STRATEGY STUDIO / PUBLIC DATA EXPLORER

STELLA MARIS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
STELLA MARIS INC (EIN 34-0896181)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-06-16
IRS object ID
201431679349301608
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)
Timestamp2014-06-16T19:52:02-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341297961EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KILBANE & WISE CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121851 CENTER RIDGE RD 207AddressLine1
CityROCKY RIVERCity
StateOHState
ZIP Code44116ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340896181EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STELLA MARIS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTELNameControl
Phone1216781055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11320 WASHINGTON AVEAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENNIS MADDENName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone2167810550Phone
Date Signed2014-06-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A WISE CPAName
PTINP00269854PTIN
Phone4403562020Phone
Date Prepared2014-06-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS MADDENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11320 WASHINGTONAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2370005GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STELLAMARISCLEVELAND.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSTELLA MARIS' MISSION IS TO PROVIDE QUALITY CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES TO OUR COMMUNITY REGARDLESS OF RACE, SEX, RELIGION, OR ABILITY TO PAY. STELLA MARIS WILL STRIVE TO MAKE SERVICES AVAILABLE TO ALL THOSE SEEKING TREATMENT BASED ON PRESENTING NEED AND AVAILABLE TREATMENT CAPACITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI5018TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1769105ContributionsGrantsPriorYear
Contributions Grants Current Year1745472ContributionsGrantsCurrentYear
Program Service Revenue Prior Year306109ProgramServiceRevenuePriorYear
Program Service Revenue CY590523ProgramServiceRevenueCY
Investment Income Prior Year7043InvestmentIncomePriorYear
Investment Income Current Year12333InvestmentIncomeCurrentYear
Other Revenue Prior Year35227OtherRevenuePriorYear
Other Revenue Current Year9431OtherRevenueCurrentYear
Total Revenue Prior Year2117484TotalRevenuePriorYear
Total Revenue Current Year2357759TotalRevenueCurrentYear
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 Year1417853SalariesEtcPriorYear
Salaries Etc Current Year1575234SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year18463TotalFundrsngExpCurrentYear
Other Expense Prior Year841952OtherExpensePriorYear
Other Expenses Current Year976165OtherExpensesCurrentYear
Total Expenses Prior Year2259805TotalExpensesPriorYear
Total Expenses Current Year2551399TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-142321RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-193640RevenuesLessExpensesCY
Total Assets BOY3912347TotalAssetsBOY
Total Assets EOY3677328TotalAssetsEOY
Total Liabilities BOY113712TotalLiabilitiesBOY
Total Liabilities EOY54541TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3798635NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3622787NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSTELLA MARIS' MISSION IS TO PROVIDE QUALITY CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES TO OUR COMMUNITY REGARDLESS OF RACE, SEX, RELIGION, OR ABILITY TO PAY. STELLA MARIS WILL STRIVE TO MAKE SERVICES AVAILABLE TO ALL THOSE SEEKING TREATMENT BASED ON PRESENTING NEED AND AVAILABLE TREATMENT CAPACITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1159785Expense
Revenue1490955Revenue
DescriptionMEDICAL DETOXIFICATION IS THE FIRST STEP TO MEDICALLY STABILIZE A PATIENT IN ACTIVE WITHDRAWAL FROM ALCOHOL AND OTHER CHEMICALS. 16 SUB ACUTE BEDS UNDER THE DIRECTION OF PHYSICIANS, 24 HOUR NURSING STAFF, COUNSELORS, AND A DIETICIAN PROVIDE INPATIENT CARE INCLUDING A HISTORY AND PHYSICAL, BIOPSYCHOSOCIAL ASSESSMENT, MEDICATIONS, LABORATORY SERVICES AND AN INDIVIDUAL TREATMENT PLAN INCLUDING DISCHARGE PLANNING TO THE NEXT LEVEL OF CARE FOR ONGOING TREATMENT FOR RECOVERY FROM ADDICTION. THE POPULATION IS PRIMARILY MEDICALLY INDIGENT AND/OR HOMELESS MEN AND WOMEN 18 YEARS OR OLDER WITH NO ACCESS TO HOSPITAL BASED CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense515283Expense
Revenue126288Revenue
DescriptionSUPPORTIVE HOUSING IS PROVIDED FOR CLIENTS REFERRED FROM DETOX AND OTHER AGENCIES WHO ARE HOMELESS AND NEED RESIDENTIAL SUPPORT. 40 BEDS ARE UTILIZED IN A THERAPEUTIC COMMUNITY WHICH PROVIDES CASE MANAGEMENT, INTENSIVE DAY TREATMENT, MENTAL HEALTH SERVICES, VOCATIONAL TRAINING, AND EDUCATION REGARDING ADDICTION AND RELAPSE PREVENTION. DISCHARGE CRITERIA REQUIRE STABLE SOBER HOUSING AND EMPLOYMENT BEFORE RETURNING TO THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense423861Expense
