GOOD SAMARITAN HEALTH CENTER OF COBB INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: GOOD SAMARITAN HEALTH CENTER OF COBB INC (EIN 32-0045238)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-10-29
IRS object ID: 201323029349300232
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-10-29T13:15:29-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POST & ASSOCIATES LLC CPA'S	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3475 DALLAS HWY STE 125	AddressLine1
City	MARIETTA	City
State	GA	State
ZIP Code	30064	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	320045238	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN HEALTH CENTER OF	BusinessNameLine1
Business Name Line2	COBB	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	GOOD	NameControl
Phone	7704193120	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1605 ROBERTA DR SW	AddressLine1
City	MARIETTA	City
State	GA	State
ZIP Code	300083855	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LARRY HORNSBY	Name
Title	CEO/MEDICAL DIRECTOR	Title
Phone	7704193120	Phone
Date Signed	2013-07-31	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DANIEL L POST JR CPA	Name
Phone	6782905100	Phone
Date Prepared	2013-10-29	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LARRY HORNSBY M D	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1605 ROBERTA DR SW	AddressLine1
City	MARIETTA	City
State	GA	State
ZIP Code	300083855	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	10185462	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	HTTP://WWW.GOODSAMCOBB.ORG/	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2002	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION'S MISSION IS "TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED."	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	28	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	775634	ContributionsGrantsPriorYear
Contributions Grants Current Year	769648	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	618475	ProgramServiceRevenuePriorYear
Program Service Revenue CY	623804	ProgramServiceRevenueCY
Investment Income Prior Year	2410	InvestmentIncomePriorYear
Investment Income Current Year	1253	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7130724	OtherRevenuePriorYear
Other Revenue Current Year	8758547	OtherRevenueCurrentYear
Total Revenue Prior Year	8527243	TotalRevenuePriorYear
Total Revenue Current Year	10153252	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	849171	SalariesEtcPriorYear
Salaries Etc Current Year	959356	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	6144	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	6065	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	84063	TotalFundrsngExpCurrentYear
Other Expense Prior Year	7609974	OtherExpensePriorYear
Other Expenses Current Year	9228429	OtherExpensesCurrentYear
Total Expenses Prior Year	8465289	TotalExpensesPriorYear
Total Expenses Current Year	10193850	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	61954	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-40598	RevenuesLessExpensesCY
Total Assets BOY	1891274	TotalAssetsBOY
Total Assets EOY	1853329	TotalAssetsEOY
Total Liabilities BOY	4062	TotalLiabilitiesBOY
Total Liabilities EOY	6715	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1887212	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1846614	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION'S MISSION IS "TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED."	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	9965143	Expense
Revenue	10071271	Revenue
Description	THE ORGANIZATION IS A PRIMARY HEALTHCARE CENTER FOR LOW-INCOME UNISURED INDIVIDUALS THAT INCLUDES MEDICAL, DENTAL, DISPENSARY, AND COUNSELING SERVICES. IT PROVIDED CARE FOR 23,583 PATIENT VISITS IN 2012 WITH EXPENSES OF 9.96 MILLION WHICH INCLUDES DONATED SERVICES OF 5.6 MILLION AND DONATED MEDICATIONS OF 3.1 MILLION.	Description
Total Program Service Expense	9965143	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	28	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	true	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	GAYLE NELSON	NamePerson
Telephone Number	7704193120	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1605 ROBERTA DRIVE	AddressLine1
City	MARIETTA	City
State	GA	State
ZIP Code	30008	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per WeekAverageHoursPerWeek	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID BOTTOMS
CHAIRMAN	X	0	0	0
QUINTON NICHOLS
SPIRITUAL HE	X	0	0	0
CYRL KITCHENS
	X	0	0	0
STEVE LAMONTAGNE
TREASURER	X	0	0	0
GRANT COLE
	X	0	0	0
CONGRESSMAN PHIL GINGREY MD
	X	0	0	0
LYNDA AUSBURN
FUNDRAISING	X	0	0	0
HICKS POOR
	X	0	0	0
PENNY MORRIS-ROSS
	X	0	0	0
SCOTT KIMBROUGH
	X	0	0	0
J MIKE KINNEY DDS
BOARD AFFAIR	X	0	0	0
ALAN B KIRK
	X	0	0	0
TERRY POOR PHD
	X	0	0	0
RICO SHORT DMD
	X	0	0	0
PETE WYMAN MD
	X	0	0	0
JOHN SHERRER RRH
	X	0	0	0
BARRY TEAGUE
	X	0	0	0
MICHAEL VICK MD
	X	0	0	0
REVEREND AMOS WILLIAMS
	X	0	0	0
SUSAN PEARSON
	X	0	0	0
BILLY EDENS
	X	0	0	0
LARRY HORNSBY M D
MEDICAL DIRE		130414	0	5936	40.00	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	130414	TotalReportableCompFromOrg
Total Other Compensation	5936	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	769648	AllOtherContributions
Total Contributions	769648	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL PROGRAM REVENUES	322173	322173
DENTAL PROGRAM REVENUES	187699	187699
DISPENSARY REVENUES	111447	111447
MISCELLANEOUS INCOME	2485	2485

Field	Value	IRS element (for citing)
Total Program Service Revenue	623804	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1253	TotalRevenueColumn
Related Or Exempt Function Income	1253	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	76098	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	32210	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	43888	TotalRevenueColumn
Exclusion	$31,841	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DONATED SERVICES	5630192	5630192
DONATED MEDICATIONS	3084467	3084467

Field	Value	IRS element (for citing)
Total Other Revenue	8714659	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10153252	TotalRevenueColumn
Related Or Exempt Function Income	9339716	RelatedOrExemptFunctionIncome
Exclusion	$31,841	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	833179	Total
Program Services	780179	ProgramServices
Fundraising	53000	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	68751	Total
Program Services	63451	ProgramServices
Fundraising	5300	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	57426	Total
Program Services	53478	ProgramServices
Fundraising	3948	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	10000	Total
Management And General	10000	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	6065	Total
Fundraising	6065	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9191	Total
Program Services	9191	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	29427	Total
Management And General	13677	ManagementAndGeneral
Fundraising	15750	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	22946	Total
Program Services	12812	ProgramServices
Management And General	10134	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DONATED SERVICES	5630192	5630192
DONATED MEDICATIONS	3084467	3084467
DISPENSARY COSTS	84546	84546
DEPRECIATION AND AMORT.	72296	44075	28221

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	285364	Total
Program Services	202752	ProgramServices
Management And General	82612	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10193850	Total
Program Services	9965143	ProgramServices
Management And General	144644	ManagementAndGeneral
Fundraising	84063	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	53685	BOY
EOY	113781	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	638814	BOY
EOY	547949	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2400	BOY
EOY	2250	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	17452	BOY
EOY	12583	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9006	BOY
EOY	8972	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1699805	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	542934	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1160763	BOY
EOY	1156871	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	9154	BOY
EOY	5923	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	5000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1891274	BOY
EOY	1853329	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4062	BOY
EOY	6715	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4062	BOY
EOY	6715	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1887212	BOY
EOY	1741614	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	105000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1887212	BOY
EOY	1846614	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1891274	BOY
EOY	1853329	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-40598	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	814959	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	498196	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	762767	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	775634	CurrentTaxYearMinus1Year
Current Tax Year	769648	CurrentTaxYear
Total	3621204	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	259879	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	413174	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	472425	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	361242	CurrentTaxYearMinus1Year
Current Tax Year	9367513	CurrentTaxYear
Total	10874233	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1074838	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	911370	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1235192	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1136876	CurrentTaxYearMinus1Year
Current Tax Year	10137161	CurrentTaxYear
Total	14495437	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	123000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	140255	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	156707	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	161155	CurrentTaxYearMinus1Year
Current Tax Year	57215	CurrentTaxYear
Total	638332	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	123000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	140255	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	156707	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	161155	CurrentTaxYearMinus1Year
Current Tax Year	57215	CurrentTaxYear
Total	638332	Total

Field	Value	IRS element (for citing)
Public Support Total509	13857105	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	37953	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13244	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6227	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2410	CurrentTaxYearMinus1Year
Current Tax Year	1253	CurrentTaxYear
Total	61087	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	37953	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13244	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6227	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2410	CurrentTaxYearMinus1Year
Current Tax Year	1253	CurrentTaxYear
Total	61087	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year	30841	CurrentTaxYear
Total	30841	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	591	CurrentTaxYearMinus4Years
Total	591	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1113382	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	924614	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1241419	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1139286	CurrentTaxYearMinus1Year
Current Tax Year	10169255	CurrentTaxYear
Total	14587956	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.94990	PublicSupportPercentage509
Prior Year Support Percentage	0.84420	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.02000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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	402595	OtherCostOrOtherBasis
Book Value	402595	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	727345	OtherCostOrOtherBasis
Depreciation	163563	Depreciation
Book Value	563782	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	531487	OtherCostOrOtherBasis
Depreciation	346869	Depreciation
Book Value	184618	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38378	OtherCostOrOtherBasis
Depreciation	32502	Depreciation
Book Value	5876	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1156871	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	10153252	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	10153252	RevenueSubtotal
Total Revenue Per Form990	10153252	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10193850	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	10193850	ExpensesSubtotal
Total Expenses Per Form990	10193850	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	BANQUET	NameOfEvent1
Gross Receipts Event1	27797	GrossReceiptsEvent1
Gross Revenue Event1	27797	GrossRevenueEvent1
Other Direct Expenses Event1	15750	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	48301	GrossReceiptsEvent2
Gross Revenue Event2	48301	GrossRevenueEvent2
Other Direct Expenses Event2	16460	OtherDirectExpensesEvent2
Gross Receipts Total	76098	GrossReceiptsTotal
Gross Revenue Total Events	76098	GrossRevenueTotalEvents
Other Direct Expenses Total Events	32210	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	32210	DirectExpenseSummaryEvents
Net Income Summary	43888	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	RETURN WILL BE REVIEWED PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST SIGN THE DISCLOSURE FORM ANNUALLY. THESE FORMS ARE MATCHED AGAINST A LIST OF SUCH PEOPLE.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	EXECUTIVE BOARD RESEARCHES AND PROVIDES INFORMATION TO MAKE A RECOMMENDATION TO THE FULL BOARD FOR THE SALARY AND BENEFITS OF THE CEO BASED ON A REVIEW OF COMPARABLE DATA. THE BOARD THEN DOCUMENTS HOW IT REACHED ITS DECISION.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	EXECUTIVE BOARD RESEARCHES AND PROVIDES INFORMATION TO MAKE A RECOMMENDATION TO THE FULL BOARD FOR THE SALARY AND BENEFITS HIGHLY COMPENATED EMPLOYEES AND CONSULTANTS BASED ON A REVIEW OF COMPARABLE DATA. THE BOARD THEN DOCUMENTS HOW IT REACHED ITS DECISION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	WEBSITE