KENTUCKY HEALTH CENTER NETWORK INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: KENTUCKY HEALTH CENTER NETWORK INCORPORATED (EIN 46-0763588)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-08
IRS object ID: 202143129349302404
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-08T10:46:32-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2650 EASTPOINT PKWY SUITE 300	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40223	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	460763588	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KENTUCKY HEALTH CENTER NETWORK INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	KENT	BusinessNameControlTxt
Phone	8592747115	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1127	AddressLine1Txt
City	MT STERLING	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40353	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JENNIFER NESMITH	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8592747115	PhoneNum
Signature	2021-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JENNIFER	PersonFirstNm
Person Last	NESMITH	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CARRIE A MERRILL CPA	PreparerPersonNm
PTIN	P00832283	PTIN
Phone	5029923500	PhoneNum
Preparation	2021-11-02	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JENNIFER NESMITH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1127	AddressLine1Txt
City	MT STERLING	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40353	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$758,088	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KYHCN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	THE KENTUCKY HEALTH CENTER NETWORK HAS BEEN FUNDED BY HRSA FOR IMPROVING QUALITY THROUGH HEALTH INFORMATION TECHNOLOGY AT THE NETWORK'S MEMBER COMMUNITY HEALTH CENTER.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$838,154	PYContributionsGrantsAmt
CY Contributions Grants	$725,594	CYContributionsGrantsAmt
PY Program Service Revenue	$57,259	PYProgramServiceRevenueAmt
CY Program Service Revenue	$31,694	CYProgramServiceRevenueAmt
PY Investment Income	-$677	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$1,350	PYOtherRevenueAmt
CY Other Revenue	$800	CYOtherRevenueAmt
PY Total Revenue	$896,086	PYTotalRevenueAmt
CY Total Revenue	$758,088	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$254,960	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$258,992	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$715,737	PYOtherExpensesAmt
CY Other Expenses	$588,165	CYOtherExpensesAmt
PY Total Expenses	$970,697	PYTotalExpensesAmt
CY Total Expenses	$847,157	CYTotalExpensesAmt
PY Revenues Less Expenses	-$74,611	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$89,069	CYRevenuesLessExpensesAmt
Total Assets BOY	$323,086	TotalAssetsBOYAmt
Total Assets EOY	$230,533	TotalAssetsEOYAmt
Total Liabilities BOY	$13,841	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,357	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$309,245	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$220,176	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	KENTUCKY HEALTH CENTER NETWORK SUSTAINS KENTUCKY HEALTH COMMUNITY CENTERS AND THEIR CAPACITY TO PROVIDE QUALITY PATIENT SERVICES, TO INSTITUTE BEST PRACTICES, AND TO PURSUE CONTINUOUS IMPROVEMENT.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$731,160	ExpenseAmt
Revenue	$32,494	RevenueAmt
Desc	ON AUGUST 1, 2019, KHCN BEGAN A NEW 3-YEAR GRANT PERIOD FOCUSING ON ENHANCING THE PATIENT AND PROVIDER EXPERIENCE, ADVANCING INTEROPERABILITY, AND USING DATA TO ENHANCE VALUE.KHCN WAS ABLE TO HOST A VERY SUCCESSFUL ANNUAL CONFERENCE IN 2020 BEFORE THE COVID-19 PANDEMIC BEGAN. TOPICS INCLUDED INCREASING USE OF PATIENT PORTALS, CHECKING DATA FOR ACCURACY, USING DATA TO DEMONSTRATE VALUE, PREDICTIVE ANALYTICS, PEER REVIEW, CREDENTIALING AND PRIVILEGING, AND QUALITY, RISK, AND COMPLIANCE. EVALUATION RESPONSES WERE OVERWHELMINGLY POSITIVE.KHCN HELPED MEMBER ORGANIZATIONS RAPIDLY DEPLOY TELEHEALTH SERVICES ONCE THE PANDEMIC BEGAN. SEVERAL WORKSHOPS AND PEER SHARING TRAININGS WERE HELD THAT PROVIDED INFORMATION INTEGRAL TO BEGINNING PRIMARY CARE SERVICES IN EACH OF OUR 25 MEMBER ORGANIZATIONS, NONE OF WHICH WERE PROVIDING PRIMARY CARE VIA TELEHEALTH PRIOR TO THE PANDEMIC. KHCN ALSO PROVIDED TRAININGS FOR NEW MANAGERS AND PREPARING FOR THE "NEW NORMAL AND SEVERAL VIRTUAL PEER MEETINGS THROUGHOUT THE YEAR TO IDENTIFY AND EASE OPERATIONAL AND CLINICAL CHALLENGES DUE TO COVID-19. ALL WERE VERY WELL RECEIVED AND EVALUATED HIGHLY BY ATTENDEES.	Desc
