTALITY REVIEWS AND ONGOING PERFORMANCE IMPROVEMENT PLANS4. QUALITY ASSURANCE/QUALITY IMPROVEMENT COMPLIANCE PROGRAMS RELATED TO PERSONNEL, EQUIPMENT, SUPPLIES, AND SKILLS MAINTENANCE AND COMPETENCY.5. EMERGENCY MEDICAL TECHNICIAN COURSE FOR ADULTS AND HIGH SCHOOL STUDENTS ALONG WITH AN ANATOMY PRACTICUM.6. CONTINUING EDUCATION CLASSES FOR MEDICAL HEALTHCARE PROFESSIONALS. THESE CLASSES ARE OFFERED TO ORGANIZATIONS SUCH AS FIRE DEPARTMENTS, EMS, AND HOSPITAL SYSTEMS.7. HIGHER EDUCATION CLASSES IN ANATOMY, CRITICAL CARE SKILLS AND SUTURING FOR EMERGENCY MEDICAL PROFESSIONALS INCLUDING, BUT NOT LIMITED TO, DOCTORS, EMERGENCY MEDICAL TECHNICIANS, PARAMEDICS, NURSES AND RESEARCH STUDENT. ALSO OFFERED DIRECTLY TO INSTITUTES OF HIGHER EDUCATION.8. MILITARY WORKSHOPS FOR SPECIALIZED MEDICAL TRAINING AND CRITICAL CARE SKILLS. THESE CLASSES ARE ATTENDED BY MEMBERS OF THE US ARMY, US AIR FORCE, US NAVY, NATIONAL GUARD, AND OTHER US GOVERNMENTAL GROUPS.9. CONFERENCES FOR HEALTHCARE PROFESSIONALS. CONFERENCES ARE OFFERED TO HEALTHCARE PROFESSIONALS, PROVIDERS, AND ORGANIZATIONS ALL OVER THE WORLD.10. MEDICAL WORKSHOPS FOR HEALTHCARE PROFESSIONALS. THESE ARE OFFERED TO HEALTHCARE PROFESSIONALS, DOCTORS' GROUPS AND EMERGENCY MEDICAL GROUPS.11. DEVICE DEVELOPMENT AND VALIDATION FOR EMERGENCY MEDICAL SERVICES PERSONNEL AND HOSPITAL-BASED PROFESSIONALS, HOSPITAL AND PREHOSPITAL ORGANIZATIONS.12. DATA ANALYTICS, WHERE DATA IS ANALYZED TO DETERMINE THAT A SYSTEM IS MAKING A DIFFERENCE IN PREHOSPITAL OR HOSPITAL-BASED INITIATIVES. SERVICES OFFERED TO EMERGENCY MEDICAL SERVICES PERSONNEL, HOSPITAL-BASED PROFESSIONALS, HOSPITALS, AND PREHOSPITAL ORGANIZATIONS.13. E-LAB LIVE AND VIDEO-BASED TRAINING PROGRAMS TO IMPROVE PATIENT CARE SKILLS, TO EMERGENCY MEDICAL SERVICES PERSONNEL, HOSPITAL-BASED PROFESSIONALS. HOSPITAL AND PREHOSPITAL ORGANIZATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$77,296ExpenseAmt
Revenue$75,000RevenueAmt
DescTHE GOAL OF THE CHP IS TO REDUCE THE INCIDENCE OF PREVENTABLE AMBULANCE RESPONSES AND EMERGENCY ROOM VISITS. IN ORDER TO ACHIEVE THIS GOAL, H.I.S.'S ACTIVITIES FOCUS ON PATIENT EDUCATION AND SCHEDULED HOME VISITS. THESE EFFORTS THROUGH THE CHP PREVENT DISEASE AND INJURY, IMPROVE HEALTH, AND ENHANCE QUALITY OF LIFE FOR CITIZENS RESIDING WITHIN THE BULVERDE / SPRING BRANCH AREA. SPECIFICALLY, H.I.S ENGAGES IN THE FOLLOWING ACTIVITIES: 1. PATIENT EDUCATION & SCHEDULED HOME VISITS 2. PHONE CONSULTATION AND UNSCHEDULED HOME VISITS 3. MEASUREMENT OF OVERALL HEALTH STATUS BY INDIVIDUAL/COMMUNITY 4. 911 INTERCEPT FOR PROGRAM CANDIDATES 5. CARE COORDINATION MONTHLY MEETINGS 6. TRACKING CANDIDATES FROM PROGRAM ENTRY TO GRADUATION 7. HOSPICE REVOCATION PREVENTION. SINCE THIS PROGRAM WAS LAUNCHED IN JANUARY 2013, CHP HAS BEEN SUCCESSFUL IN REDUCING PREVENTABLE AMBULANCE RESPONSES AND EMERGENCY ROOM VISITS IN BULVERDE SPRING BRANCH COMMUNITY. BECAUSE OF THIS SUCCESS, THE GOAL IS TO INTRODUCE CHP TO OTHER EMERGENCY SERVICE PROVIDERS IN THE STATE OF TEXAS AND NATIONALLY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,141,048TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHIS CENTREPersonNm
Phone8302284504PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11781 E AMMANN RDAddressLine1Txt
CityBULVERDECityNm
State AbbreviationTXStateAbbreviationCd
ZIP78163ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MECHELLE SALMON
CEO40.000.00Yes (X)Yes (X)$68,544$0$0
DALE LAWRENCE
Chairman2.000.00Yes (X)Yes (X)$0$0$0
JOE HAMILTON
VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
TERRY ROGERS
Secretary2.000.00Yes (X)Yes (X)$0$0$0
TOM HACKLEMAN
Treasurer2.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$68,544TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$127,847GovernmentGrantsAmt
All Other Contributions$77,695AllOtherContributionsAmt
Noncash Contributions$12,930NoncashContributionsAmt