Revenue423861Revenue
DescriptionOUTPATIENT TREATMENT SERVICES INCLUDE DAY AND/OR EVENING CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES FOR CLIENTS NOT REQUIRING RESIDENTIAL SUPPORT. AFTERCARE AND FAMILY SUPPORT EDUCATION AND TREATMENT SERVICES ARE ALSO PROVIDED. STELLA MARIS ALSO HOSTS 12 STEP MEETINGS 2 TIMES DAILY SEVEN DAYS PER WEEK FOR THE RECOVERY COMMUNITY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense140562Expense
DescriptionOTHER PROGRAM SERVICE ALLOCATIONDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp140562TotalOfOtherProgramServiceExp
Total Program Service Expense2239491TotalProgramServiceExpense
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 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming1Gaming
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DENNIS MADDENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2167810550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11320 WASHINGTONAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
VIRGINIA BARSAN
ADVISORY BOARD0.00X000
RICHARD G BIALOSKY CCIM
BOARD MEMBER/TRUSTEE0.00X000
SUSAN GRAGEL
BOARD MEMBER/TRUSTEE0.00X000
ALBERT SCHNEIDER
BOARD MEMBER/TRUSTEE0.00X000
MICHAEL BLUMENTHAL
ADVISORY BOARD0.00X000
MICHAEL GALLAGHER
BOARD MEMBER/TRUSTEE0.00X000
THOMAS GERSON
BOARD MEMBER/TRUSTEE0.00X000
DENNIS MADDEN
CHIEF EXECUTIVE OFFICER40.00X7500000
ROBERT BRANDON
BOARD MEMBER/TRUSTEE0.00X000
PATRICK QUINN
BOARD MEMBER/TRUSTEE0.00X000
BOB SILL
ADVISORY BOARD0.00X000
CHARLES A SURACE
ADVISORY BOARD0.00X000
TIMOTHY L MCERLEAN
BOARD MEMBER/TRUSTEE0.00X000
STEVE CHARMS
ADVISORY BOARD0.00X000
RICK DOODY
BOARD MEMBER/TRUSTEE0.00X000
RANDY HORVAT
BOARD MEMBER/TRUSTEE0.00X000
KEITH KARAKUL
BOARD MEMBER/TRUSTEE0.00X000
JOHN F O'BRIEN
BOARD MEMBER/TRUSTEE0.00X000
CHERYL HAGAN O'MALLEY
BOARD MEMBER/TRUSTEE0.00X000
DIANE M MEKKER
BOARD MEMBER/TRUSTEE0.00X000
DAVID M GLEASON
BOARD MEMBER/TRUSTEE0.00X000
SUSAN DEMPSEY
BOARD MEMBER/TRUSTEE0.00X000
GERALD CONWAY
BOARD MEMBER/EMERITUS0.00X000
EARLE HORTON
BOARD MEMBER/TRUSTEE0.00X000
TIMOTHY F HAGAN
BOARD MEMBER/TRUSTEE0.00X000
RON CIULLA
BOARD MEMBER/TRUSTEE0.00X000
BRIAN KELLON
BOARD MEMBER/TRUSTEE0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org75000TotalReportableCompFromOrg
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
Government Grants1450581GovernmentGrants
All Other Contributions294891AllOtherContributions
Total Contributions1745472TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE FEESDescription
Business Code621990BusinessCode
Total Revenue Column590523TotalRevenueColumn
Related Or Exempt Function Income590523RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue590523TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7315TotalRevenueColumn
Related Or Exempt Function Income7315RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5018Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5018Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5018TotalRevenueColumn
Unrelated Business Revenue5018UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Gross Income Gaming21677GrossIncomeGaming
Gaming Direct Expenses12246GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column9431TotalRevenueColumn
Exclusion$9,431ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2357759TotalRevenueColumn
Related Or Exempt Function Income597838RelatedOrExemptFunctionIncome
Unrelated Business Revenue5018UnrelatedBusinessRevenue
Exclusion$9,431ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1270929Total
Program Services1084187ProgramServices
Management And General186742ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total164709Total
Program Services143434ProgramServices
Management And General21275ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total139596Total
Program Services121575ProgramServices
Management And General18021ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total232780Total
Program Services232780ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total67407Total
Management And General67407ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18463Total
Fundraising18463Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11707Total
Program Services11707ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total138884Total
Program Services138884ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total156995Total
Program Services156995ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total31665Total
Program Services31665ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD & SUPPLIES217712217712
LAB FEES & MEDICINES4916049160
MISCELLANEOUS1123311233
TRANSPORTATION1114211142

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total29017Total
Program Services29017ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2551399Total
Program Services2239491ProgramServices
Management And General293445ManagementAndGeneral
Fundraising18463Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY427834BOY
EOY447843EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY101628BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY223BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY254459BOY
EOY164857EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28313BOY
EOY35020EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4389662LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1647637LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2838708BOY
EOY2742025EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY260182BOY
EOY286583EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3912347BOY
EOY3677328EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY113712BOY
EOY54541EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY113712BOY
EOY54541EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3663635BOY
EOY3500287EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY25000BOY
EOY12500EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY110000BOY
EOY110000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3798635BOY
EOY3622787EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3912347BOY
EOY3677328EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-193640ReconcilationRevenueExpenses
Reconciliation Unrealized Invest17792ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 Basis82714OtherCostOrOtherBasis
Book Value82714BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4306948OtherCostOrOtherBasis
Depreciation1647637Depreciation
Book Value2659311BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2742025TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt2375551TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments17792NetUnrealizedGainsInvestments
Revenue Not Rptd F99017792RevenueNotRptdF990
Revenue Subtotal2357759RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902357759TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2551399TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2551399ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902551399TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming21677GrossRevenueOtherGaming
Rent Facility Costs Other Gaming12246RentFacilityCostsOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Gross Revenue Total Gaming21677GrossRevenueTotalGaming
Rent Facility Costs Total Gaming12246RentFacilityCostsTotalGaming
Direct Expense Summary Gaming12246DirectExpenseSummaryGaming
Net Gaming Income Summary9431NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedOHStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity1MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1DENNIS MADDENBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11320 WASHINGTONAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev1ContractWith3rdPartyForGamRev

Name Of Third Party Business NameOfThirdPartyBusiness

FieldValueIRS element (for citing)
Business Name Line1NAUTICA CHARITY POKER FESTIVALBusinessNameLine1

Address Of Third Party US AddressOfThirdPartyUS

FieldValueIRS element (for citing)
Address Line12000 SYCAMORE AVEAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode
FieldValueIRS element (for citing)
Charitable Distrib Required0CharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11CPA PREPARED FORM 990 PRESENTED AND REVIEWED BY EXECTIVE DIRECTOR AND DISCUSSED WITH BOARD MEMBERS REGARDING APPROVAL AND FILING ACKNOWLEGEMENT
FORM 990, PART VI, SECTION B, LINE 12CCONSISTENT REVIEW, DISCUSSION AND AWARENESS OF THE SIGNIFICANCE AND EXISTENCE
FORM 990, PART VI, SECTION B, LINE 15APPROVAL BY BOARD AFTER CONSIDERATION OF WRITTEN REPORT DETAILING UP TO SIX SIMILAR ORGANIZATIONS COMPENSATION LEVELS
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS AVAILABLE UPON REQUEST