A RENEWED MIND: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- A RENEWED MIND (EIN 34-1896193)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-14
- IRS object ID
- 202111349349301541
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-14T09:02:58-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341827159 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILMORE JASION MAHLER LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1785 INDIAN WOOD CIRCLE | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341896193 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A RENEWED MIND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AREN | BusinessNameControlTxt |
| Phone | 4193301050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 885 COMMERCE DRIVE | AddressLine1Txt |
| City | PERRYSBURG | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43551 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT RIZZO | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4193301050 | PhoneNum |
| Signature | 2021-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN EMERSON CPA | PreparerPersonNm |
| PTIN | P01698728 | PTIN |
| Phone | 4197942000 | PhoneNum |
| Preparation | 2021-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATT RIZZO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 885 COMMERCE DRIVE | AddressLine1Txt |
| City | PERRYSBURG | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43551 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,662,426 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARENEWEDMINDSERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | AS A FAITH BASED ORGANIZATION, A RENEWED MIND PROVIDES EXCELLENT BEHAVIORAL HEALTHCARE THAT RENEWS THE MIND, BODY & SPIRIT FOR ALL WHO STRUGGLE WITH MENTAL HEALTH ISSUES, ADDICTION OR FETAL ALCOHOL EXPOSURE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 366 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $709,272 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,433,199 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,866,811 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,009,134 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,989 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,970 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$38,111 | PYOtherRevenueAmt |
| CY Other Revenue | $52,933 | CYOtherRevenueAmt |
| PY Total Revenue | $18,556,961 | PYTotalRevenueAmt |
| CY Total Revenue | $20,503,236 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $315 | 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 | $14,469,437 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,149,002 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $78,394 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,005,783 | PYOtherExpensesAmt |
| CY Other Expenses | $4,414,893 | CYOtherExpensesAmt |
| PY Total Expenses | $18,475,535 | PYTotalExpensesAmt |
| CY Total Expenses | $19,563,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $81,426 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $939,341 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,240,454 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,675,413 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,664,114 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,160,246 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,576,340 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,515,167 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS A FAITH BASED ORGANIZATION, A RENEWED MIND PROVIDES EXCELLENT BEHAVIORAL HEALTHCARE THAT RENEWS THE MIND, BODY & SPIRIT FOR ALL WHO STRUGGLE WITH MENTAL HEALTH ISSUES, ADDICTION OR FETAL ALCOHOL EXPOSURE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,874,536 | ExpenseAmt |
| Revenue | $17,073,094 | RevenueAmt |
| Desc | A RENEWED MIND PROVIDES AN ARRAY OF SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT SERVICES TAILORED TO FIT THE UNIQUE NEEDS OF EACH INDIVIDUAL, SPECIALIZING IN CHILD, ADOLESCENT, AND ADULT TREATMENT. | Desc |
| Total Program Service Expenses | $16,874,536 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 | Yes (1) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 366 | 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 |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATT RIZZO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4193301050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 885 COMMERCE DRIVE | AddressLine1Txt |
| City | PERRYSBURG | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43551 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| EDWARD MCNEAL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHUCK NIEHAUS | |||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SANDRA FRISCH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT LONDON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN PAYAK III | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT ARQUETTE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES LAYMAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK MCCOLLEY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTINE FAUVER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH LAVALLEY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN MALIA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SR ANNE MARY MOLYET | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIONNE NEUBAUER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICH FRANK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATT RIZZO | |||||||
| PRESIDENT | 40.00 | $215,247 | $0 | $18,344 | Yes (X) | ||
| TINA SMITH | |||||||
| CFO | 40.00 | $54,172 | $0 | $0 | Yes (X) | ||
| JAIME COX | |||||||
| VP OF HUMAN RESOURCES | 40.00 | $77,550 | $0 | $15,268 | Yes (X) | ||
| CHRISTINE ELLIS | |||||||
| PHYSICIAN | 15.00 | $136,998 | $0 | $0 | Yes (X) | ||
| DANIEL LAU | |||||||
| PHYSICIAN | 40.00 | $156,934 | $0 | $5,900 | Yes (X) | ||
| DANYEL PARKER | |||||||
| PHYSICIAN | 37.50 | $156,913 | $0 | $7,902 | Yes (X) | ||
| GEORGE WILLIAMS | |||||||
| PHYSICIAN | 40.00 | $122,488 | $0 | $2,927 | Yes (X) | ||
| ANYSE STOREY | |||||||
| PHYSICIAN | 17.00 | $167,088 | $0 | $4,265 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,087,390 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $54,606 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ZAYEM CONSULTING LLC | |||||
| 3352 RIVERWOOD CT | PERRYSBURG | OH | 43551 | MEDICAL SERVICES | $270,506 |
| MY PSYCHIATRIC PARTNER | |||||
| 8483 TORWOODLEE COURT | DUBLIN | OH | 43017 | MEDICAL SERVICES | $161,734 |
| GENOA HEALTHCARE | |||||
| 1832 ADAMS ST | TOLEDO | OH | 43604 | MEDICAL SERVICES | $141,580 |
| BLUE TECHNOLOGIES | |||||
| 5885 GRANT AVENUE | CLEVELAND | OH | 44105 | INFORMATION TECHNOLOGY | $139,771 |
| CISP | |||||
| 3035 MOFFAT RD | TOLEDO | OH | 43615 | INTERNET | $129,870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $65,352 | FundraisingAmt |
| Government Grants | $3,260,486 | GovernmentGrantsAmt |
| All Other Contributions | $107,361 | AllOtherContributionsAmt |
| Noncash Contributions | $465 | NoncashContributionsAmt |
| Total Contributions | $3,433,199 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID / MEDICARE PAYMENTS | 624110 | $11,987,891 | $11,987,891 |
| OTHER PROGRAM SERVICE REVENUE | 624110 | $3,403,879 | $3,403,879 |
| PRIVATE INSURANCE & COPAYS | 624110 | $1,617,364 | $1,617,364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,009,134 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,970 | TotalRevenueColumnAmt |
| Exclusion | $7,970 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,163 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $153,668 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$5,505 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,505 | TotalRevenueColumnAmt |
| Exclusion | -$5,505 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $65,352 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,522 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,522 | TotalRevenueColumnAmt |
| Exclusion | -$5,522 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REBATES AND OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $63,960 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,960 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $63,960 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,503,236 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,073,094 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,057 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,199 | TotalAmt |
| Program Services | $296,820 | ProgramServicesAmt |
| Management And General | $48,887 | ManagementAndGeneralAmt |
| Fundraising | $3,492 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,316,846 | TotalAmt |
| Program Services | $10,663,945 | ProgramServicesAmt |
| Management And General | $1,610,488 | ManagementAndGeneralAmt |
| Fundraising | $42,413 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,866 | TotalAmt |
| Program Services | $305,036 | ProgramServicesAmt |
| Management And General | $50,242 | ManagementAndGeneralAmt |
| Fundraising | $3,588 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,159,380 | TotalAmt |
| Program Services | $1,000,512 | ProgramServicesAmt |
| Management And General | $157,186 | ManagementAndGeneralAmt |
| Fundraising | $1,682 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,711 | TotalAmt |
| Program Services | $829,361 | ProgramServicesAmt |
| Management And General | $131,870 | ManagementAndGeneralAmt |
| Fundraising | $3,480 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,827 | TotalAmt |
| Management And General | $13,827 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,012 | TotalAmt |
| Management And General | $41,012 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $729,321 | TotalAmt |
| Program Services | $672,813 | ProgramServicesAmt |
| Management And General | $54,943 | ManagementAndGeneralAmt |
| Fundraising | $1,565 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,850 | TotalAmt |
| Program Services | $38,972 | ProgramServicesAmt |
| Management And General | $6,419 | ManagementAndGeneralAmt |
| Fundraising | $459 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626,841 | TotalAmt |
| Program Services | $532,956 | ProgramServicesAmt |
| Management And General | $88,627 | ManagementAndGeneralAmt |
| Fundraising | $5,258 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,748 | TotalAmt |
| Program Services | $242,923 | ProgramServicesAmt |
| Management And General | $40,005 | ManagementAndGeneralAmt |
| Fundraising | $2,820 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $610,433 | TotalAmt |
| Program Services | $518,868 | ProgramServicesAmt |
| Management And General | $85,461 | ManagementAndGeneralAmt |
| Fundraising | $6,104 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,528 | TotalAmt |
| Program Services | $262,249 | ProgramServicesAmt |
| Management And General | $43,194 | ManagementAndGeneralAmt |
| Fundraising | $3,085 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,208 | TotalAmt |
| Management And General | $161,208 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,337 | TotalAmt |
| Program Services | $169,171 | ProgramServicesAmt |
| Management And General | $27,907 | ManagementAndGeneralAmt |
| Fundraising | $2,259 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,560 | TotalAmt |
| Program Services | $147,526 | ProgramServicesAmt |
| Management And General | $24,298 | ManagementAndGeneralAmt |
| Fundraising | $1,736 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT EXPENSE | $821,828 | $821,828 | ||
| MEDICAL SUPPLIES | $216,026 | $216,026 | ||
| FOOD EXPENSE | $130,367 | $112,116 | $18,251 | |
| STAFF DEVELOPMENT | $26,551 | $22,568 | $3,717 | $266 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,456 | TotalAmt |
| Program Services | $20,846 | ProgramServicesAmt |
| Management And General | $3,423 | ManagementAndGeneralAmt |
| Fundraising | $187 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,563,895 | TotalAmt |
| Program Services | $16,874,536 | ProgramServicesAmt |
| Management And General | $2,610,965 | ManagementAndGeneralAmt |
| Fundraising | $78,394 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $769,127 | BOYAmt |
| EOY | $3,237,766 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,098 | BOYAmt |
| EOY | $24,846 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,192,910 | BOYAmt |
| EOY | $1,666,117 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,938 | BOYAmt |
| EOY | $96,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,897,433 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $434,674 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,544,145 | BOYAmt |
| EOY | $5,462,759 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,842 | BOYAmt |
| EOY | $174,136 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,394 | BOYAmt |
| EOY | $13,194 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,240,454 | BOYAmt |
| EOY | $10,675,413 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,470,577 | BOYAmt |
| EOY | $1,399,853 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,567 | BOYAmt |
| EOY | $420,035 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,372,841 | BOYAmt |
| EOY | $2,912,698 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,720,129 | BOYAmt |
| EOY | $3,427,660 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,664,114 | BOYAmt |
| EOY | $8,160,246 | 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 | $1,357,307 | BOYAmt |
| EOY | $2,290,968 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,033 | BOYAmt |
| EOY | $224,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,576,340 | BOYAmt |
| EOY | $2,515,167 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,240,454 | BOYAmt |
| EOY | $10,675,413 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $939,341 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$514 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,250,693 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $883,256 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,958,462 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $709,272 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $697,599 | CurrentTaxYearAmt |
| Total | $5,499,282 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,639,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,943,068 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,109,009 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,866,811 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,009,134 | CurrentTaxYearAmt |
| Total | $75,567,910 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,890,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,826,324 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,067,471 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,576,083 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,706,733 | CurrentTaxYearAmt |
| Total | $81,067,192 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $81,067,192 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,001 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,989 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,970 | CurrentTaxYearAmt |
| Total | $30,641 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,001 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,989 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,970 | CurrentTaxYearAmt |
| Total | $30,641 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,764 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,585 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,510 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,960 | CurrentTaxYearAmt |
| Total | $164,619 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,903,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,891,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,088,952 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,599,582 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,778,663 | CurrentTaxYearAmt |
| Total | $81,262,452 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99760 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS - 2015 AMOUNT: $ 12,764. 2016 AMOUNT: $ 62,585. 2017 AMOUNT: $ 20,800. 2018 AMOUNT: $ 4,510. 2019 AMOUNT: $ 0. REBATES AND OTHER - 2019 AMOUNT: $ 63,960. | ExplanationTxt |