Total Contributions$205,542TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FACILITY INCOME541700$196,797$196,797
PROGRAM FEES541700$1,224,681$1,224,681
FieldValueIRS element (for citing)
Total Program Service Revenue$1,421,478TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,527TotalRevenueColumnAmt
Exclusion$17,527ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$40,165FundraisingGrossIncomeAmt
Fundraising Direct Expenses$8,472FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,693TotalRevenueColumnAmt
Exclusion$31,693ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business561000BusinessCd
Total Revenue Column$7,411TotalRevenueColumnAmt
Related Or Exempt Func Income$7,411RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,411OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,683,651TotalRevenueColumnAmt
Related Or Exempt Func Income$1,428,889RelatedOrExemptFuncIncomeAmt
Exclusion$49,220ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$68,544TotalAmt
Program Services$53,967ProgramServicesAmt
Management And General$11,502ManagementAndGeneralAmt
Fundraising$3,075FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$363,906TotalAmt
Program Services$286,516ProgramServicesAmt
Management And General$61,067ManagementAndGeneralAmt
Fundraising$16,323FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$75,796TotalAmt
Program Services$16,145ProgramServicesAmt
Management And General$58,506ManagementAndGeneralAmt
Fundraising$1,145FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,100TotalAmt
Program Services$24,825ProgramServicesAmt
Management And General$5,791ManagementAndGeneralAmt
Fundraising$1,484FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$900TotalAmt
Management And General$900ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,174TotalAmt
Program Services$25,400ProgramServicesAmt
Management And General$1,684ManagementAndGeneralAmt
Fundraising$90FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$128TotalAmt
Program Services$108ProgramServicesAmt
Management And General$20ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$68,050TotalAmt
Management And General$68,050ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$127TotalAmt
Program Services$127ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,973TotalAmt
Management And General$4,973ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$43,120TotalAmt
Management And General$43,120ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,472TotalAmt
Management And General$14,472ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DIRECT PROGRAM EXPENSES$698,890$698,890
REPAIRS & MAINTENANCE$18,747$11,819$6,928
MEDICAL SUPPLIES$12,930$12,930
TELEPHONE$8,510$960$7,410$140

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,620TotalAmt
Program Services$9,361ProgramServicesAmt
Management And General$16,543ManagementAndGeneralAmt
Fundraising$1,716FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,465,987TotalAmt
Program Services$1,141,048ProgramServicesAmt
Management And General$300,966ManagementAndGeneralAmt
Fundraising$23,973FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$73,646BOYAmt
EOY$224,417EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$14,954EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,552BOYAmt
EOY$58,327EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$51,868BOYAmt
EOY$31,496EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,098,686LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$184,072LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$716,002BOYAmt
EOY$914,614EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,104BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$945,172BOYAmt
EOY$1,243,808EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,100BOYAmt
EOY$49,823EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$44,030BOYAmt
EOY$52,583EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$58,442BOYAmt
