BRIGHTON VOLUNTEER AMBULANCE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTON VOLUNTEER AMBULANCE INC (EIN 22-2482619)
- Tax period
- 2016-09-01 to 2017-08-31
- Filed
- 2018-02-09
- IRS object ID
- 201810409349300921
- 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 | 2018-02-09T10:12:10-06:00 | ReturnTs |
| Tax Period End | 2017-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271895149 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heveron & Company CPAs PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 Plymouth Avenue South | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222482619 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brighton Volunteer Ambulance | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRIG | BusinessNameControlTxt |
| Phone | 5852712718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 18699 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 146180699 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis J Mietz | PersonNm |
| Person Title | Vice President | PersonTitleTxt |
| Phone | 5852712718 | PhoneNum |
| Signature | 2018-02-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brenda Smith | PreparerPersonNm |
| PTIN | P00617844 | PTIN |
| Phone | 5852322956 | PhoneNum |
| Preparation | 2018-02-06 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.213.221.209 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-06 | IPDt |
| IP Tm | 13:37:22 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3FE3F55F17F72E3BF4BB5A3E2FE06BE23013D4FB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 48754ED47237FC1D792EEC3DD1DC1AE7193ED61C | 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 | Dennis J Mietz | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 18699 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 146180699 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,260,361 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.brightonambulance.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | To provide emergency medical services to the Town of Brighton, New York. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 45 | TotalEmployeeCnt |
| Total Volunteers | 26 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $80,222 | PYContributionsGrantsAmt |
| CY Contributions Grants | $66,758 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,157,734 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,163,556 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,149 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,822 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,500 | PYOtherRevenueAmt |
| CY Other Revenue | $17,225 | CYOtherRevenueAmt |
| PY Total Revenue | $2,250,605 | PYTotalRevenueAmt |
| CY Total Revenue | $2,260,361 | 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 | $1,238,801 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,229,630 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,233 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $879,797 | PYOtherExpensesAmt |
| CY Other Expenses | $844,324 | CYOtherExpensesAmt |
| PY Total Expenses | $2,118,598 | PYTotalExpensesAmt |
| CY Total Expenses | $2,073,954 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $132,007 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $186,407 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,250,780 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,500,165 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $274,425 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $329,781 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,976,355 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,170,384 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Brighton Volunteer Ambulance, Inc. endeavors to be a leader in emergency medical services and provide premier pre-hospital care by: respecting the values of our staff, our patients, and the community; (Continued on Schedule O)collaborating with other healthcare and emergency service providers; promoting and maintaining professional standards in emergency medicine; and delivering training and prevention initiatives to the community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,696,696 | ExpenseAmt |
| Revenue | $2,180,781 | RevenueAmt |
| Desc | Brighton Volunteer Ambulance, Inc. provides Emergency Medical Services to the Town of Brighton and surrounding areas as requested. Additionally they act as a resource for the community of Brighton providing many services and participating in community planning and special events. During the 2016-2017 fiscal year, Brighton Volunteer Ambulance Inc. received 5,488 calls for service, responded to 5,201 of these calls, and conducted 68 classes for 460 participants. | Desc |
| Total Program Service Expenses | $1,696,696 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | 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 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 | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 45 | 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barb Sforza | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5852712718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 18699 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 146180699 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Daniel McCue | ||||||
| President | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Dennis Mietz | ||||||
| Vice President | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Ann Louise Rydzewski | ||||||
| Secretary | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Michael Pollock | ||||||
| Board Member (Beginning 1/1/17) | 5.00 | Yes (X) | $0 | $0 | $0 | |
| Benton Anthony | ||||||
| Board Member | 5.00 | Yes (X) | $0 | $0 | $0 | |
| Michael Murphy | ||||||
| Treasurer | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Henry Weber | ||||||
| Board Member (Through 12/31/16) | 5.00 | Yes (X) | $0 | $0 | $0 | |
| Cody Dean | ||||||
| Chief of Operations | 40.00 | Yes (X) | $62,753 | $0 | $5,692 | |
| Barbara Sforza | ||||||
| Business Manager | 40.00 | Yes (X) | $65,471 | $0 | $10,259 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $128,224 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $15,951 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Professional Ambulance Billing | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5530 Sheridan Drive Suite 3B | AddressLine1Txt |
| City | Williamsville | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Third Party Billing | ServicesDesc |
| Compensation | $158,597 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $5,161 | FederatedCampaignsAmt |
| All Other Contributions | $61,597 | AllOtherContributionsAmt |
| Total Contributions | $66,758 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Third Party Billing | 621910 | $1,883,992 | $1,883,992 |
| Town of Brighton | 621910 | $272,003 | $272,003 |
| Training Classes | 621910 | $7,525 | $7,525 |
| Membership Dues | 900099 | $36 | $36 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,163,556 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,822 | TotalRevenueColumnAmt |
| Exclusion | $12,822 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $17,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,225 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $17,225 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,260,361 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,180,781 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,822 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,596 | TotalAmt |
| Program Services | $68,445 | ProgramServicesAmt |
| Management And General | $84,151 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $863,281 | TotalAmt |
| Program Services | $836,275 | ProgramServicesAmt |
| Management And General | $27,006 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,159 | TotalAmt |
| Program Services | $14,159 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,498 | TotalAmt |
| Program Services | $120,954 | ProgramServicesAmt |
| Management And General | $5,544 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,096 | TotalAmt |
| Program Services | $65,720 | ProgramServicesAmt |
| Management And General | $7,376 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,516 | TotalAmt |
| Program Services | $139 | ProgramServicesAmt |
| Management And General | $197,910 | ManagementAndGeneralAmt |
| Fundraising | $1,467 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,473 | TotalAmt |
| Program Services | $75,169 | ProgramServicesAmt |
| Management And General | $10,450 | ManagementAndGeneralAmt |
| Fundraising | $11,854 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,777 | TotalAmt |
| Program Services | $63,903 | ProgramServicesAmt |
| Management And General | $2,874 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,293 | TotalAmt |
| Program Services | $92,293 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,646 | TotalAmt |
| Program Services | $68,081 | ProgramServicesAmt |
| Management And General | $7,565 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,697 | TotalAmt |
| Program Services | $78,866 | ProgramServicesAmt |
| Management And General | $6,831 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies/Servic | $131,544 | $131,544 |
| Membership Benefits | $47,613 | $47,613 |
| Health/Safety Training | $23,499 | $23,499 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,266 | TotalAmt |
| Program Services | $10,036 | ProgramServicesAmt |
| Management And General | $9,318 | ManagementAndGeneralAmt |
| Fundraising | $4,912 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,073,954 | TotalAmt |
| Program Services | $1,696,696 | ProgramServicesAmt |
| Management And General | $359,025 | ManagementAndGeneralAmt |
| Fundraising | $18,233 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,901 | BOYAmt |
| EOY | $141,577 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,630 | BOYAmt |
| EOY | $38,034 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,293 | BOYAmt |
| EOY | $286,939 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,575 | BOYAmt |
| EOY | $52,975 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,304,807 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $728,252 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,008 | BOYAmt |
| EOY | $576,555 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,860,373 | BOYAmt |
| EOY | $2,404,085 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,250,780 | BOYAmt |
| EOY | $3,500,165 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,792 | BOYAmt |
| EOY | $146,676 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,676 | BOYAmt |
| EOY | $90,673 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,957 | BOYAmt |
| EOY | $92,432 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,425 | BOYAmt |
| EOY | $329,781 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,976,355 | BOYAmt |
| EOY | $3,170,384 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,976,355 | BOYAmt |
| EOY | $3,170,384 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,250,780 | BOYAmt |
| EOY | $3,500,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $186,407 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,622 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $95,756 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $100,816 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,222 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,758 | CurrentTaxYearAmt |
| Total | $417,548 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,923,648 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,891,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,015,245 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,157,734 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,163,556 | CurrentTaxYearAmt |
| Total | $10,151,684 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,019,404 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,965,497 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,116,061 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,237,956 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,230,314 | CurrentTaxYearAmt |
| Total | $10,569,232 | 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 | $10,569,232 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,737 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,263 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,472 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,494 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,822 | CurrentTaxYearAmt |
| Total | $29,788 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,737 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,263 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,472 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,494 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,822 | CurrentTaxYearAmt |
| Total | $29,788 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,400 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,225 | CurrentTaxYearAmt |
| Total | $32,925 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,024,541 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,974,760 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,121,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,250,950 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,260,361 | CurrentTaxYearAmt |
| Total | $10,631,945 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99410 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99640 | PublicSupportPY509Pct |
| Investment Income CY | 0.00280 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00190 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | State Recertification Reimbursement Other Program Service Income | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,262 | OtherCostOrOtherBasisAmt |
| Book Value | $62,262 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $762,453 | OtherCostOrOtherBasisAmt |
| Depreciation | $403,197 | DepreciationAmt |
| Book Value | $359,256 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $471,833 | OtherCostOrOtherBasisAmt |
| Depreciation | $325,055 | DepreciationAmt |
| Book Value | $146,778 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,259 | OtherCostOrOtherBasisAmt |
| Book Value | $8,259 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $576,555 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Length of Service Award Program Liability | Desc |
| Amt | $92,432 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,432 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,267,983 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,622 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $7,622 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,260,361 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,260,361 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,073,954 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,073,954 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,073,954 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The Organization has members that elect Board Members. |
| Form 990, Part VI, Section A, line 7a | Members elect Board Members, and Board Members elect Officers. |
| Form 990, Part VI, Section A, line 7b | Members approve bylaw changes and approve removal of a volunteer from active duties. |
| Form 990, Part VI, Section A, line 8b | There are no other committees with authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11b | Form 990 is reviewed by the Business Manager and President before filing. |
| Form 990, Part VI, Section B, line 12c | The Organization provides each officer and director with the conflict of interest policy when they are elected or appointed. The policy is also reviewed annually. If a potential conflict with any officer or director arises, the organization follows the conflict of interest policy and documents that in meeting minutes. |
| Form 990, Part VI, Section B, line 15 | The salaries of the Business Manager and Operations Manager are determined through annual performance reviews, and by budget constraints, which give a ceiling for salary percentage increase. |
| 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. |