STRATEGY STUDIO / PUBLIC DATA EXPLORER

CANCER SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CANCER SERVICES INC (EIN 56-0656375)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-29
IRS object ID
201321499349300452
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)
Timestamp2013-05-29T08:31:11-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CANNON & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12160 COUNTRY CLUB RDAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code271044208ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560656375EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CANCER SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCANCNameControl
Phone3367609983Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13175 MAPLEWOOD AVENUEAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTARA O'BRIENName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone3367609983Phone
Date Signed2013-05-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD J TAMERName
Phone3367250635Phone
Date Prepared2013-05-24DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTARA O'BRIENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13175 MAPLEWOOD AVENUEAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1597102GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CANCERSERVICESONLINE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO ENHANCE THE QUALITY OF LIFE FOR THOSE LIVING WITH CANCER AND TO PROVIDE THE GIFT OF LIFE THROUGH EDUCATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees15TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year812691ContributionsGrantsPriorYear
Contributions Grants Current Year1454360ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-16765InvestmentIncomePriorYear
Investment Income Current Year24248InvestmentIncomeCurrentYear
Other Revenue Prior Year144375OtherRevenuePriorYear
Other Revenue Current Year85245OtherRevenueCurrentYear
Total Revenue Prior Year940301TotalRevenuePriorYear
Total Revenue Current Year1563853TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year276254GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY252191GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year625552SalariesEtcPriorYear
Salaries Etc Current Year642125SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year37875TotalFundrsngExpCurrentYear
Other Expense Prior Year87889OtherExpensePriorYear
Other Expenses Current Year93161OtherExpensesCurrentYear
Total Expenses Prior Year989695TotalExpensesPriorYear
Total Expenses Current Year987477TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-49394RevenuesLessExpensesPriorYear
Revenues Less Expenses CY576376RevenuesLessExpensesCY
Total Assets BOY1140924TotalAssetsBOY
Total Assets EOY1733763TotalAssetsEOY
Total Liabilities BOY35515TotalLiabilitiesBOY
Total Liabilities EOY39773TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1105409NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1693990NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO ENHANCE THE QUALITY OF LIFE FOR THOSE LIVING WITH CANCER AND TO PROVIDE THE GIFT OF LIFE THROUGH EDUCATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense888691Expense
Grants252191Grants
DescriptionASSIST CANCER PATIENTS WITH COSTS OF PRESCRIPTIONS AND OTHER MEDICAL SUPPLIES AND SEEK TO EDUCATE THE COMMUNITY ABOUT CANCER. APPROXIMATELY 33,000 PATIENTS ASSISTED.Description
Total Program Service Expense888691TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
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 IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees15NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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 FiledNCStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTARA O'BRIENNamePerson
Telephone Number3367609983TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13175 MAPLEWOOD AVENUEAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27103ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHARLES ALEXANDER
PRESIDENT-TH5.00XX000
JIM STOKES
VICE PRES-TH5.00XX000
DR JUDY HOPKINS
SECRETARY5.00XX000
IRA WILLIAMS
TREASURER-TH5.00XX000
KRISTINE SIMS
LEGAL ADVISO5.00X000
RON L WILLARD
VICE PRES-BE5.00XX000
DR CAROLYN FERREE
PRESIDENT-BE5.00XX000
DR PATRICIA ZEKAN
BOARD MEMBER5.00X000
AL BURCHETT
BOARD MEMBER5.00X000
LENORA CAMPBELL
BOARD MEMBER5.00X000
ASHLEY CANNON
BOARD MEMBER5.00X000
DONNA HENNESSEY
BOARD MEMBER5.00X000
LYNN HOLTZCLAW
BOARD MEMBER5.00X000
BRENDA KELLY
BOARD MEMBER5.00X000
DR GLENN LESSER
BOARD MEMBER5.00X000
BARBARA MCWHORTER
BOARD MEMBER5.00X000
CRISTINA ROCHE
BOARD MEMBER5.00X000
STEVE SESSIONS
BOARD MEMBER5.00X000
JR SNIDER
TREASURER-BE5.00XX000
KEN BURKEL
BOARD MEMBER5.00X000
DR SHERRILL BRASWELL
BOARD MEMBER5.00X000
PUTTER CAUDLE
BOARD MEMBER5.00X000
ANNAMARIE D'SOUZA
BOARD MEMBER5.00X000
ROBERT D HINSHAW
BOARD MEMBER5.00X000
THOMAS ORR
BOARD MEMBER5.00X000
MARTHA WHEELOCK
BOARD MEMBER5.00X000
TARA C O'BRIEN
EXECUTIVE DI40.00X9681700
FieldValueIRS element (for citing)
Total Reportable Comp From Org96817TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns300217FederatedCampaigns
Fundraising Events62959FundraisingEvents
All Other Contributions1091184AllOtherContributions
Noncash Contributions41562NoncashContributions
Total Contributions1454360TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21314TotalRevenueColumn
Exclusion$21,314ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2934Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2934Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2934TotalRevenueColumn
Exclusion$2,934ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events114170GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events62959CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses30751FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column83419TotalRevenueColumn
Exclusion$83,419ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory4324GrossSalesOfInventory
Cost Of Goods Sold2498CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1826TotalRevenueColumn
Exclusion$1,826ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1563853TotalRevenueColumn
Exclusion$109,493ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total252191Total
Program Services252191ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total96817Total
Program Services62931ProgramServices
Management And General19363ManagementAndGeneral
Fundraising14523Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total425932Total
Program Services401019ProgramServices
Management And General11688ManagementAndGeneral
Fundraising13225Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13826Total
Program Services12271ProgramServices
Management And General821ManagementAndGeneral
Fundraising734Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total63676Total
Program Services56514ProgramServices
Management And General3782ManagementAndGeneral
Fundraising3380Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total41874Total
Program Services37164ProgramServices
Management And General2487ManagementAndGeneral
Fundraising2223Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9798Total
Management And General9798ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3688Total
Program Services3319ProgramServices
Management And General369ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3661Total
Fundraising3661Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total7087Total
Program Services7087ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14728Total
Program Services13255ProgramServices
Management And General1473ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3071Total
Program Services2764ProgramServices
Management And General307ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIPMENT RENTAL AND MAIN11762105861176
TELEPHONE81857776409
UTILITIES60965791305
SUPPLIES58835294589

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19202Total
Program Services10729ProgramServices
Management And General8344ManagementAndGeneral
Fundraising129Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total987477Total
Program Services888691ProgramServices
Management And General60911ManagementAndGeneral
Fundraising37875Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY168172BOY
EOY263429EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY17500BOY
EOY17500EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10625BOY
EOY16843EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7686BOY
EOY11135EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3498BOY
EOY3581EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis309146LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec162736LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY158500BOY
EOY146410EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY774843BOY
EOY1274765EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1140924BOY
EOY1733763EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35515BOY
EOY39773EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35515BOY
EOY39773EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY988540BOY
EOY1008283EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY36869BOY
EOY605707EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY80000BOY
EOY80000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1105409BOY
EOY1693990EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1140924BOY
EOY1733763EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses576376ReconcilationRevenueExpenses
Reconciliation Unrealized Invest12205ReconciliationUnrealizedInvest
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1042190CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years753557CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years794947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year812691CurrentTaxYearMinus1Year
Current Tax Year1454360CurrentTaxYear
Total4857745Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1042190CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years753557CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years794947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year812691CurrentTaxYearMinus1Year
Current Tax Year1454360CurrentTaxYear
Total4857745Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total208268AmountsSubstContributorsTotal
Public Support Total1704649477PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23135CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18656CurrentTaxYearMinus1Year
Current Tax Year21314CurrentTaxYear
Total99200Total
FieldValueIRS element (for citing)
Total Support4956945TotalSupport
Gross Receipts From Admissions Etc822764GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93800PublicSupportPertcentage170
Public Support Pertcent Prior Year0.92170PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance801453BeginningOfYearBalance
Contributions565299Contributions
Investment Earnings Or Losses65339InvestmentEarningsOrLosses
End Of Year Balance1432091EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance366704BeginningOfYearBalance
Contributions421677Contributions
Investment Earnings Or Losses13072InvestmentEarningsOrLosses
End Of Year Balance801453EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance361485BeginningOfYearBalance
Investment Earnings Or Losses5219InvestmentEarningsOrLosses
End Of Year Balance366704EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance356358BeginningOfYearBalance
Investment Earnings Or Losses5127InvestmentEarningsOrLosses
End Of Year Balance361485EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance344776BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses6582InvestmentEarningsOrLosses
End Of Year Balance356358EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.55120BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.05580PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.39300TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis204050OtherCostOrOtherBasis
Depreciation73147Depreciation
Book Value130903BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis105096OtherCostOrOtherBasis
Depreciation89589Depreciation
Book Value15507BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings146410TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMARKETABLE SECURITIESDescription
Book Value1274765BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1274765TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt1622233TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments12205NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities47338DonatedSrvcAndUseOfFacilities
Other Revenues2498OtherRevenues
Revenue Not Rptd F99062041RevenueNotRptdF990
Revenue Subtotal1560192RevenueSubtotal
Other Revenues Not Included3661OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3661RevenueNotRptdOnFinStmt
Total Revenue Per Form9901563853TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1033652TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities47338DonatedServicesUseOfFacilities
Other Expenses Included2498OtherExpensesIncluded
Expenses Not Rptd F99049836ExpensesNotRptdF990
Expenses Subtotal983816ExpensesSubtotal
Other Expenses Not Included3661OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3661ExpensesNotRptdOnFinStmt
Total Expenses Per Form990987477TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4THE PERMANENT FUND IS RESTRICTED FOR THE ORIGINAL CONTRIBUTIONS BUT ANY FURTHER CONTRIBUTIONS OR EARNINGS ARE DETERMINED BY THE BOARD ON AN ANNUAL BASIS. THE BUILDING RESERVE FUND IS USED FOR FUTURE REQUIREMENTS FOR THE BUILDING SUCH AS REPAIRS, HEATING AND AIR CONDITIONING AND PAVING. THE OPERATING RESERVE FUND IS AVAILABLE FOR USE IN THE CASE OF UNANTICIPATED DECREASES IN FUNDING OR UNEXPECTED OPERATING EVENTS.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DCOST OF GOODS SOLD 2,498 FUNDRAISING EVENT EXPENSE 0
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 4B3,661
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DCOST OF GOODS SOLD 2,498 FUNDRAISING EVENT EXPENSES 0
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4B3,661

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WRAPPED UP IN RNameOfEvent1
Gross Receipts Event1158518GrossReceiptsEvent1
Charitable Contributions Event159250CharitableContributionsEvent1
Gross Revenue Event199268GrossRevenueEvent1
Other Direct Expenses Event125281OtherDirectExpensesEvent1
Name Of Event2POLAR BIKE RIDENameOfEvent2
Gross Receipts Event218611GrossReceiptsEvent2
Charitable Contributions Event23709CharitableContributionsEvent2
Gross Revenue Event214902GrossRevenueEvent2
Other Direct Expenses Event25470OtherDirectExpensesEvent2
Gross Receipts Total177129GrossReceiptsTotal
Charitable Contributions Total62959CharitableContributionsTotal
Gross Revenue Total Events114170GrossRevenueTotalEvents
Other Direct Expenses Total Events30751OtherDirectExpensesTotalEvents
Direct Expense Summary Events30751DirectExpenseSummaryEvents
Net Income Summary83419NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuation
MEDICINE1053118943BOOK
PROGRAM SUPPLIES6672040509BOOK
AWARDS AND GRANTS6213103BOOK
OTHER CLIENT ASSISTANCE129989636BOOK

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationTHE ORGANIZATION NOTES THE GUIDELINES FOR GRANT USE IN A MONTHLY GRANT REPORT AND THEN TRACKS THE ACTIVITY OF THE GRANT MONTHLY THROUGH ALLOCATION OF EXPENSES WITHIN THEIR FINANCIAL SOFTWARE. THIS INFORMATION IS THEN MONITORED AND TRACKED MONTHLY FOR ALL EXPENDITURES PER GRANTExplanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL EQUIPDescription
Number Of Contributions433NumberOfContributions
Noncash Contribs Rptd F99041562NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO, TREASURER AND ASSISTANT DIRECTOR REVIEW THE FORM 990. THE FINAL FORM IS DISTRIBUTED TO THE FULL BOARD FOR APPROVAL.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICTS OF INTEREST ARE IDENTIFIED ANNUALLY AND DISCUSSED AT BOARD LEVEL
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION USES INFORMATION FROM ONLINE RESOURCES AND THE NORTH CAROLINA CENTER FOR NONPROFITS TO ESTABLISH SALARY RANGES PER POSITION. CONSIDERATIONS WITHIN THESE RESOURCES INCLUDE EDUCATION AND EXPERIENCE LEVEL, COMPETITIVE ENVIRONMENT, AND OTHER CONSIDERATIONS NECESSARY FOR EACH POSITION. ONCE THE RANGE IS ESTABLISHED, A LENGTH OF TIME IT TAKES TO PERFECT A JOB IS ESTABLISHED FROM 4 YEARS TO 10 YEARS. CANDIDATES ARE PLACED WITHIN THIS RANGE BEFORE BEING OFFERED A SALARY. WITH ESTABLISHED EMPLOYEES, EVALUATIONS ARE PERFORMED ANNUALLY AND BOTH COST OF LIVING AND MERIT RAISES MAY BE AVAILABLE. THE TOTAL AMOUNT AVAILABLE FOR INCREASES IN COMPENSATION IS ESTABLISHED BY THE BOARD DURING THE BUDGETING PROCESS PRIOR TO THE BEGINNING OF THE FISCAL YEAR.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BPROCESS DESCRIBED IN 15A
NO PUBLIC DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 18THE ORGANIZATION SUBMITS ITS INFORMATION TO GUIDESTAR AND ALSO ANSWERS ALL REQUESTS AS THEY ARE MADE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19POST INFORMATION ON THE ORGANIZATION'S WEBSITE AS WELL AS RESPOND TO ALL REQUESTS AS THEY ARE MADE.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9COST OF GOODS SOLD 2,498 FUNDRAISING EVENT EXPENSE 0 -3,661 COST OF GOODS SOLD -2,498 FUNDRAISING EVENT EXPENSES 0 3,661
CHANGE IN FINANCIAL REVIEW PROCESSFORM 990, PAGE 12, PART XII, LINE 2CPROCESS HAS NOT CHANGED FROM PRIOR YEAR.