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 | $656,000 | OtherCostOrOtherBasisAmt |
| Book Value | $656,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,709,196 | OtherCostOrOtherBasisAmt |
| Depreciation | $258,646 | DepreciationAmt |
| Book Value | $4,450,550 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,931 | DepreciationAmt |
| Book Value | $43,543 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $455,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $165,488 | DepreciationAmt |
| Book Value | $290,321 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,954 | OtherCostOrOtherBasisAmt |
| Depreciation | $609 | DepreciationAmt |
| Book Value | $22,345 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,462,759 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| FORGIVABLE LOAN PAYABLE | $357,777 |
| ADVANCES FROM MANAGED CARE PAYERS | $1,932,613 |
| NOTE PAYABLE TO OGS | $100,000 |
| ACCOUNTS PAYABLE TO OGS | $1,037,270 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,427,660 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,661,912 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$514 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $159,190 | OtherRevenueAmt |
| Revenue Not Reported | $158,676 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,503,236 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,503,236 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,723,085 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $159,190 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $159,190 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,563,895 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,563,895 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE ORGANIZATION IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS). |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES OFFSET AGAINST RELATED INCOME 153,668. FUNDRAISING EVENT EXPENSES OFFSET AGAINST RELATED INCOME 5,522. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES OFFSET AGAINST RELATED INCOME 153,668. FUNDRAISING EVENT EXPENSES OFFSET AGAINST RELATED INCOME 5,522. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | KALEIDOSCOPE FUNDRAISING BREAKFAST | Event1Nm |
| Gross Receipts Event1 | $65,352 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $65,352 | CharitableContriEvent1Amt |
| Rent Facility Costs Event1 | $3,244 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $206 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,072 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $65,352 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $65,352 | CharitableContributionsTotAmt |
| Rent Fclty Costs Total Events | $3,244 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $206 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,072 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,522 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$5,522 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATT RIZZO | ||||||||||||||
| PRESIDENT | $215,247 | $0 | $0 | $0 | $0 | $0 | $3,950 | $0 | $14,394 | $0 | $233,591 | $0 | $0 | $0 |
| DANIEL LAU | ||||||||||||||
| PHYSICIAN | $156,934 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,900 | $0 | $162,834 | $0 | $0 | $0 |
| DANYEL PARKER | ||||||||||||||
| PHYSICIAN | $156,913 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,902 | $0 | $164,815 | $0 | $0 | $0 |
| ANYSE STOREY | ||||||||||||||
| PHYSICIAN | $167,088 | $0 | $0 | $0 | $0 | $0 | $4,265 | $0 | $0 | $0 | $171,353 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION FROM TIME TO TIME PROVIDES MERIT BASED BONUSES TO INDIVIDUALS EMPLOYED DURING THE YEAR. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIEHAUS WISE & KALAS LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ENTITY OWNED BY CHARLES NIEHAUS, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $7,733 | TransactionAmt |
| Transaction | LEGAL FEES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | OHIOGUIDESTONE, AN OHIO NONPROFIT CORPORATION, IS SOLE MEMBER OF A RENEWED MIND. |
| FORM 990, PART VI, SECTION A, LINE 7A | OHIOGUIDESTONE HAS AUTHORITY TO ELECT A LIMITED, NON-MAJORITY, NUMBER OF NO MORE THAN THREE DIRECTORS TO SERVE ON THE GOVERNING BODY PER TERMS OF THE MEMBER SUBSTITUTION AGREEMENT. |
| FORM 990, PART VI, SECTION A, LINE 7B | OGS IS THE SOLE MEMBER OF ARM BUT DOES NOT HAVE EXCLUSIVE GOVERNING AUTHORITY OF ARM. FURTHER, THE ARM CODE OF REGULATIONS LIMITS THE ULTIMATE AUTHORITY OF OGS DURING THE TWO YEARS FOLLOWING THE MEMBER SUBSTITUTION (UNTIL JULY 1, 2020), AND EXPRESSLY PROHIBITS OGS FROM REMOVING OR REVISING THE GOVERNING RIGHTS OF THE ARM DIRECTORS WITHOUT APPROVAL OF THE ARM BOARD DURING THAT PERIOD. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEWED FOR COMPLETENESS BY SELECT ORGANIZATION PERSONNEL IN ADDITION TO RELYING ON INDEPENDENT ACCOUNTANT FOR ACCURACY. |
| FORM 990, PART VI, SECTION B, LINE 12 | ANNUAL REVIEW OF POLICY AND DISCLOSURES IS TYPICALLY PERFORMED, BUT IN FY20 WAS NOT PERFORMED FOR ALL BOARD MEMBERS FORMALLY DUE TO PENDING ORGANIZATIONAL CHANGES. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUAL PERFORMANCE REVIEW BY BOARD OF DIRECTORS AND APPROVAL OF ANNUAL SALARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST. |