COLUMBIA WELLNESS: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBIA WELLNESS (EIN 91-0598130)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-03-22
- IRS object ID
- 201800819349301040
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-22T17:25:39-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930743240 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOFFMAN STEWART & SCHMIDT PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4900 MEADOWS ROAD STE 200 | AddressLine1Txt |
| City | LAKE OSWEGO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 970353295 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910598130 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA WELLNESS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 3605770249 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 921 14TH AVENUE | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98632 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID MCCLAY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3605770249 | PhoneNum |
| Signature | 2018-03-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT M PRILL | PreparerPersonNm |
| PTIN | P00236613 | PTIN |
| Phone | 5032205900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.95.39.225 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-03-14 | IPDt |
| IP Tm | 08:34:19 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E763459B46C695CBF98C559410069D6CE0D2A4F1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 92CB57A573ADC2C722F34D41D152DDBDBC57056C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID MCCLAY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 921 14TH AVENUE | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98632 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,960,819 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COLUMBIAWELL.ORG | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE BASIC AND SPECIALIZED MENTAL HEALTH SERVICES TO RESIDENTS OF COWLITZ AND GRAYS HARBOR COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 188 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $321,350 | PYContributionsGrantsAmt |
| CY Contributions Grants | $430,919 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,578,146 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,437,300 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,435 | PYInvestmentIncomeAmt |
| CY Investment Income | $742 | CYInvestmentIncomeAmt |
| PY Other Revenue | $82,581 | PYOtherRevenueAmt |
| CY Other Revenue | $91,858 | CYOtherRevenueAmt |
| PY Total Revenue | $11,983,512 | PYTotalRevenueAmt |
| CY Total Revenue | $13,960,819 | 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 | $8,107,794 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,763,322 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,611,355 | PYOtherExpensesAmt |
| CY Other Expenses | $3,019,552 | CYOtherExpensesAmt |
| PY Total Expenses | $10,719,149 | PYTotalExpensesAmt |
| CY Total Expenses | $12,782,874 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,264,363 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,177,945 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,825,655 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,968,637 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,420,387 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,385,424 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,405,268 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,583,213 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CARE. COMMITMENT TO IMPROVING QUALITY OF LIFE. ADVOCACY FOR OVERALL HEALTH. RESPONSE TO COMMUNITY NEEDS. EFFECTIVE TREATMENT WITH MEASURABLE OUTCOMES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,259,607 | ExpenseAmt |
| Revenue | $8,143,909 | RevenueAmt |
| Desc | COMMUNITY SUPPORT SERVICES - MOST OF THE COMMUNITY SUPPORT SERVICES STAFF HAVE ADVANCED DEGREES AND SPECIAL TRAINING, TO MEET THE COMMUNITY'S MENTAL HEALTH CARE NEEDS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,742,042 | ExpenseAmt |
| Revenue | $1,954,242 | RevenueAmt |
| Desc | CRISIS SERVICES - AN INTEGRATED RESPONSE SYSTEM 24 HOURS-A-DAY, 7 DAYS-A-WEEK, SERVICING PEOPLE OF ALL AGES AND CULTURES WHO ARE EXPERIENCING A CRISIS IN COWLITZ COUNTY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,223,356 | ExpenseAmt |
| Revenue | $2,494,185 | RevenueAmt |
| Desc | GRAYS HARBOR CRISIS RESPONSE SERVICES - AN INTEGRATED RESPONSE SYSTEM 24 HOURS-A-DAY, 7 DAYS-A-WEEK, SERVICING PEOPLE OF ALL AGES AND CULTURES WHO ARE EXPERIENCING A CRISIS IN GRAYS HARBOR COUNTY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $373,528 | $419,028 | COWLITZ COUNTY BEHAVIORAL HEALTH TAX (COWLITZ COUNTY-BHT) - SERVICES PROVIDED TO CLIENTS IN JAIL/JUVENILE FACILITIES AND OUTPATIENT THERAPY FOR STUDENTS IN HEAD START AT LOWER COLUMBIA COLLEGE. |
| $379,687 | $425,936 | NON-BHO/REDUCED FEE SERVICES - NON-SWBH/REDUCED FEE SERVICES PROVIDE MENTAL HEALTH SERVICES ON A SLIDING FEE SCHEDULE, BASED ON ABILITY TO PAY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $753,215 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $844,964 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,978,220 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 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 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 188 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID MCCLAY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3603539363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 921 14TH AVENUE | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98632 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| BECKY RIBELIN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BLAINE TOLBY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CINDY BRADO | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DAN ZOM | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DARREN ULMAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEAN TAKKO | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK RANDOLPH | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GARY UDD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GROVER LASEKE | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAKE OJA | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KELLI SWEET | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RON MARSHALL | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RONALD REDMOND | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RUSS BLANCHETTE | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STACIE CROCHET | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUE BAUR | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN BOURSAW | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSIE BARKER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CESAR RAFANO | ||||||