EOY$129,138EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,572BOYAmt
EOY$231,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$794,600BOYAmt
EOY$1,002,264EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$10,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$794,600BOYAmt
EOY$1,012,264EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$945,172BOYAmt
EOY$1,243,808EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$217,664ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$90,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,535CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$163,842CurrentTaxYearMinus1YearAmt
Current Tax Year$168,187CurrentTaxYearAmt
Total$554,861TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,048,413CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,051,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,032,316CurrentTaxYearMinus1YearAmt
Current Tax Year$1,421,478CurrentTaxYearAmt
Total$4,553,329TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,138,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,183,657CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,196,158CurrentTaxYearMinus1YearAmt
Current Tax Year$1,589,665CurrentTaxYearAmt
Total$5,108,190TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,108,190PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,325CurrentTaxYearMinus1YearAmt
Current Tax Year$17,527CurrentTaxYearAmt
Total$29,095TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,325CurrentTaxYearMinus1YearAmt
Current Tax Year$17,527CurrentTaxYearAmt
Total$29,095TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,138,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,183,795CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,207,483CurrentTaxYearMinus1YearAmt
Current Tax Year$1,607,192CurrentTaxYearAmt
Total$5,137,285TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$294,968InvestmentCostOrOtherBasisAmt
Book Value$294,968BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$21,617InvestmentCostOrOtherBasisAmt
Book Value$21,617BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$370,607InvestmentCostOrOtherBasisAmt
Depreciation$184,072DepreciationAmt
Book Value$186,535BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$411,494InvestmentCostOrOtherBasisAmt
Book Value$411,494BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$914,614TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,792,746TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$109,095DonatedServicesAndUseFcltsAmt
Revenue Not Reported$109,095RevenueNotReportedAmt
Revenue Subtotal$1,683,651RevenueSubtotalAmt
Total Revenue Per Form990$1,683,651TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,575,082TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$109,095DonatedServicesUseFcltsAmt
Expenses Not Reported$109,095ExpensesNotReportedAmt
Expenses Subtotal$1,465,987ExpensesSubtotalAmt
Total Expenses Per Form990$1,465,987TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event15K EVENTEvent1Nm
Gross Receipts Event1$40,165GrossReceiptsEvent1Amt
Gross Revenue Event1$40,165GrossRevenueEvent1Amt
Other Direct Expenses Event1$8,472OtherDirectExpensesEvent1Amt
Gross Receipts Total$40,165GrossReceiptsTotalAmt
Gross Revenue Total Events$40,165GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$8,472OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,472DirectExpenseSummaryEventsAmt
Net Income Summary$31,693NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE BOARD IS PROVIDED THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE BOARD AND KEY EMPLOYEES REVIEW THE POLICY ANNUALLY.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementALL CHANGES TO COMPENSATION ARE APPROVED BY THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessTHE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR.