WELLSPRING INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WELLSPRING INC (EIN 22-2632367)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-01-19
- IRS object ID
- 201820199349300402
- Schema version
- 2016v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-01-19T09:47:27-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010463272 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARDS FAUST & SMITH | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 COLUMBIA ST STE 201 | AddressLine1Txt |
| City | BANGOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044016355 | 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 | 222632367 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSPRING INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WELL | BusinessNameControlTxt |
| Phone | 2079411612 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 CUMBERLAND STREET | AddressLine1Txt |
| City | BANGOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUZANNE FARLEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2079411612 | PhoneNum |
| Signature | 2017-12-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK W CHELLIS | PreparerPersonNm |
| PTIN | P00435439 | PTIN |
| Phone | 2079474575 | PhoneNum |
| Preparation | 2018-01-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 58469D504B2505CCFE6B4805431248EA06FBD81B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C81A8337561D7064CB92A3427642938C9E14719D | 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 | SUZANNE FARLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 CUMBERLAND STREET | AddressLine1Txt |
| City | BANGOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,031,592 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WELLSPRINGSA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE RESIDENTIAL AND OUTPATIENT SERVICES THAT FOSTER RECOVERY FOR THOSE AFFECTED BY ADDICTION INCLUDING THOSE AFFECTED WITH CO-OCCURRING MENTAL HEALTH DISORDERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 45 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $639,518 | PYContributionsGrantsAmt |
| CY Contributions Grants | $808,432 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,045,038 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,200,335 | CYProgramServiceRevenueAmt |
| PY Investment Income | $60 | PYInvestmentIncomeAmt |
| CY Investment Income | $704 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,958 | PYOtherRevenueAmt |
| CY Other Revenue | $22,121 | CYOtherRevenueAmt |
| PY Total Revenue | $1,709,574 | PYTotalRevenueAmt |
| CY Total Revenue | $2,031,592 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,111,657 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,392,248 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $261 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $515,085 | PYOtherExpensesAmt |
| CY Other Expenses | $616,971 | CYOtherExpensesAmt |
| PY Total Expenses | $1,626,742 | PYTotalExpensesAmt |
| CY Total Expenses | $2,009,219 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $82,832 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $22,373 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $370,892 | TotalAssetsBOYAmt |
| Total Assets EOY | $741,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $233,277 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $581,028 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $137,615 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $159,992 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE RESIDENTIAL AND OUTPATIENT SERVICES THAT FOSTER RECOVERY FOR THOSE AFFECTED BY ADDICTION INCLUDING THOSE AFFECTED WITH CO-OCCURRING MENTAL HEALTH DISORDERS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,084,247 | ExpenseAmt |
| Revenue | $1,268,620 | RevenueAmt |
| Desc | MEN'S AND WOMEN'S HOUSE - WELLSPRING OPERATES CO-OCCURRING CAPABLE RESIDENTIAL FACILITIES FOR MEN AND WOMEN SEEKING LONG-TERM SUBSTANCE ABUSE TREATMENT FOR 4-6 MONTHS. HALF WAY HOUSE MENS/WOMENS: SERVED 88 PEOPLE; 90% REDUCED USAGE OF PRIMARY DRUG IN FY 17. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $538,580 | ExpenseAmt |
| Revenue | $637,851 | RevenueAmt |
| Desc | OUTPATIENT PROGRAMS - PROVIDES ASSESSMENT, DIAGNOSIS AND SUBSTANCE ABUSE AND MENTAL HEALTH TREATMENT FOR ADULTS AND ADOLESCENTS, AND THEIR FAMILIES. SERVED A TOTAL OF: 81 CLIENTS IN FY 17. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $71,157 | ExpenseAmt |
| Revenue | $80,225 | RevenueAmt |
| Desc | INTENSIVE OUTPATIENT PROGRAMS PROVIDE ASSESSMENT, DIAGNOSES AND SUBSTANCE USE TREATMENT FOR ADULT IN A GROUP 3 DAYS/ WEEK. SERVED A TOTAL OF: 43 CLIENTS WHO GRADUATED SUCCESSFULLY IN FY 17. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,693,984 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 45 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUZANNE FARLEY | PersonNm |
| Phone | 2079411612 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 CUMBERLAND STREET | AddressLine1Txt |
| City | BANGOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044015293 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| NANCY A KELLY | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SUSAN REISMAN | ||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| J ALAN PARADIS | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAWN M PELLETIER | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAMES R WERRBACH PH D | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM M SHOOK JR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REBECCA MCMAHAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MATT WATKINS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CAROL KULBERG | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LUCIE EASTABROOK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA LETURE | ||||||
| FINANCE DIRE | 40.00 | Yes (X) | $43,103 | $0 | $8,169 | |
| SUZANNE FARLEY | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $31,077 | $0 | $5,556 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $74,180 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $13,725 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $758,147 | GovernmentGrantsAmt |
| All Other Contributions | $50,285 | AllOtherContributionsAmt |
| Total Contributions | $808,432 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MAINE CARE FEES | $1,018,598 | $1,018,598 |
| OTHER PROGRAM FEES | $181,737 | $181,737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,200,335 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $704 | TotalRevenueColumnAmt |
| Exclusion | $704 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MANAGEMENT FEES-BHH | $20,000 | $20,000 |
| OTHER REVENUE | $2,121 | $2,121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,121 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,031,592 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,222,456 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $704 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,905 | TotalAmt |
| Program Services | $74,719 | ProgramServicesAmt |
| Management And General | $13,186 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,867 | TotalAmt |