| CMO | 40.00 | $303,376 | $0 | $8,425 | Yes (X) | |
| CHRISTINA SLUNAKER | ||||||
| COO | 40.00 | $81,916 | $0 | $12,527 | Yes (X) | |
| DALE HUDSON | ||||||
| CFO | 40.00 | $82,208 | $0 | $12,454 | Yes (X) | |
| DAVID MCCLAY | ||||||
| CEO | 40.00 | $97,818 | $0 | $14,098 | Yes (X) | |
| DEBRA PERKO | ||||||
| CCO | 40.00 | $94,157 | $0 | $8,425 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $659,475 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $55,929 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | 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 |
|---|---|---|---|---|---|
| CORPORATE PAYMENT SYSTEMS | |||||
| PO BOX 790428 | ST LOUIS | MO | 63179 | CREDIT CARD SERVICES | $411,916 |
| GREAT AMERICA FINANCIAL SERVICES | |||||
| PO BOX 660831 | DALLAS | TX | 75266 | OFFICE SERVICES | $280,917 |
| PAVELCOMM INC | |||||
| 1640 NW 14TH AVE | PORTLAND | OR | 97209 | IT SERVICES | $177,685 |
| IRIS TELEHEALTH | |||||
| 807 WEST AVE | AUSTIN | TX | 78701 | LOCUM TENENS | $158,175 |
| LOWER COLUMBIA COLLEGE | |||||
| PO BOX 3010 | LONGVIEW | WA | 98632 | PROFESSIONAL SERVICES | $115,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $402,263 | GovernmentGrantsAmt |
| All Other Contributions | $28,656 | AllOtherContributionsAmt |
| Noncash Contributions | $791 | NoncashContributionsAmt |
| Total Contributions | $430,919 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $13,437,300 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,437,300 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,437,300 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $742 | TotalRevenueColumnAmt |
| Exclusion | $742 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,964 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,964 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,964 | TotalRevenueColumnAmt |
| Exclusion | $57,964 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $33,894 | TotalRevenueColumnAmt |
| Exclusion | $33,894 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $33,894 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,960,819 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,437,300 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $92,600 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809,753 | TotalAmt |
| Program Services | $757,357 | ProgramServicesAmt |
| Management And General | $52,396 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,243,143 | TotalAmt |
| Program Services | $5,838,455 | ProgramServicesAmt |
| Management And General | $404,688 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,334 | TotalAmt |
| Program Services | $203,793 | ProgramServicesAmt |
| Management And General | $16,541 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,821,325 | TotalAmt |
| Program Services | $1,715,707 | ProgramServicesAmt |
| Management And General | $105,618 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,767 | TotalAmt |
| Program Services | $625,610 | ProgramServicesAmt |
| Management And General | $43,157 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,517 | TotalAmt |
| Program Services | $674,069 | ProgramServicesAmt |
| Management And General | $38,448 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,431 | TotalAmt |
| Program Services | $119,907 | ProgramServicesAmt |
| Management And General | $7,524 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,067 | TotalAmt |
| Program Services | $284,745 | ProgramServicesAmt |
| Management And General | $41,322 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,682 | TotalAmt |
| Program Services | $202,734 | ProgramServicesAmt |
| Management And General | $12,948 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,558 | TotalAmt |
| Program Services | $490,639 | ProgramServicesAmt |
| Management And General | $22,919 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,641 | TotalAmt |
| Program Services | $153,719 | ProgramServicesAmt |
| Management And General | $1,922 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,578 | TotalAmt |
| Program Services | $31,030 | ProgramServicesAmt |
| Management And General | $1,548 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,242 | TotalAmt |
| Program Services | $178,460 | ProgramServicesAmt |
| Management And General | $9,782 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,785 | TotalAmt |
| Program Services | $74,399 | ProgramServicesAmt |
| Management And General | $4,386 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT PROVISION | $433,871 | $433,871 | |
| MISCELLANEOUS | $94,293 | $65,062 | $29,231 |
| REPAIRS AND VEHICLE EXP | $87,481 | $79,247 | $8,234 |
| LICENSING, DUES AND FEE | $53,406 | $49,416 | $3,990 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,782,874 | TotalAmt |
| Program Services | $11,978,220 | ProgramServicesAmt |
| Management And General | $804,654 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,834,947 | BOYAmt |
| EOY | $2,879,145 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383 | BOYAmt |
| EOY | $263 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,385,962 | BOYAmt |
| EOY | $1,301,924 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,676 | BOYAmt |
| EOY | $98,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,360,236 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,184,968 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,104,807 | BOYAmt |
| EOY | $2,175,268 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,755 | BOYAmt |
| EOY | $407,497 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,125 | BOYAmt |
| EOY | $105,879 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,825,655 | BOYAmt |
| EOY | $6,968,637 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $696,141 | BOYAmt |
| EOY | $702,363 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,025 | BOYAmt |
| EOY | $79,615 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $615,410 | BOYAmt |
| EOY | $497,567 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,811 | BOYAmt |
| EOY | $105,879 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420,387 | BOYAmt |
| EOY | $1,385,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,403,315 | BOYAmt |
| EOY | $5,558,760 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,953 | BOYAmt |
| EOY | $24,453 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,405,268 | BOYAmt |
| EOY | $5,583,213 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,825,655 | BOYAmt |
| EOY | $6,968,637 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,177,945 | 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 | 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 | $60,324 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,781 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $321,350 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $430,919 | CurrentTaxYearAmt |
| Total | $1,053,320 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,760,214 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,394,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,002,327 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,578,146 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,437,300 | CurrentTaxYearAmt |
| Total | $47,172,832 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,820,538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,456,626 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,181,273 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,899,496 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,868,219 | CurrentTaxYearAmt |
| Total | $48,226,152 | 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 | $48,226,152 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,179 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,150 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,047 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $58,706 | CurrentTaxYearAmt |
| Total | $210,550 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,179 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,150 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,047 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $58,706 | CurrentTaxYearAmt |
| Total | $210,550 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $53,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,894 | CurrentTaxYearAmt |
| Total | $218,396 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,879,867 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,547,785 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,283,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,983,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,960,819 | CurrentTaxYearAmt |
| Total | $48,655,098 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99120 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99170 | PublicSupportPY509Pct |
| Investment Income CY | 0.00430 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00380 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $315,400 | OtherCostOrOtherBasisAmt |
| Book Value | $315,400 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,028,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $753,354 | DepreciationAmt |
| Book Value | $1,275,425 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $428,329 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,130 | DepreciationAmt |
| Book Value | $355,199 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $340,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $282,360 | DepreciationAmt |
| Book Value | $58,229 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $247,139 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,124 | DepreciationAmt |
| Book Value | $171,015 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,175,268 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CUSTODIAN LIABILITIES | Desc |
| Amt | $105,879 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $105,879 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,526,948 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,526,948 | RevenueSubtotalAmt |
| Other Revenues Not Included | $433,871 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $433,871 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,960,819 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,349,003 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,349,003 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $433,871 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $433,871 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,782,874 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | MANAGEMENT DOES NOT BELIEVE THE ASSOCIATION HAS ANY UNCERTAIN TAX POSITIONS. THE ASSOCIATION FILES INFORMATIONAL RETURNS WITH THE INTERNAL REVENUE SERVICE (IRS). GENERALLY, THESE RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS FOR THREE YEARS FROM THE FILING OF THE RETURN. THE ASSOCIATION HAS NOT PAID ANY INTEREST OR PENALTIES RELATED TO ITS INCOME TAX POSITIONS, AND THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. INTEREST OR PENALTIES ASSESSED BY TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED WITH MANAGEMENT AND GENERAL EXPENSES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 433,871. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 433,871. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CESAR RAFANO | PersonNm |
| Title | CMO | TitleTxt |
| Base Compensation Filing Org | $272,767 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $15,790 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $14,819 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $8,425 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $311,801 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE COMMITTEE REVIEWS THE FORM 990, ONCE IT HAS BEEN REVIEWED THE FINANCE COMMITTEE RECOMMENDS THE APPROVAL BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. EACH CONFLICT OF INTEREST IS REVIEWED BY THE BOARD AND THE VOTE IS TAKEN WITH THE CONFLICTING MEMBER RECUSING THEIR VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD AFTER CONDUCTING EVALUATIONS AND CONSIDERING MARKET INFORMATION AND BUDGET CONSTRAINTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |