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HOPE FAMILY HEALTH SERVICES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOPE FAMILY HEALTH SERVICES (EIN 20-1944166)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-07-31
IRS object ID
201422129349301272
Schema version
2013v3.1
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)
Return2014-07-31T14:08:25-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA & Associates PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1
CityLebanonCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201944166EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOPE FAMILY HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOPEBusinessNameControlTxt
Phone6156442000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112124 HIGHWAY 52 WESTAddressLine1
CityWESTMORELANDCity
StateTNState
ZIP Code37186ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER DITTESPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6156442000PhoneNum
Signature2014-07-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY HORNEPreparerPersonNm
Phone6154447293PhoneNum
Preparation2014-07-31PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER DITTESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1132 HIGHLAND DRIVEAddressLine1
CityPORTLANDCity
StateTNState
ZIP Code37148ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,406,216GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO IMPROVE ACCESS TO PRIMARY HEALTHCARE IN RURAL MIDDLE TENNESSEE, WITH AN EMPHASIS ON VULNERABLE POPULATIONS SUCH AS THE UNINSURED, UNDER-INSURED, POOR,HOMELESS, CHILDREN, MIGRANT WORKERS, AND THOSE ADDICTED TO SUBSTANCES. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$558,053PYContributionsGrantsAmt
CY Contributions Grants$1,109,259CYContributionsGrantsAmt
PY Program Service Revenue$347,298PYProgramServiceRevenueAmt
CY Program Service Revenue$296,957CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$905,351PYTotalRevenueAmt
CY Total Revenue$1,406,216CYTotalRevenueAmt
PY Grants And Similar Paid$1,858PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$555,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$884,155CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$268,039PYOtherExpensesAmt
CY Other Expenses$380,129CYOtherExpensesAmt
PY Total Expenses$825,825PYTotalExpensesAmt
CY Total Expenses$1,264,284CYTotalExpensesAmt
PY Revenues Less Expenses$79,526PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$141,932CYRevenuesLessExpensesAmt
Total Assets BOY$142,119TotalAssetsBOYAmt
Total Assets EOY$223,092TotalAssetsEOYAmt
Total Liabilities BOY$360,949TotalLiabilitiesBOYAmt
Total Liabilities EOY$299,990TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$218,830NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$76,898NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE ACCESS TO PRIMARYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$650,101ExpenseAmt
Revenue$296,957RevenueAmt
DescOPERATE HEALTH CLINIC TO IMPROVE ACCESS TO PRIMARY HEALTHCARE IN RURAL MIDDLE TENNESSEE, WITH AN EMPHASIS ON VULNERABLE POPULATIONS SUCH AS THE UNINSURED, UNDER-INSURED, POOR, HOMELESS, CHILDREN, MIGRANT WORKERS AND THOSE ADDICTED TO SUBSTANCES. OVER 5685 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$650,101TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee21EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARIO FLORES CFOPersonNm
Phone6156442000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112124 NEW HWY 52AddressLine1
CityWEST MORELANDCity
StateTNState
ZIP Code37186ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MARK BEELER
CHAIRMAN1.00Yes (X)$0$0$0
BILL MIZE
VICE CHAIRMAN1.00Yes (X)$0$0$0
CYNTHIA HALL TEMPLETON
BOARD MEMBER1.00Yes (X)$0$0$0
DENNIS WOLFORD
BOARD MEMBER1.00Yes (X)$0$0$0
PEGGY STEPHENS
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID FLYNN
BOARD MEMBER1.00Yes (X)$0$0$0
ISAURA CORCINO
BOARD MEMBER1.00Yes (X)$0$0$0
EDWARD KIRKPATRICK
BOARD MEMBER1.00Yes (X)$0$0$0
KEI KEENE
BOARD MEMBER1.00Yes (X)$0$0$0
ALLIE SUMMNERS
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER DITTES
CHIEF EXECUTIVE OFFIER40.00$100,157$0$299Yes (X)
MARIO FLORES
CHIEF FINANCIAL OFFICER40.00$75,217$0$319Yes (X)
JOEY FORMAN
CHIEF INFORMATION OFFIER40.00$57,643$0$922Yes (X)
BIENVENIDO SAMSON
MEDICAL DIRECTOR4.00$16,108$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$249,125TotalReportableCompFromOrgAmt
Total Other Compensation$1,540TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$811,084GovernmentGrantsAmt
All Other Contributions$298,175AllOtherContributionsAmt
Total Contributions$1,109,259TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$296,957TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$296,957TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,406,216TotalRevenueColumnAmt
Related Or Exempt Func Income$296,957RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$249,125TotalAmt
Program Services$16,108ProgramServicesAmt
Management And General$233,017ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$554,240TotalAmt
Program Services$446,257ProgramServicesAmt
Management And General$107,983ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,093TotalAmt
Program Services$11,654ProgramServicesAmt
Management And General$8,439ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$60,697TotalAmt
Program Services$35,204ProgramServicesAmt
Management And General$25,493ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,290TotalAmt
Program Services$0ProgramServicesAmt
Management And General$16,290ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,625TotalAmt
Program Services$0ProgramServicesAmt
Management And General$10,625ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$108,207TotalAmt
Program Services$28,516ProgramServicesAmt
Management And General$79,691ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$145,769TotalAmt
Program Services$47,436ProgramServicesAmt
Management And General$98,333ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$58,200TotalAmt
Program Services$46,560ProgramServicesAmt
Management And General$11,640ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,396TotalAmt
Program Services$1,625ProgramServicesAmt
Management And General$771ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,506TotalAmt
Program Services$3,605ProgramServicesAmt
Management And General$901ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,946TotalAmt
Program Services$6,147ProgramServicesAmt
Management And General$16,799ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,190TotalAmt
Program Services$6,989ProgramServicesAmt
Management And General$4,201ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,264,284TotalAmt
Program Services$650,101ProgramServicesAmt
Management And General$614,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$23,633BOYAmt
EOY$72,994EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,558BOYAmt
EOY$12,780EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,934BOYAmt
EOY$40,431EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$711BOYAmt
EOY$2,049EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$207,641LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$112,803LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$63,283BOYAmt
EOY$94,838EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$142,119BOYAmt
EOY$223,092EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$88,073BOYAmt
EOY$112,967EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$7,734BOYAmt
EOY$46,701EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$265,142BOYAmt
EOY$140,322EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$360,949BOYAmt
EOY$299,990EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$218,830BOYAmt
EOY-$76,898EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$218,830BOYAmt
EOY-$76,898EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$142,119BOYAmt
EOY$223,092EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$141,932ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$166,482CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$273,359CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$558,053CurrentTaxYearMinus1YearAmt
Current Tax Year$1,109,259CurrentTaxYearAmt
Total$2,177,147TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$166,482CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$273,359CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$558,053CurrentTaxYearMinus1YearAmt
Current Tax Year$1,109,259CurrentTaxYearAmt
Total$2,177,147TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,177,147PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$2,177,147TotalSupportAmt
Gross Receipts Rltd Activities$2,177,147GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$26,646InvestmentCostOrOtherBasisAmt
Depreciation$5,359DepreciationAmt
Book Value$21,287BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$180,995InvestmentCostOrOtherBasisAmt
Depreciation$107,444DepreciationAmt
Book Value$73,551BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$94,838TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INSURANCE REPAYMENTS$140,322
ROUNDING
FieldValueIRS element (for citing)
Total Liability$140,322TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,406,216TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,406,216RevenueSubtotalAmt
Total Revenue Per Form990$1,406,216TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,264,284TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,264,284ExpensesSubtotalAmt
Total Expenses Per Form990$1,264,284TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XII, Line 2cTHE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT
Pt XII, Line 2cENGAGEMENT.
Pt VI, Line 11bTHE ORGANIZATIONS FORM 990 IS REVIEWED BY THE CFO & CEO OF THE ORGANIZATION.
Pt VI, Line 12cTHE ORGANIZATION MONITORS THIS POLICY THROUGH OBSERVATION
Pt VI, Line 12cAND INQUIRY OF OFFICERS, DIRECTORS, AND EMPLOYEES
Pt VI, Line 15aSTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS.
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS, PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY
Pt VI, Line 15bAND SALARY INCREASES ARE BOARD APPROVED.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
Pt VI, Line 19POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.