Total Program Service Expenses	$731,160	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2	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	19	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	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	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JENNIFER NESMITH	PersonNm
Phone	8592747115	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1127	AddressLine1Txt
City	MT STERLING	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40353	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
MICHAEL STANLEY
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
ANN HAGAN-GRIGSBY
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVE GERWIG
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
ELLEN NAPIER
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
ADAM CRAFT
DIRECTOR	0.50	Yes (X)		$0	$0	$0
BILL WAGNER
DIRECTOR	0.50	Yes (X)		$0	$0	$0
CHRIS KEYSER
DIRECTOR	0.50	Yes (X)		$0	$0	$0
DERRICK HAMILTON
DIRECTOR	0.50	Yes (X)		$0	$0	$0
EMERSON GOODWIN
DIRECTOR	0.50	Yes (X)		$0	$0	$0
JACK MINIARD
DIRECTOR	0.50	Yes (X)		$0	$0	$0
LESLEY DOTSON
DIRECTOR	0.50	Yes (X)		$0	$0	$0
MIKE CAUDILL
DIRECTOR	0.50	Yes (X)		$0	$0	$0
ROSIE WOOLUM
DIRECTOR	0.50	Yes (X)		$0	$0	$0
SAMANTHA TAYLOR-KAAI
DIRECTOR	0.50	Yes (X)		$0	$0	$0
SHELLY GOBIN
DIRECTOR	0.50	Yes (X)		$0	$0	$0
STAN WARDLAW
DIRECTOR	0.50	Yes (X)		$0	$0	$0
STEPHANIE MOORE
DIRECTOR	0.50	Yes (X)		$0	$0	$0
TINA BRYANT
DIRECTOR	0.50	Yes (X)		$0	$0	$0
TRACEY ANTLE
DIRECTOR	0.50	Yes (X)		$0	$0	$0
JENNIFER NESMITH
CEO	40.00		Yes (X)	$131,454	$0	$9,141

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$131,454	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$9,141	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$725,594	GovernmentGrantsAmt
Total Contributions	$725,594	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REGISTRATION FEES	900099	$15,650	$15,650
PROJECT REVENUE	900099	$8,544	$8,544
MEMBER DUES	900099	$7,500	$7,500

Field	Value	IRS element (for citing)
Total Program Service Revenue	$31,694	TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	ALL OTHER REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$800	TotalRevenueColumnAmt
Related Or Exempt Func Income	$800	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$800	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$758,088	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,494	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$140,596	TotalAmt
Program Services	$118,149	ProgramServicesAmt
Management And General	$22,447	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$92,700	TotalAmt
Program Services	$77,900	ProgramServicesAmt
Management And General	$14,800	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,999	TotalAmt
Program Services	$5,882	ProgramServicesAmt
Management And General	$1,117	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$267	TotalAmt
Program Services	$224	ProgramServicesAmt
Management And General	$43	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,430	TotalAmt
Program Services	$15,488	ProgramServicesAmt
Management And General	$2,942	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,383	TotalAmt
Program Services	$5,815	ProgramServicesAmt
Management And General	$568	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,505	TotalAmt
Program Services	$22,324	ProgramServicesAmt
Management And General	$2,181	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$244,454	TotalAmt
Program Services	$222,698	ProgramServicesAmt
Management And General	$21,756	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,518	TotalAmt
Management And General	$8,518	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$31,902	TotalAmt
Program Services	$30,000	ProgramServicesAmt
Management And General	$1,902	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,022	TotalAmt
Management And General	$3,022	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,150	TotalAmt
Program Services	$7,411	ProgramServicesAmt
Management And General	$1,739	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$101,219	TotalAmt
Program Services	$81,987	ProgramServicesAmt
Management And General	$19,232	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,668	TotalAmt
Program Services	$3,668	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,556	TotalAmt
Management And General	$1,556	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DUES AND SUBSCRIPTIONS	$140,122	$134,014	$6,108
DATA WAREHOUSE	$5,600	$5,600	$0
TAXES/LICENSE/FEES	$15	$0	$15

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,051	TotalAmt
Management And General	$8,051	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$847,157	TotalAmt
Program Services	$731,160	ProgramServicesAmt
Management And General	$115,997	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$83,370	BOYAmt
EOY	$100,245	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,201	BOYAmt
EOY	$26,975	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$206,731	BOYAmt
EOY	$67,730	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$534,569	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$498,986	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,784	BOYAmt
EOY	$35,583	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$323,086	BOYAmt
EOY	$230,533	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,841	BOYAmt
EOY	$10,357	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,841	BOYAmt
EOY	$10,357	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	$309,245	BOYAmt
EOY	$220,176	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$309,245	BOYAmt
EOY	$220,176	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$323,086	BOYAmt
EOY	$230,533	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$89,069	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	0	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$731,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$826,679	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$867,006	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$838,154	CurrentTaxYearMinus1YearAmt
Current Tax Year	$725,594	CurrentTaxYearAmt
Total	$3,988,842	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$731,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$826,679	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$867,006	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$838,154	CurrentTaxYearMinus1YearAmt
Current Tax Year	$725,594	CurrentTaxYearAmt
Total	$3,988,842	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$3,988,842	PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,087	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,131	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$1,350	CurrentTaxYearMinus1YearAmt
Current Tax Year	$800	CurrentTaxYearAmt
Total	$5,368	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,994,210	TotalSupportAmt
Gross Receipts Rltd Activities	$143,742	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99870	PublicSupportCY170Pct
Public Support PY170	0.99860	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	OTHER INCOME - 2016 AMOUNT: $ 1,087. 2017 AMOUNT: $ 2,131. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 1,350. 2020 AMOUNT: $ 800.	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

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$94,569	OtherCostOrOtherBasisAmt
Depreciation	$58,986	DepreciationAmt
Book Value	$35,583	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$440,000	OtherCostOrOtherBasisAmt
Depreciation	$440,000	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,583	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$758,088	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$758,088	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$758,088	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$847,157	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$847,157	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$847,157	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE DRAFT 990 IS EMAILED TO ALL BOARD MEMBERS AND VOTED UPON FOR APPROVAL ELECTRONICALLY. A MAJORITY OF VOTING MEMBERS MUST APPROVE BEFORE SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	ALL BOARD MEMBERS AND FULL TIME STAFF ARE COVERED UNDER THE POLICY. CEO, FINANCE COMMIITEE, AND BOARD MONITOR COMPLIANCE ON AN ONGOING BASIS. ANY CONFLICTS THAT ARISE WOULD BE HANDLED BY REMOVING PERSON WITH CONFLICT FROM DISCUSSION AND DECISION MAKING.
FORM 990, PART VI, SECTION B, LINE 15A	THE FULL BOARD, COMPRISED OF INDEPENDENT MEMBERS, APPROVED THE ANNUAL COMPENSATION PAID TO THE CEO.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 64,590. MANAGEMENT AND GENERAL EXPENSES 6,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,900. OTHER PUCHASED SERVICES: PROGRAM SERVICE EXPENSES 158,108. MANAGEMENT AND GENERAL EXPENSES 15,446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,554.
PART XII LINE 2C	THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.