STRATEGY STUDIO / PUBLIC DATA EXPLORER

POTOMAC HEALTHCARE FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
POTOMAC HEALTHCARE FOUNDATION (EIN 52-1116578)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-07-29
IRS object ID
202142109349100309
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

FieldValueIRS element (for citing)
Return2021-07-29T12:51:50-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135381590PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 RED BROOK BLVD SUITE 300AddressLine1Txt
CityOWINGS MILLSCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21117ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521116578EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POTOMAC HEALTHCARE FOUNDATION LTDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOTOBusinessNameControlTxt
Phone3017500017PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 FREDERICK AVENUEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21229ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARBARA GROVESPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3017500017PhoneNum
Signature2021-07-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN J RAYPreparerPersonNm
PTINP01278507PTIN
Phone4103633200PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$13,877,866FMVAssetsEOYAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$5,370,601ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$1,332InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,332InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$1,332InterestOnSavingsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$3,459,912OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$3,459,912OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$8,831,845TotalRevAndExpnssAmt
Total Net Invst Incm$1,332TotalNetInvstIncmAmt
Total Adj Net Incm$3,461,244TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$2,625,911OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$2,625,911OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$30,855PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$30,855PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$11,967LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$11,967LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$26,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$26,500AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$53,496OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$53,496OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$683InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Adj Net Incm$0InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$683InterestDsbrsChrtblAmt
Taxes Rev And Expnss$207,857TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$207,812TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$55,444DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$1,264,742OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$1,264,742OccupancyDsbrsChrtblAmt
Printing And Pub Rev And Expnss$1,780PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Printing And Pub Dsbrs Chrtbl$1,780PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$4,809,800OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$3,459,912OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$1,316,871OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$9,089,035TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$3,459,912TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,540,617TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$9,089,035TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$3,459,912TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$5,540,617TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$257,190ExcessRevenueOverExpensesAmt
Net Investment Income$1,332NetInvestmentIncomeAmt
Adjusted Net Income$1,332AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$5,030,672CashBOYAmt
Cash EOY$5,592,617CashEOYAmt
Cash EOYFMV$5,592,617CashEOYFMVAmt
Acct Rcvbl BOY$905,338AcctRcvblBOYAmt
Grants Receivable BOY$263,003GrantsReceivableBOYAmt
Grants Receivable EOY$81,299GrantsReceivableEOYAmt
Grants Receivable EOYFMV$81,299GrantsReceivableEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$8,614,902LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$581,142LandBldgEquipAccumDeprecAmt
Land BOY$2,817,282LandBOYAmt
Land EOY$8,033,760LandEOYAmt
Land EOYFMV$8,033,760LandEOYFMVAmt
Other Assets BOY$170,190OtherAssetsBOYAmt
Other Assets EOY$170,190OtherAssetsEOYAmt
Other Assets EOYFMV$170,190OtherAssetsEOYFMVAmt
Total Assets BOY$9,186,485TotalAssetsBOYAmt
Total Assets EOY$13,877,866TotalAssetsEOYAmt
Total Assets EOYFMV$13,877,866TotalAssetsEOYFMVAmt
Accounts Payable BOY$967,180AccountsPayableBOYAmt
Accounts Payable EOY$1,389,839AccountsPayableEOYAmt
Deferred Revenue BOY$27,539DeferredRevenueBOYAmt
Mortgages And Notes Payable BOY$920,713MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$3,397,630MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$693,205OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,769,739OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,608,637TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,557,208TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$5,444,515NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$5,240,658NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$1,133,333DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$1,080,000DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$6,577,848TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,320,658TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,186,485TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$13,877,866TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,577,848TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$257,190ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$6,320,658SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$6,320,658TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$5,784,091AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,255,476NetVlNoncharitableAssetsYr1Amt
Distribution Yr11.776727DistributionYr1Rt
Adjusted Qlfy Distri Yr2$4,832,483AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,122,966NetVlNoncharitableAssetsYr2Amt
Distribution Yr22.276288DistributionYr2Rt
Adjusted Qlfy Distri Yr3$6,150,231AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,974,880NetVlNoncharitableAssetsYr3Amt
Distribution Yr32.067388DistributionYr3Rt
Adjusted Qlfy Distri Yr4$4,235,799AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,723,249NetVlNoncharitableAssetsYr4Amt
Distribution Yr42.458031DistributionYr4Rt
Adjusted Qlfy Distri Yr5$4,519,236AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,634,286NetVlNoncharitableAssetsYr5Amt
Distribution Yr51.243500DistributionYr5Rt
Total Distribution9.821934TotalDistributionRt
Average Distribution1.964387AverageDistributionRt
Net Vl Noncharitable Assets$5,319,080NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$10,448,732AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$13NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$10,448,745AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$5,540,617QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$27InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$27SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$27TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$27TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMDOrgReportOrRegisterStateCd
Org Report Or Register StateDCOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksGARY GAGNONIndividualWithBooksNm
Phone3014472360PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 136AddressLine1Txt
CityEMMITSBURGCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21727ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LEONARD SACKS
3800 FREDERICK AVEBALTIMOREMD21229CHAIRMAN/TREASURER/TRUSTEE1.00$0$0$0
BARBARA GROVES
3800 FREDERICK AVEBALTIMOREMD21229PRESIDENT/SECRETARY/TRUSTE1.00$0$0$0
HELEN STEFAN MOREAU
3800 FREDERICK AVEBALTIMOREMD21229TRUSTEE1.00$0$0$0
HAROLD JOYCE
3800 FREDERICK AVEBALTIMOREMD21229TRUSTEE1.00$0$0$0
JONATHAN NOVAK
3800 FREDERICK AVEBALTIMOREMD21229TRUSTEE1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
WILLIAM ROBY
3800 FREDERICK AVEBALTIMOREMD21229CFO40.00$206,000$0$0
CHIMENE DIOMI
3800 FREDERICK AVEBALTIMOREMD21229REGISTERED NURSE40.00$147,115$0$0
PHYLLIS STAHLEY
3800 FREDERICK AVEBALTIMOREMD21229DIRECTOR OF ADMISSIO40.00$103,808$0$0
AMY MARTIN
3800 FREDERICK AVEBALTIMOREMD21229CRNP27.00$103,275$0$0
GARY GAGNON
3800 FREDERICK AVEBALTIMOREMD21229CONTROLLER40.00$80,500$0$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k8OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
COSTELLO CONSTRUCTION
10211 WINCOPIN CIR STE 100COLUMBIAMD21044CONSTRUCTION$9,521,951
NETSMART TECHNOLOGIES
PO BOX 823519PHILADELPHIAPA19182HEALTH INFORMATION TECHNOLOGY$172,267
FieldValueIRS element (for citing)
Contractor Paid Over50k2ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION PROVIDES RESIDENTIAL TREATMENT AND SERVICES FOR ALCOHOL AND/OR DRUG DEPENDENT PREGNANT AND POSTPARTUM WOMEN ALONG WITH THEIR CHILDREN.Description1Txt
Expenses1$8,527,366Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$5,400,081AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$5,400,081TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$5,400,081AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$81,001CashDeemedCharitableAmt
Net Vl Noncharitable Assets$5,319,080NetVlNoncharitableAssetsAmt
Minimum Investment Return$265,954MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,540,617ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$5,540,617QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$5,540,617AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$4,337,522ExcessDistributionCyovYr5Amt
Total Excess Distribution Cyov$4,337,522TotalExcessDistributionCyovAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$0AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$4,337,522TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$4,337,522ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$1,332CurrentYearAmt
Year1$162,774Year1Amt
Year2$106,148Year2Amt
Year3$1,401Year3Amt
Total$271,655TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$1,132CurrentYearAmt
Year1$138,358Year1Amt
Year2$90,226Year2Amt
Year3$1,191Year3Amt
Total$230,907TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$5,540,617CurrentYearAmt
Year1$5,784,091Year1Amt
Year2$4,832,491Year2Amt
Year3$6,150,231Year3Amt
Total$22,307,430TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$5,540,617CurrentYearAmt
Year1$5,784,091Year1Amt
Year2$4,832,491Year2Amt
Year3$6,150,231Year3Amt
Total$22,307,430TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$177,303CurrentYearAmt
Year1$108,516Year1Amt
Year2$70,765Year2Amt
Year3$99,163Year3Amt
Total$455,747TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Total$0TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd
Total Grant Or Contri Pd Dur Yr$0TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)

DescDescBusinessBusinessCdRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
PATIENT REVENUE623990$3,339,411
BAD DEBT RECOVERY623990$120,501

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,332ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,332ExclusionAmt
Related Or Exempt Function Incm$3,459,912RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$3,461,244TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number1ALineNumberTxt
Relationship StatementPATIENT INCOMERelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1LAURA AND JOHN ARNOLD FOUNDATIONBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11717 WEST LOOP SOUTH SUITE 1800AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77027ZIPCd
FieldValueIRS element (for citing)
Total Contributions$47,539TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$26,500Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$26,500DisbursementsCharitablePrpsAmt

Amortization Schedule AmortizationSchedule

Amortization Schedule Detail AmortizationScheduleDetail

FieldValueIRS element (for citing)
Amortized ExpensesLICENSESAmortizedExpensesDesc
Acquired Completed Or Expended2019-07-01AcquiredCompletedOrExpendedDt
Amortized$67,762AmortizedAmt
Amortization Period2.000000000000AmortizationPeriodRt
Current Year Amortization$33,009CurrentYearAmortizationAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$33,009AdjustedNetIncomeAmt
Total Amortization$33,009TotalAmortizationAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (6 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtRtRt
BUILDINGS2010-10-01$2,162,297$482,689SL39.000000000000$55,444$0$55,444
LIBRARY1998-12-31$10,000$10,000SL5.000000000000$0$0$0
CONSTRUCTION IN PROGRESS2017-06-30$113,221NC$0$0$00.000000000000
CONSTRUCTION IN PROGRESS2018-06-30$494,702NC$0$0$00.000000000000
CONSTRUCTION IN PROGRESS2019-06-30$497,310NC$0$0$00.000000000000
CONSTRUCTION IN PROGRESS2020-06-30$5,269,610NC$0$0$00.000000000000

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (7 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
BUILDINGS$2,162,297$538,133$1,624,164
LIBRARY$10,000$10,000$0
LICENSES$67,762$33,009$34,753
CONSTRUCTION IN PROGRESS$113,221$0$113,221
CONSTRUCTION IN PROGRESS$494,702$0$494,702
CONSTRUCTION IN PROGRESS$497,310$0$497,310
CONSTRUCTION IN PROGRESS$5,269,610$0$5,269,610

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$11,967LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$11,967DisbursementsCharitablePrpsAmt

Mortgages And Notes Payable Sch MortgagesAndNotesPayableSch

Note Payable NotePayableGrp

Lender Name LenderNameGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ACNBBusinessNameLine1Txt
FieldValueIRS element (for citing)
Insider RelationshipNONEInsiderRelationshipTxt
Loan Original$250,000LoanOriginalAmt
Balance Due$0BalanceDueAmt
Interest4.250000000000InterestRt
Security Provided BorrowerRELATED PARTIESSecurityProvidedBorrowerTxt
Loan PurposeWORKING CAPITALLoanPurposeTxt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
DEFFERED FINANCING COSTS$167,218$167,218$167,218
SECURITY DEPOSITS$2,972$2,972$2,972

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK CHARGES$965$0$0$965
CONSULTING FEES$40,429$0$0$40,429
DRUGS AND MEDICINE$32,657$0$0$32,657
INSURANCE$27,485$0$0$27,485
MANAGEMENT FEES$427,960$0$0$427,960
MINOR EQUIPMENT$3,015$0$0$3,015
PURCHASED SERVICES$3,821,247$0$3,459,912$361,335
SUPPLIES$414,537$0$0$414,537
TRANSPORTATION$8,306$0$0$8,306
MISCELLANEOUS$182$0$0$182
AMORTIZATION$33,017$0$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
PATIENT REVENUE$3,339,411$3,339,411
BAD DEBT RECOVERY$120,501$120,501

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
BOY Book Value$693,205BOYBookValueAmt
EOY Book Value$2,769,739EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategoryTxt
Amt$53,496Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$53,496DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL TAXES$207,812$0$0$207,812
EXCISE TAX$45$0$0$0