OPEN DOOR HEALTH SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OPEN DOOR HEALTH SERVICES INC (EIN 35-2018494)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-03
- IRS object ID
- 201440349349301314
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-03T15:41:18-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351521112 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESTEP DOCTOR & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3737 W BETHEL AVE | AddressLine1 |
| City | MUNCIE | City |
| State | IN | State |
| ZIP Code | 47304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352018494 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OPEN | NameControl |
| Phone | 7652895928 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 SOUTH MADISON STREET | AddressLine1 |
| City | MUNCIE | City |
| State | IN | State |
| ZIP Code | 47305 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAN STOUT | Name |
| Title | CFO | Title |
| Phone | 7652895928 | Phone |
| Date Signed | 2014-01-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID R LEWIS CPA | Name |
| PTIN | P00203194 | PTIN |
| Phone | 7652895366 | Phone |
| Date Prepared | 2014-01-31 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAN STOUT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 SOUTH MADISON | AddressLine1 |
| City | MUNCIE | City |
| State | IN | State |
| ZIP Code | 47302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9914360 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OPENDOORHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE QUALITY OF LIFE OF OUR PATIENTS BY PROVIDING AFFORDABLE HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 187 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8310839 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4299865 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4842787 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5412472 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -211833 | InvestmentIncomePriorYear |
| Investment Income Current Year | 229 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 244481 | OtherRevenuePriorYear |
| Other Revenue Current Year | 201794 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13186274 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9914360 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5890599 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6856862 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2920259 | OtherExpensePriorYear |
| Other Expenses Current Year | 3182892 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8810858 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10039754 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4375416 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -125394 | RevenuesLessExpensesCY |
| Total Assets BOY | 14247600 | TotalAssetsBOY |
| Total Assets EOY | 14252416 | TotalAssetsEOY |
| Total Liabilities BOY | 1313756 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1443965 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12933844 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12808451 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO IMPROVE THE QUALITY OF LIFE OF OUR PATIENTS BY PROVIDING AFFORDABLE HEALTH CARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7661967 | Expense |
| Revenue | 5614266 | Revenue |
| Description | PROVIDE HEALTH, DENTAL, FAMILY DEVELOPMENT, AND EDUCATION SERVICES TO CITIZENS OF DELAWARE COUNTY AND SELECTED NEIGHBORING COUNTIES IN INDIANA. | Description |
| Total Program Service Expense | 7661967 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 187 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAN R STOUT CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7652814256 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 SOUTH MADISON | AddressLine1 |
| City | MUNCIE | City |
| State | IN | State |
| ZIP Code | 47305 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PATRICIA KENNEDY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JEFFREY HUFF | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| PAM BARNHOUSE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CONNIE CRAIG | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JIM RIGGLE | |||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| KATHY VERMEULEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RANDY ROBINSON | |||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| JUDITH ROEPKE | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| KJ BROWN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CLARENCE GORDON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM LEE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | X | |
| NORA LOURA-LEWIS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TONI ESTEP | |||||||
| CEO | 40.00 | 107701 | 0 | 0 | X | ||
| JAN STOUT | |||||||
| CFO | 40.00 | 0 | 0 | 0 | X | ||
| DALE MARION | |||||||
| COO | 40.00 | 0 | 0 | 0 | X | ||
| KIMBERLY A KOCH DDS | |||||||
| DENTAL DIRECTOR | 40.00 | 179807 | 0 | 0 | X | ||
| MAPARA ZOHAIR | |||||||
| PRIMARY CARE PHYSICIAN | 40.00 | 137688 | 0 | 0 | X | ||
| MUHAMMAD Z UL HAQ | |||||||
| PRIMARY CARE PHYSICIAN | 40.00 | 139249 | 0 | 0 | X | ||
| JASON SIMS DDS | |||||||
| DENTIST | 40.00 | 157979 | 0 | 0 | X | ||
| SAMATHA MADHAVARAPU MD | |||||||
| PRIMARY CARE PHYSICIAN | 40.00 | 104955 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 827379 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 80563 | FederatedCampaigns |
| Government Grants | 4214642 | GovernmentGrants |
| All Other Contributions | 4660 | AllOtherContributions |
| Total Contributions | 4299865 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HEALTH SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 5412472 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5412472 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5412472 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 229 | TotalRevenueColumn |
| Exclusion | $229 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 201794 | TotalRevenueColumn |
| Related Or Exempt Function Income | 201794 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 201794 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9914360 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5614266 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $229 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5692114 | Total |
| Program Services | 4843065 | ProgramServices |
| Management And General | 849049 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1164748 | Total |
| Program Services | 968064 | ProgramServices |
| Management And General | 196684 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61649 | Total |
| Program Services | 31612 | ProgramServices |
| Management And General | 30037 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135485 | Total |
| Program Services | 47831 | ProgramServices |
| Management And General | 87654 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505326 | Total |
| Program Services | 273131 | ProgramServices |
| Management And General | 232195 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40447 | Total |
| Program Services | 35138 | ProgramServices |
| Management And General | 5309 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74266 | Total |
| Program Services | 61494 | ProgramServices |
| Management And General | 12772 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20000 | Total |
| Program Services | 1530 | ProgramServices |
| Management And General | 18470 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 650579 | Total |
| Management And General | 650579 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41753 | Total |
| Program Services | 14200 | ProgramServices |
| Management And General | 27553 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTUAL MEDICAL | 434896 | 434669 | 227 |
| SUPPLIES | 358561 | 333334 | 25227 |
| BAD DEBTS | 282908 | 282908 | |
| PROFESSIONAL FEES AND C | 231683 | 102208 | 129475 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 345339 | Total |
| Program Services | 232783 | ProgramServices |
| Management And General | 112556 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10039754 | Total |
| Program Services | 7661967 | ProgramServices |
| Management And General | 2377787 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 734989 | BOY |
| EOY | 630087 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 620223 | BOY |
| EOY | 685100 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1495343 | BOY |
| EOY | 1890205 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142483 | BOY |
| EOY | 212661 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99585 | BOY |
| EOY | 121549 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12442277 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1928200 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10925614 | BOY |
| EOY | 10514077 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229363 | BOY |
| EOY | 198737 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14247600 | BOY |
| EOY | 14252416 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915075 | BOY |
| EOY | 934920 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54031 | BOY |
| EOY | 14395 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344650 | BOY |
| EOY | 494650 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1313756 | BOY |
| EOY | 1443965 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12920596 | BOY |
| EOY | 12808451 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13248 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12933844 | BOY |
| EOY | 12808451 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14247600 | BOY |
| EOY | 14252416 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -125394 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4908433 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4343628 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5923733 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8310839 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3544960 | CurrentTaxYear |
| Total | 27031593 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4908433 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4343628 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5923733 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8310839 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3544960 | CurrentTaxYear |
| Total | 27031593 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 27031593 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -9220 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1031 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 406 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 167 | CurrentTaxYearMinus1Year |
| Current Tax Year | 229 | CurrentTaxYear |
| Total | -7387 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 27024206 | TotalSupport |
| Public Support Pertcentage170 | 1.00000 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99910 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 9921696 | InvestmentCostOrOtherBasis |
| Depreciation | 416885 | Depreciation |
| Book Value | 9504811 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 236205 | InvestmentCostOrOtherBasis |
| Depreciation | 37538 | Depreciation |
| Book Value | 198667 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2236013 | InvestmentCostOrOtherBasis |
| Depreciation | 1473777 | Depreciation |
| Book Value | 762236 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 48363 | InvestmentCostOrOtherBasis |
| Book Value | 48363 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10514077 | TotalOfBookValueLandBuildings |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY A KOCH DDS | ||||||||||||||
| DENTAL DIRECTOR | 179807 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 179807 | 0 | 0 | 0 |
| JASON SIMS DDS | ||||||||||||||
| DENTIST | 157979 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 157979 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 AND REQUIRED SCHEDULES WERE PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING FOR THEIR REVIEW AND APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE KNOWN CONFLICTS OF INTEREST STATEMENTS WHICH ARE REVIEWED ANNUALLY FOR POSSIBLE CONFLICTS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS REVIEW THE CEO'S SALARY ON AN ANNUAL BASIS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST | |
| FORM 990, PART XI, LINE 9: | ROUNDING 1. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHC PROPERTIES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1676 | AddressLine1 |
| City | MUNCIE | City |
| State | IN | State |
| ZIP Code | 47308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270439883 | EIN |
| Primary Activities | REAL ESTATE HOLDING | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
| Total Income | 24000 | TotalIncome |
| EOY Assets | 9921696 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR HEALTH SERVICES INC | BusinessNameLine1 |