| Program Services | $44,937 | ProgramServicesAmt |
| Management And General | $7,930 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,055,011 | TotalAmt |
| Program Services | $869,687 | ProgramServicesAmt |
| Management And General | $185,324 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,302 | TotalAmt |
| Program Services | $81,057 | ProgramServicesAmt |
| Management And General | $25,245 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,163 | TotalAmt |
| Program Services | $74,674 | ProgramServicesAmt |
| Management And General | $15,489 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,200 | TotalAmt |
| Program Services | $2,949 | ProgramServicesAmt |
| Management And General | $2,251 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,594 | TotalAmt |
| Program Services | $2,614 | ProgramServicesAmt |
| Management And General | $11,980 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,101 | TotalAmt |
| Program Services | $14,101 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,252 | TotalAmt |
| Program Services | $7,178 | ProgramServicesAmt |
| Management And General | $2,074 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,054 | TotalAmt |
| Program Services | $110,282 | ProgramServicesAmt |
| Management And General | $6,772 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,129 | TotalAmt |
| Program Services | $19,491 | ProgramServicesAmt |
| Management And General | $2,638 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,015 | TotalAmt |
| Program Services | $204,743 | ProgramServicesAmt |
| Management And General | $18,272 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,176 | TotalAmt |
| Program Services | $12,830 | ProgramServicesAmt |
| Management And General | $346 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,070 | TotalAmt |
| Program Services | $4,485 | ProgramServicesAmt |
| Management And General | $2,585 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,347 | TotalAmt |
| Management And General | $2,347 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,075 | TotalAmt |
| Program Services | $7,390 | ProgramServicesAmt |
| Management And General | $685 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,410 | TotalAmt |
| Program Services | $16,033 | ProgramServicesAmt |
| Management And General | $2,377 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PNMI-SERVICE PROVIDER TAX | $76,792 | $76,792 | |
| REPAIRS & MAINTENANCE | $41,097 | $35,335 | $5,762 |
| SUBGRANTEE EXPENSES | $14,570 | $14,570 | |
| MISCELLANEOUS EXPENSE - | $9,008 | $5,656 | $3,352 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,081 | TotalAmt |
| Program Services | $14,461 | ProgramServicesAmt |
| Management And General | $6,359 | ManagementAndGeneralAmt |
| Fundraising | $261 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,219 | TotalAmt |
| Program Services | $1,693,984 | ProgramServicesAmt |
| Management And General | $314,974 | ManagementAndGeneralAmt |
| Fundraising | $261 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,734 | BOYAmt |
| EOY | $215,829 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,928 | BOYAmt |
| EOY | $314,086 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,052 | BOYAmt |
| EOY | $138,147 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,992 | BOYAmt |
| EOY | $9,295 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $177,539 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $113,876 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,186 | BOYAmt |
| EOY | $63,663 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,892 | BOYAmt |
| EOY | $741,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,584 | BOYAmt |
| EOY | $94,554 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,693 | BOYAmt |
| EOY | $455,974 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,000 | BOYAmt |
| EOY | $30,500 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,277 | BOYAmt |
| EOY | $581,028 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,615 | BOYAmt |
| EOY | $159,992 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,615 | BOYAmt |
| EOY | $159,992 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,892 | BOYAmt |
| EOY | $741,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $22,373 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $561,763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $719,884 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $550,171 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $639,518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $808,432 | CurrentTaxYearAmt |
| Total | $3,279,768 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $561,763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $719,884 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $550,171 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $639,518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $808,432 | CurrentTaxYearAmt |
| Total | $3,279,768 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,279,768 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $21 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $704 | CurrentTaxYearAmt |
| Total | $807 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $4,958 | CurrentTaxYearMinus1YearAmt |
| Total | $4,958 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,285,533 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,222,456 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99820 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99840 | 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 | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 4,958 | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,741 | DepreciationAmt |
| Book Value | $24,970 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,135 | DepreciationAmt |
| Book Value | $38,693 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,663 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,031,592 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $2,031,592 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,031,592 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,009,219 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,009,219 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,009,219 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE COMMITTEE AND MANAGEMENT REVIEW AND APPROVE THE FROM 990 FOR FILING AND REPORT TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICTS ARE TO BE REPORTED BUT THERE IS NO ANNUAL DISCLOSURE PROCEDURE. IT IS DISCUSSED DURING THEIR ANNUAL MEETINGS. THERE IS A DISCUSSION ABOUT POTENTIAL CONFLICT OF INTEREST ON NEW INITIATIVES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SALARY IS RESEARCHED FOR SIMILAR POSITIONS, THEN THE BUDGET IS REVIEWED, AND RECOMMENDATIONS ARE MADE. SALARY IS SET BY BOARD OF DIRECTORS AND PERFORMANCE IS REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | REVIEW PERFORMANCE YEARLY IF FUNDS ARE AVAILABLE AND CONSIDERATION OF SALARY SURVEYS OF SIMILIAR LOCAL ORGANIZATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE OFFICE AND ARE AVAILABLE TO THE PUBLIC DURING STANDARD BUSINESS HOURS. |
| FORM 990, PART XI, LINE 9 | ROUNDING 4 ROUNDING |