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CENTRAL VALLEY HEALTH NETWORK INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VALLEY HEALTH NETWORK INC (EIN 68-0429643)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-04-09
IRS object ID
201400999349300615
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2014-04-09T11:15:39-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1M L Reimche CPA MBABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11701 W Manor DriveAddressLine1
CityVisaliaCity
StateCAState
ZIP Code93291ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680429643EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Central Valley Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone9163892216Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 Capitol Mall Ste 601AddressLine1
CitySacramentoCity
StateCAState
ZIP Code95814ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCathy FreyName
TitleCEOTitle
Phone9165522846Phone
Date Signed2014-04-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM L ReimcheName
PTINP01268360PTIN
Phone5593090943Phone
Date Prepared2014-03-31DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1Central Valley Health Network IncBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1455 Capitol Mall Ste 601AddressLine1
CitySacramentoCity
StateCAState
ZIP Code95814ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2854218GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.cvhnclinics.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe mission of CVHN is to facilitate community health centers' strength in the marketplace and to support member's effective delivery of high quality and accessible health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees83TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4304012ContributionsGrantsPriorYear
Contributions Grants Current Year2570397ContributionsGrantsCurrentYear
Program Service Revenue Prior Year164472ProgramServiceRevenuePriorYear
Program Service Revenue CY283815ProgramServiceRevenueCY
Investment Income Prior Year8InvestmentIncomePriorYear
Investment Income Current Year6InvestmentIncomeCurrentYear
Other Revenue Prior Year11324OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4479816TotalRevenuePriorYear
Total Revenue Current Year2854218TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1797530SalariesEtcPriorYear
Salaries Etc Current Year1232537SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2504103OtherExpensePriorYear
Other Expenses Current Year1742487OtherExpensesCurrentYear
Total Expenses Prior Year4301633TotalExpensesPriorYear
Total Expenses Current Year2975024TotalExpensesCurrentYear
Revenues Less Expenses Prior Year178183RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-120806RevenuesLessExpensesCY
Total Assets BOY1949625TotalAssetsBOY
Total Assets EOY986404TotalAssetsEOY
Total Liabilities BOY1788753TotalLiabilitiesBOY
Total Liabilities EOY946338TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY160872NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40066NetAssetsOrFundBalancesEOY
Mission DescriptionCVHN's mission is to facilitate community health centers' strength in the marketplace and to support member's effective delivery of high quality and accessible health care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2613864Expense
Revenue2613864Revenue
DescriptionCVHN is a consortium of 13 Federally Qualified Health Centers (FQHC's) corporations that provide comprehensive preventative primary care services to low-income and medically under-served families through California's Central Valley.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense2613864TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees83NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Central Valley Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9165522846TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 Capitol Mall Ste 601AddressLine1
CitySacramentoCity
StateCAState
ZIP Code95811ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Kerry L Hydash
Director20X000
Garciela Soto-Perez
Director20X000
Soyla Griffin
Director20X000
Benjamin H Flores
Board Chair2.000X000
Temery A Lindsey PHD
Director20X000
Francisco Castillon
Director20X000
Sandy Haskins
Director22X000
Leslie McGowan
Treasurer20X000
Colleen Curtis
Director20X000
Paulo Soares
Secretary20X000
Christine Noguera
Director20X000
Terri Stratton
Director20X000
Jonathan Porteus
Vice Chair20X000
Cathy Frey
CEO4009646900XXX
FieldValueIRS element (for citing)
Total Reportable Comp From Org96469TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Federated Campaigns0FederatedCampaigns
Membership Dues177779MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants2370662GovernmentGrants
All Other Contributions21956AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions2570397TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram service feesDescription
Business Code900099BusinessCode
Total Revenue Column283151TotalRevenueColumn
Related Or Exempt Function Income283151RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column664TotalRevenueColumn
Related Or Exempt Function Income664RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue283815TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6TotalRevenueColumn
Related Or Exempt Function Income6RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2854218TotalRevenueColumn
Related Or Exempt Function Income283821RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total96469Total
Program Services79201ProgramServices
Management And General17268ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total887549Total
Program Services728649ProgramServices
Management And General158900ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total164222Total
Program Services148833ProgramServices
Management And General15389ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total84297Total
Program Services76398ProgramServices
Management And General7899ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2316Total
Program Services904ProgramServices
Management And General1412ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13501Total
Program Services5271ProgramServices
Management And General8230ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total81146Total
Program Services73044ProgramServices
Management And General8102ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42872Total
Program Services22155ProgramServices
Management And General20717ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total146968Total
Program Services140636ProgramServices
Management And General6332ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total172858Total
Program Services119448ProgramServices
Management And General53410ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total89860Total
Program Services85682ProgramServices
Management And General4178ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31836Total
Program Services27440ProgramServices
Management And General4396ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total40872Total
Management And General40872ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12023Total
Program Services1724ProgramServices
Management And General10299ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionSub-ContractsDescription
Total1080421Total
Program Services1077438ProgramServices
Management And General2983ManagementAndGeneral
Fundraising0Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total27814Total
Program Services27041ProgramServices
Management And General773ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2975024Total
Program Services2613864ProgramServices
Management And General361160ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY512225BOY
EOY216696EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY72576BOY
EOY22582EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1292595BOY
EOY708335EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21816BOY
EOY2559EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis549702LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec523305LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39355BOY
EOY26397EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11058BOY
EOY9835EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1949625BOY
EOY986404EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1019323BOY
EOY485952EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY769430BOY
EOY460386EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1788753BOY
EOY946338EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY160872BOY
EOY40066EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY160872BOY
EOY40066EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1949625BOY
EOY986404EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-120806ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1722994CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2537464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3834162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4277354CurrentTaxYearMinus1Year
Current Tax Year2570397CurrentTaxYear
Total14942371Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1722994CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2537464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3834162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4277354CurrentTaxYearMinus1Year
Current Tax Year2570397CurrentTaxYear
Total14942371Total
FieldValueIRS element (for citing)
Public Support Total17014942371PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14950CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8CurrentTaxYearMinus1Year
Current Tax Year6CurrentTaxYear
Total15119Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16169CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years139731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year202470CurrentTaxYearMinus1Year
Total390112Total
FieldValueIRS element (for citing)
Total Support15347602TotalSupport
Public Support Pertcentage1700.97360PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96849PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationThe organization is a 503(1)(c) section 509(a)(1) and 170(b)(1)(A)(vi) per IRS designation letter.GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis549702OtherCostOrOtherBasis
Depreciation523305Depreciation
Book Value26397BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26397TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt2854218TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal2854218RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902854218TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2975024TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2975024ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902975024TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11b990 was reviewed by CEO and CFO and a draft provided to board prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAnnually disclose conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15CEO salary is determine by the Board of Directors. The rates are determined based on other comparative entities.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Yes, upon request.