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MILAN PUSKAR HEALTH RIGHT INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MILAN PUSKAR HEALTH RIGHT INC (EIN 31-1118673)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-13
IRS object ID
201420449349301472
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-02-13T15:28:14-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN550486667EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ARNETT FOSTER TOOTHMAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 908AddressLine1
CityBRIDGEPORTCity
StateWVState
ZIP Code26330ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311118673EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MILAN PUSKAR HEALTH RIGHT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMILANameControl
Phone3042925702Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1341 SPRUCE STREETAddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071519ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURA JONESName
TitleEXECUTIVE DIRECTORTitle
Phone3042925702Phone
Date Signed2014-02-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM J BEHRENSName
PTINP00089711PTIN
Phone3046245471Phone
Date Prepared2014-02-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAURA JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1341 SPRUCE STREETAddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071519ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12213267GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MPHEALTHRIGHT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PRIMARY CARE SERVICES AT NO COST TO UNISURED AND UNDERINSURED LOW INCOME RESIDENTS OF WEST VIRGINIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members26NbrIndependentVotingMembers
Total Nbr Employees31TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14765825ContributionsGrantsPriorYear
Contributions Grants Current Year12168969ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38389ProgramServiceRevenuePriorYear
Program Service Revenue CY42964ProgramServiceRevenueCY
Investment Income Prior Year1053InvestmentIncomePriorYear
Investment Income Current Year1334InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14805267TotalRevenuePriorYear
Total Revenue Current Year12213267TotalRevenueCurrentYear
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 Year824081SalariesEtcPriorYear
Salaries Etc Current Year742069SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year7086TotalFundrsngExpCurrentYear
Other Expense Prior Year14045166OtherExpensePriorYear
Other Expenses Current Year11323630OtherExpensesCurrentYear
Total Expenses Prior Year14869247TotalExpensesPriorYear
Total Expenses Current Year12065699TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-63980RevenuesLessExpensesPriorYear
Revenues Less Expenses CY147568RevenuesLessExpensesCY
Total Assets BOY1445471TotalAssetsBOY
Total Assets EOY1598294TotalAssetsEOY
Total Liabilities BOY52254TotalLiabilitiesBOY
Total Liabilities EOY57509TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1393217NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1540785NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE PRIMARY CARE SERVICES AT NO COST TO UNISURED AND UNDERINSURED LOW INCOME RESIDENTS OF WEST VIRGINIA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11883527Expense
Revenue44298Revenue
DescriptionTHE ORGANIZATION PROVIDES MEDICAL CARE TO THE PATIENTS IN NORTH CENTRAL WEST VIRGINIA. THE ORGANIZATION ALSO PROVIDES PRESCRIPTION, MEDICAL SUPPLIES AND SOCIAL SERVICES FREE OF CHARGE. ALL PATIENTS ARE INDIGENT.Description
Total Program Service Expense11883527TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 Footnote1ReportFin48Footnote
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 Contributions1DeductibleNonCashContributions
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 With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees31NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members26NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3042925702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1341 SPRUCE STREETAddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071519ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SHELLY DUNCAN
BOARD MEMBER1.00X000
GEORGE RECORD
BOARD MEMBER1.00X000
JULIA CHICO ABITT
BOARD MEMBER1.00X000
ROBERT SCHREIBER
BOARD MEMBER1.00X000
CHARLENE MARSHALL
BOARD MEMBER1.00X000
JOHN CAMPBELL
BOARD MEMBER1.00X000
JERRY YOHO
BOARD MEMBER1.00X000
LISA MOHERMAN
BOARD MEMBER1.00X000
DAVE FLYNN
BOARD MEMBER1.00X000
REBECCA BURTON
BOARD MEMBER1.00X000
MIKE MORRIS
PRESIDENT1.00X000
JUDE MILLER
BOARD MEMBER1.00X000
CINDY HEISKELL
BOARD MEMBER1.00X000
BILL MCCUTCHEON
BOARD MEMBER1.00X000
JULIE MURDOCH
SECRETARY1.00X000
VICKI CUMMINGS
BOARD MEMBER1.00X000
TERESA TURNER
TREASURER1.00X000
STEVE TANCIN
VICE PRESIDENT1.00X000
DOUGLAS LEECH
BOARD MEMBER1.00X000
MELANIE FISHER
BOARD MEMBER1.00X000
DENISE KNOEBEL
BOARD MEMBER1.00X000
ROBERT D'ALESSANDRI
BOARD MEMBER1.00X000
BARBARA FLEISCHAUER
BOARD MEMBER1.00X000
MARY GUTMANN
BOARD MEMBER1.00X000
LINDA OLLIS
BOARD MEMBER1.00X000
RYAN ADRIAN
BOARD MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns140558FederatedCampaigns
Government Grants841646GovernmentGrants
All Other Contributions11186765AllOtherContributions
Noncash Contributions10894076NoncashContributions
Total Contributions12168969TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column42964TotalRevenueColumn
Related Or Exempt Function Income42964RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue42964TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1334TotalRevenueColumn
Related Or Exempt Function Income1334RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12213267TotalRevenueColumn
Related Or Exempt Function Income44298RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total614922Total
Program Services522684ProgramServices
Management And General92238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total73348Total
Program Services62346ProgramServices
Management And General11002ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total53799Total
Program Services45729ProgramServices
Management And General8070ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3713Total
Management And General3713ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total133875Total
Program Services129868ProgramServices
Fundraising4007Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11056517Total
Program Services11045750ProgramServices
Management And General9655ManagementAndGeneral
Fundraising1112Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7718Total
Program Services3859ProgramServices
Management And General3859ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total63977Total
Program Services36372ProgramServices
Management And General27605ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4255Total
Program Services4255ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35872Total
Program Services17936ProgramServices
Management And General17936ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total15736Total
Program Services14728ProgramServices
Management And General1008ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total1967Total
Fundraising1967Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12065699Total
Program Services11883527ProgramServices
Management And General175086ManagementAndGeneral
Fundraising7086Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100908BOY
EOY237229EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY426418BOY
EOY419175EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY120838BOY
EOY137725EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6193BOY
EOY12543EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1221917LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec430295LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY791114BOY
EOY791622EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1445471BOY
EOY1598294EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY52254BOY
EOY57509EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY52254BOY
EOY57509EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1232384BOY
EOY1363477EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY62500BOY
EOY68475EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY98333BOY
EOY108833EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1393217BOY
EOY1540785EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1445471BOY
EOY1598294EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses147568ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1215892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years763116CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1105899CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1134015CurrentTaxYearMinus1Year
Current Tax Year1274893CurrentTaxYear
Total5493815Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23832CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28178CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38389CurrentTaxYearMinus1Year
Current Tax Year42964CurrentTaxYear
Total152079Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1239724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years791294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1124615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1172404CurrentTaxYearMinus1Year
Current Tax Year1317857CurrentTaxYear
Total5645894Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5095645894PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5269CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1053CurrentTaxYearMinus1Year
Current Tax Year1334CurrentTaxYear
Total14743Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5269CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1053CurrentTaxYearMinus1Year
Current Tax Year1334CurrentTaxYear
Total14743Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2599CurrentTaxYearMinus4Years
Total2599Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1247592CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years796010CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1126986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1173457CurrentTaxYearMinus1Year
Current Tax Year1319191CurrentTaxYear
Total5663236Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99690PublicSupportPercentage509
Prior Year Support Percentage0.99440PriorYearSupportPercentage
Investment Income Percentage0.00260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00490PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis60000OtherCostOrOtherBasis
Book Value60000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis932710OtherCostOrOtherBasis
Depreciation235665Depreciation
Book Value697045BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis229207OtherCostOrOtherBasis
Depreciation194630Depreciation
Book Value34577BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings791622TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12213267TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12213267RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012213267TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12065699TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12065699ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012065699TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE COMPANY DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS.Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions13NumberOfContributions
Noncash Contribs Rptd F9907988942NoncashContribsRptdF990
Method Of Determining RevenuesAWP AND MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11DURING THE IRS'S DEVELOPMENT OF THIS FORM, THE AICPA SUGGESTED THAT COMPLIANCE AND FIDUCIARY DUTIES WOULD BE BEST MET IF A NON-PROFIT BOARD OF DIRECTORS, AUDIT COMMITTEE OR OTHER APPROPRIATE COMMITTEE RECEIVED CONFIRMATION FROM THE PARTY OR PARTIES RESPONSIBLE FOR FILING THE TAX RETURN THAT IT HAD BEEN PREPARED BY A QUALIFIED PERSON(S) OR FIRM AND HAD BEEN FILED IN A TIMELY MANNER, RATHER THAN REVIEWING THE FORM IN LINE-BY-LINE DETAIL WITH MANAGEMENT. WE ARE CONCERNED THAT THE VAST MAJORITY OF NON-PROFIT BOARD MEMBERS ARE NOT IN A POSITION TO REVIEW A FORM 990 AND FURTHER WILL BE CONCERNED TO DO SO AS TO WHAT THAT MAY IMPLY ABOUT COMPLIANCE. MOST NON-PROFITS HIRE CPA FIRMS OR OTHER TAX PROFESSIONALS TO PREPARE FORMS 990 AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD OR AUDIT COMMITTEE'S ROLE THEN IS TO EVALUATE THE COMPETENCY OF THE PERSON(S) OR FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THESE STEPS WITH OUR BOARD.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST.