STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHERN CALIFORNIA CHILDRENS THERAPY CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHERN CALIFORNIA CHILDRENS THERAPY CENTER (EIN 68-0309705)
Tax period
2012-08-01 to 2013-07-31
Filed
2014-07-18
IRS object ID
201431999349300743
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)
Timestamp2014-07-18T12:53:57-07:00Timestamp
Tax Period End Date2013-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pamela A Mainini CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11105 Kennedy Pl Ste 2AddressLine1
CityDavisCity
StateCAState
ZIP Code95616ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680309705EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN CALIFORNIA CHILDRENSBusinessNameLine1
Business Name Line2THERAPY CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone5306681010Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11321 COLLEGE STREETAddressLine1
CityWOODLANDCity
StateCAState
ZIP Code95695ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDYKE MUNDYName
TitleTreasurerTitle
Date Signed2014-07-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAMELA A MAININI CPAName
PTINP00177905PTIN
Phone5307583653Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonDIANE KAVRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line196 W MAIN STREETAddressLine1
CityWOODLANDCity
StateCAState
ZIP Code95695ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1433099GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.ctchelpskids.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionNo child should go through life with a disability that could be prevented through early intervention.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees19TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year112340ContributionsGrantsPriorYear
Contributions Grants Current Year125071ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1184959ProgramServiceRevenuePriorYear
Program Service Revenue CY1301136ProgramServiceRevenueCY
Investment Income Prior Year15InvestmentIncomePriorYear
Investment Income Current Year163InvestmentIncomeCurrentYear
Other Revenue Prior Year4650OtherRevenuePriorYear
Other Revenue Current Year6729OtherRevenueCurrentYear
Total Revenue Prior Year1301964TotalRevenuePriorYear
Total Revenue Current Year1433099TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year871098SalariesEtcPriorYear
Salaries Etc Current Year956429SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year74244TotalFundrsngExpCurrentYear
Other Expense Prior Year369432OtherExpensePriorYear
Other Expenses Current Year396833OtherExpensesCurrentYear
Total Expenses Prior Year1240530TotalExpensesPriorYear
Total Expenses Current Year1353262TotalExpensesCurrentYear
Revenues Less Expenses Prior Year61434RevenuesLessExpensesPriorYear
Revenues Less Expenses CY79837RevenuesLessExpensesCY
Total Assets BOY372620TotalAssetsBOY
Total Assets EOY448552TotalAssetsEOY
Total Liabilities BOY20702TotalLiabilitiesBOY
Total Liabilities EOY16797TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY351918NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY431755NetAssetsOrFundBalancesEOY
Mission DescriptionNo child should go through life with a disability that could be prevented through early intervention.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense757054Expense
Revenue790542Revenue
DescriptionINFANT PROGRAM - EARLY IDENTIFICATION AND TREATMENT PROGRAMS PROVIDE THERAPY TO INFANTS AT RISK DUE TO PREMATURITY, LOW BIRTH WEIGHT, MUSCULAR PROBLEMS, CEREBRAL PALSY, DELAYED DEVELOPMENT, A NUMBER OF BIRTH DEFECTS AND VAROIUS OTHER TYPES OF DISABILITIES. THE CENTER IS CURRENTLY TREATING 146 CHILDREN IN ITS INFANT PROGRAM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense462669Expense
Revenue510594Revenue
DescriptionOLDER CHILDREN SERVICES - AS CHILDREN LEAVE INFANCY AND ENTER PRESCHOOL AND SCHOOL AGE THE CENTER PROVIDES ONGOING SUPPORT FOR THE FAMILIES AND THE LOCAL EDUCATORS TO PROVIDE THE CHILD WITH A WELL ROUNDED CONSISTENT TREATMENT PROGRAM. THE CENTER OFFERS PARENT WORKSHOPS, PROVIDES ASSISTANCE AND EDUCATION TO TEACHERS IN THE CLASSROOMS AND HELPS TO COORDINATE APPROPRIATE GOALS FOR EACH CHILD AS THEY GROW. THE CENTER CURRENTLY HAS 45 OLDER CHILDREN IN THIS PROGRAM.Description
FieldValueIRS element (for citing)
Total Program Service Expense1219723TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees19NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISTINA MICHEL-ALBERSNamePerson
Telephone Number5306681010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11321 COLLEGE STREETAddressLine1
CityWOODLANDCity
StateCAState
ZIP Code95695ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CHRISTINA MICHEL-ALBERS
Executive Direc40.000.00X11508708060
GRACE DEMASI
Secretary2.000.00X000X
BRANDON KAVRELL
Vice President2.000.00X000X
ERIC STROMBURG
Director2.000.00X000
ALYSA MEYER
Director2.000.00X000
DYKE MUNDY
Treasurer2.000.00X000X
MARIAN MILLSTONE
Director2.000.00X000
DIANE KAVRELL
President2.000.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org115087TotalReportableCompFromOrg
Total Other Compensation8060TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events42645FundraisingEvents
All Other Contributions82426AllOtherContributions
Total Contributions125071TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE FEESDescription
Total Revenue Column1301136TotalRevenueColumn
Related Or Exempt Function Income1301136RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1301136TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column163TotalRevenueColumn
Exclusion$163ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events6341GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events42645CntrbtnsRprtdFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6341TotalRevenueColumn
Exclusion$6,341ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPY VOID CHECKSDescription
Total Revenue Column388TotalRevenueColumn
Exclusion$388ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue388TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1433099TotalRevenueColumn
Related Or Exempt Function Income1301136RelatedOrExemptFunctionIncome
Exclusion$6,892ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total115087Total
Program Services46035ProgramServices
Management And General25894ManagementAndGeneral
Fundraising43158Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total708499Total
Program Services697187ProgramServices
Management And General11312ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total65822Total
Program Services59399ProgramServices
Management And General2974ManagementAndGeneral
Fundraising3449Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total67021Total
Program Services60481ProgramServices
Management And General3028ManagementAndGeneral
Fundraising3512Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7458Total
Management And General7458ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total408Total
Fundraising408Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6772Total
Program Services6111ProgramServices
Management And General306ManagementAndGeneral
Fundraising355Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1768Total
Program Services1595ProgramServices
Management And General80ManagementAndGeneral
Fundraising93Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25844Total
Program Services23322ProgramServices
Management And General1168ManagementAndGeneral
Fundraising1354Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total23312Total
Program Services23312ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total201Total
Management And General201ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3225Total
Program Services2910ProgramServices
Management And General146ManagementAndGeneral
Fundraising169Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4571Total
Program Services4125ProgramServices
Management And General206ManagementAndGeneral
Fundraising240Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TELEPHONE78817112356413
BAD DEBT1367113671
SUPPLIES312091291218297
FEE DISCOUNTS243734243734

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26779Total
Program Services17817ProgramServices
Management And General6166ManagementAndGeneral
Fundraising2796Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1353262Total
Program Services1219723ProgramServices
Management And General59295ManagementAndGeneral
Fundraising74244Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY76559BOY
EOY74685EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY137428BOY
EOY205916EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY13750BOY
EOY9167EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY121390BOY
EOY129422EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8774BOY
EOY14468EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65203LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec53709LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14719BOY
EOY11494EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY3400EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY372620BOY
EOY448552EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20702BOY
EOY16797EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20702BOY
EOY16797EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY351918BOY
EOY415255EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY16500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY351918BOY
EOY431755EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY372620BOY
EOY448552EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses79837ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years135744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108984CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112340CurrentTaxYearMinus1Year
Current Tax Year125071CurrentTaxYear
Total667049Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1149692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years940972CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1002540CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1184959CurrentTaxYearMinus1Year
Current Tax Year1301136CurrentTaxYear
Total5579299Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1334602CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1076716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1111524CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1297299CurrentTaxYearMinus1Year
Current Tax Year1426207CurrentTaxYear
Total6246348Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14163CurrentTaxYearMinus3Years
Current Tax Year669CurrentTaxYear
Total26361Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14163CurrentTaxYearMinus3Years
Current Tax Year669CurrentTaxYear
Total26361Total
FieldValueIRS element (for citing)
Public Support Total5096219987PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15CurrentTaxYearMinus1Year
Current Tax Year163CurrentTaxYear
Total702Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15CurrentTaxYearMinus1Year
Current Tax Year163CurrentTaxYear
Total702Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7008CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4650CurrentTaxYearMinus1Year
Current Tax Year6729CurrentTaxYear
Total35862Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1347106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1083733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1117010CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1301964CurrentTaxYearMinus1Year
Current Tax Year1433099CurrentTaxYear
Total6282912Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99000PublicSupportPercentage509
Prior Year Support Percentage0.98890PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24476OtherCostOrOtherBasis
Depreciation16319Depreciation
Book Value8157BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13467OtherCostOrOtherBasis
Depreciation13467Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27260OtherCostOrOtherBasis
Depreciation23923Depreciation
Book Value3337BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11494TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1189365TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1189365RevenueSubtotal
Other Revenues Not Included243734OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt243734RevenueNotRptdOnFinStmt
Total Revenue Per Form9901433099TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1109528TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1109528ExpensesSubtotal
Other Expenses Not Included243734OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt243734ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901353262TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SPATIENT DISCOUNTS $243734
Part XI, Line 4bPart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SPATIENT DISCOUNTS $243734

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER/AUCTIONNameOfEvent1
Gross Receipts Event148986GrossReceiptsEvent1
Charitable Contributions Event142645CharitableContributionsEvent1
Gross Revenue Event16341GrossRevenueEvent1
Gross Receipts Total48986GrossReceiptsTotal
Charitable Contributions Total42645CharitableContributionsTotal
Gross Revenue Total Events6341GrossRevenueTotalEvents
Net Income Summary6341NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCOPIES ARE KEPT AT THE MAIN OFFICE AND ARE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSTATISTICS FOR COMPARABLE POSITIONS ARE REVIEWED WITH A PERSONNEL COMMITTEE PRIOR TO MAKING SALARY DECISIONS.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST WHEN RECRUITED AND ARE EXPECTED TO RECUSE THEMSELVES FROM ANY DISCUSSION OR VOTES WHEN A CONFLICT OF INTEREST IS PRESENT.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTHE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD PRESIDENT. THE FORM 8879EO IS REQUIRED TO BE SIGNED BY THE BOARD PRESIDENT BEFORE FILING THE FORM 990.