ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY (EIN 31-0963263)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-01-30
- IRS object ID
- 201310309349300446
- Schema version
- 2011v1.2
- 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 | 2013-01-30T15:19:08-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310800053 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 N LIMESTONE STREET | AddressLine1 |
| City | SPRINGFIELD | City |
| State | OH | State |
| ZIP Code | 45503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310963263 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALCO | NameControl |
| Phone | 7403972660 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 EAST GAMBIER STREET | AddressLine1 |
| City | MOUNT VERNON | City |
| State | OH | State |
| ZIP Code | 43050 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF WILLIAMS | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7403972660 | Phone |
| Date Signed | 2013-01-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENT PUMMEL | Name |
| PTIN | P00075456 | PTIN |
| Phone | 9373992000 | Phone |
| Date Prepared | 2013-01-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEFF WILLIAMS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 EAST GAMBIER STREET | AddressLine1 |
| City | MOUNT VERNON | City |
| State | OH | State |
| ZIP Code | 43050 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 903974 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ADFC-KNOX.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | THE TREATMENT & COUNSELING OF THE ALCOHOLIC & DRUG ABUSER, FAMILY MEMBERS AFFECTED BY ALCOHOLISM OR CHEMICAL DEPENDENCY, & THE GENERAL PUBLIC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 17 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 648379 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 429750 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 445721 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 468514 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4742 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2114 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6012 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3596 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1104854 | TotalRevenuePriorYear |
| Total Revenue Current Year | 903974 | 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 | 740290 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 633037 | 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 | 315984 | OtherExpensePriorYear |
| Other Expenses Current Year | 271657 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1056274 | TotalExpensesPriorYear |
| Total Expenses Current Year | 904694 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 48580 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -720 | RevenuesLessExpensesCY |
| Total Assets BOY | 578084 | TotalAssetsBOY |
| Total Assets EOY | 537735 | TotalAssetsEOY |
| Total Liabilities BOY | 235299 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 195670 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 342785 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 342065 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE FREEDOM CENTER'S MISSION IS TO PROVIDE THE FINEST PREVENTION AND TREATMENT SERVICES AVAILABLE IN KNOX COUNTY FOR PROBLEMS RELATED TO ALCOHOL, TOBACCO AND OTHER DRUGS. OUR CONTINUUM OF CARE STRIVES TO PROVIDE UNBIASED INFORMATION, ENCOURAGE LOW-RISK CHOICES AND TO REDUCE THE STIGMA OF ADDICTION. OUR SERVICES FOR INDIVIDUALS AND FAMILIES SEEK TO OVERCOME DENIAL, TO DIMINISH PROBLEMS CAUSED BY SUBSTANCE ABUSE IN A MEASURABLE WAY AND TO MOTIVATE CLIENTS TO BE PERSONALLY ACCOUNTABLE IN THEIR OWN RECOVERY. OUR ULTIMATE GOAL IS TO PROMOTE DRUG-FREE LIVING, TO TEACH HEALTHY DECISION-MAKING AND TO ENHANCE OVERALL WELLNESS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 679673 | Expense |
| Revenue | 472110 | Revenue |
| Description | OUTPATIENT COUNSELING & TREATMENT PROVIDED FOR PEOPLE DIRECTLY AND INDIRECTLY AFFECTED BY ALCOHOL & DRUG ABUSE. PROVIDE MENTAL HEALTH SCREENING FOR EMPLOYEE ASSISTANCE AND SPECIAL PROGRAMS FOR WOMEN. PREVENTION PROGRAM BY REACHING ELEMENTARY SCHOOL STUDENTS THROUGH IN SCHOOL PROGRAMS AIMED AT EDUCATING THE PUBLIC AND PREVENTING SUBSTANCE ABUSE. | Description |
| Total Program Service Expense | 679673 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 | 0 | 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 | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 17 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFF WILLIAMS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7403972660 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 E GAMBIER ST | AddressLine1 |
| City | MT VERNON | City |
| State | OH | State |
| ZIP Code | 43050 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| CHRISTIAN CAGLE | ||||||
| BOARD PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| ROBERT O'HARA | ||||||
| BOARD VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| KELLY BRENNEMAN | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| BECKY BROWNFIELD | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| BUFFY HALLINAN | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| BRENDA GEORGE | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| SHAWN CROSBIE | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| WENDI FOWLER | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| DR LEEANN HOLLEY MINER | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| REV MARK WILDERMUTH | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| JEFF WILLIAMS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 7603 | 0 | 1500 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7603 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1500 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 417795 | GovernmentGrants |
| All Other Contributions | 11955 | AllOtherContributions |
| Total Contributions | 429750 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID (TITLE XIX) | 624100 | 314312 | 314312 |
| PROGRAM FEES | 624100 | 57561 | 57561 |
| CLIENT FEES | 624100 | 52806 | 52806 |
| CLIENT INSURANCE | 624100 | 43835 | 43835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 468514 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2114 | TotalRevenueColumn |
| Exclusion | $2,114 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 3596 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3596 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3596 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 903974 | TotalRevenueColumn |
| Related Or Exempt Function Income | 472110 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,114 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35822 | Total |
| Program Services | 28658 | ProgramServices |
| Management And General | 7164 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446107 | Total |
| Program Services | 363530 | ProgramServices |
| Management And General | 82577 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22466 | Total |
| Program Services | 18197 | ProgramServices |
| Management And General | 4269 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84970 | Total |
| Program Services | 69233 | ProgramServices |
| Management And General | 15737 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43672 | Total |
| Program Services | 35540 | ProgramServices |
| Management And General | 8132 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45619 | Total |
| Management And General | 45619 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2996 | Total |
| Management And General | 2996 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13500 | Total |
| Management And General | 13500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29944 | Total |
| Program Services | 13540 | ProgramServices |
| Management And General | 16404 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536 | Total |
| Program Services | 432 | ProgramServices |
| Management And General | 104 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37450 | Total |
| Program Services | 27748 | ProgramServices |
| Management And General | 9702 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24015 | Total |
| Program Services | 19543 | ProgramServices |
| Management And General | 4472 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4851 | Total |
| Program Services | 3948 | ProgramServices |
| Management And General | 903 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1371 | Total |
| Management And General | 1371 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16074 | Total |
| Program Services | 13081 | ProgramServices |
| Management And General | 2993 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9291 | Total |
| Program Services | 7561 | ProgramServices |
| Management And General | 1730 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 31901 | 31901 | |
| PROGRAM EXPENSES | 16311 | 13274 | 3037 |
| URINE TESTING | 14650 | 14650 | |
| EQUIPMENT RENTAL | 8243 | 6708 | 1535 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14905 | Total |
| Program Services | 12129 | ProgramServices |
| Management And General | 2776 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 904694 | Total |
| Program Services | 679673 | ProgramServices |
| Management And General | 225021 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128185 | BOY |
| EOY | 69842 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136884 | BOY |
| EOY | 159779 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5847 | BOY |
| EOY | 5847 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 480319 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 212086 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 284307 | BOY |
| EOY | 268233 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22139 | BOY |
| EOY | 33312 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 722 | BOY |
| EOY | 722 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 578084 | BOY |
| EOY | 537735 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77197 | BOY |
| EOY | 54535 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31967 | BOY |
| EOY | 15000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126135 | BOY |
| EOY | 126135 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 235299 | BOY |
| EOY | 195670 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 328285 | BOY |
| EOY | 334815 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14500 | BOY |
| EOY | 7250 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342785 | BOY |
| EOY | 342065 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 578084 | BOY |
| EOY | 537735 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -720 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | 778097 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 634952 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 788695 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 813840 | CurrentTaxYearMinus1Year |
| Current Tax Year | 583952 | CurrentTaxYear |
| Total | 3599536 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 778097 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 634952 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 788695 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 813840 | CurrentTaxYearMinus1Year |
| Current Tax Year | 583952 | CurrentTaxYear |
| Total | 3599536 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3599536 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3900 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 120 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4742 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2114 | CurrentTaxYear |
| Total | 10900 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1324 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5177 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6012 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3596 | CurrentTaxYear |
| Total | 16109 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3626545 | TotalSupport |
| Gross Receipts From Admissions Etc | 261920 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99260 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99290 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53460 | OtherCostOrOtherBasis |
| Book Value | 53460 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 221000 | OtherCostOrOtherBasis |
| Depreciation | 67568 | Depreciation |
| Book Value | 153432 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 111767 | OtherCostOrOtherBasis |
| Depreciation | 55244 | Depreciation |
| Book Value | 56523 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94092 | OtherCostOrOtherBasis |
| Depreciation | 89274 | Depreciation |
| Book Value | 4818 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 268233 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COMMUNITY FOUNDATION | Description |
| Book Value | 33312 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 33312 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PAYABLE DUE FUNDING SOURCE, MEDICAID | Description |
| Amount | $126,135 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 126135 | TotalOfAmounts |
| Total Revenue | 903974 | TotalRevenue |
| Total Expenses | 904694 | TotalExpenses |
| Excess Or Deficit For Year | -720 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -720 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 872073 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 872073 | RevenueSubtotal |
| Other Revenues Not Included | 31901 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 31901 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 903974 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 872793 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 872793 | ExpensesSubtotal |
| Other Expenses Not Included | 31901 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 31901 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 904694 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE AGENCY'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE AGENCY'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. OPEN AUDIT PERIODS ARE 2008 - 2010. NO INCOME TAX PROVISION HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS AS THE AGENCY HAS DETERMINED IT DOES NOT HAVE UNRELATED BUSINESS INCOME SUBJECT TO TAXATION. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 31,901. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 31,901. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | EXECUTIVE DIRECTOR WILL REVIEW AND A COPY WILL BE MADE AVAILABLE TO THE TREASURER OF THE BOARD BEFORE THE RETURN IS SUBMITTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS AND OFFICERS ARE REQUIRED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR MONITORS THE POLICY TO ENSURE THAT COMPLIANCE IS ENFORCED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL MAKE THESE DOCUMENTS AVAILABLE UPON REQUEST. |
| THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |