OPEN DOOR HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: OPEN DOOR HEALTH SERVICES INC (EIN 35-2018494)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-02-21
IRS object ID: 201330529349300313
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
Form 990
Schedule A
Schedule D
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-21T13:47:15-06:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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 ST	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	2013-02-19	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

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	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	13398274	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 PROVIDE AFFORDABLE, QUALITY HEALTH CARE TO ALL OF EAST CENTRAL INDIANA AND TO IMPROVE THE HEALTH STATUS OF THE UNINSURED, UNDERINSURED, AND THOSE WHO FOR OTHER REASONS DO NOT HAVE ACCESS TO HEALTH RESOURCES.	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	5923733	ContributionsGrantsPriorYear
Contributions Grants Current Year	8310839	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4860211	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4842787	ProgramServiceRevenueCY
Investment Income Prior Year	406	InvestmentIncomePriorYear
Investment Income Current Year	-211833	InvestmentIncomeCurrentYear
Other Revenue Prior Year	226679	OtherRevenuePriorYear
Other Revenue Current Year	244481	OtherRevenueCurrentYear
Total Revenue Prior Year	11011029	TotalRevenuePriorYear
Total Revenue Current Year	13186274	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	5645375	SalariesEtcPriorYear
Salaries Etc Current Year	5890599	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	2627488	OtherExpensePriorYear
Other Expenses Current Year	2920259	OtherExpensesCurrentYear
Total Expenses Prior Year	8272863	TotalExpensesPriorYear
Total Expenses Current Year	8810858	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2738166	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4375416	RevenuesLessExpensesCY
Total Assets BOY	9645504	TotalAssetsBOY
Total Assets EOY	14247600	TotalAssetsEOY
Total Liabilities BOY	1087076	TotalLiabilitiesBOY
Total Liabilities EOY	1313756	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	8558428	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12933844	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE AFFORDABLE, QUALITY HEALTH CARE TO ALL OF EAST CENTRAL INDIANA AND TO IMPROVE THE HEALTH STATUS OF THE UNINSURED, UNDERINSURED, AND THOSE WHO FOR OTHER REASONS DO NOT HAVE ACCESS TO HEALTH RESOURCES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	6412734	Expense
Revenue	4380898	Revenue
Description	PROVIDE HEALTH, DENTAL, FAMILY DEVELOPMENT, AND EDUCATION SERVICES TO CITIZENS OF DELAWARE COUNTY AND SELECTED NEIGHBORING COUNTIES IN INDIANA.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	439876	Expense
Revenue	494370	Revenue
Description	SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	6852610	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	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	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	1	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	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
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
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
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		101830	0	0	X
JAN STOUT
CFO	40.00		81833	0	0	X
DALE MARION
COO	40.00		66389	0	0	X
JOSEPH C DICKEY MD
PRIMARY CARE PHYSICIAN	40.00		125908	0	0		X
KIMBERLY A KOCH DDS
DENTAL DIRECTOR	40.00		149000	0	0		X
MULTANI MANPREET MD
PRIMARY CARE PHYSICIAN	40.00		136410	0	0		X
MAPARA ZOHAIR
PRIMARY CARE PHYSICIAN	40.00		136530	0	0		X
MUHAMMAD Z UL HAQ
PRIMARY CARE PHYSICIAN	40.00		143273	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	941173	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAX RUDICEL MD
6839 W ISANOGEL ROAD 50 N	MUNCIE	IN	47304	PHYSICIAN SERVICES	224620
MARY JO ROSEBERRY PHD
1000 E 29TH STREET	MUNCIE	IN	47302	PSYCHOLOGIST	119160

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Federated Campaigns	93428	FederatedCampaigns
Government Grants	8189127	GovernmentGrants
All Other Contributions	28284	AllOtherContributions
Total Contributions	8310839	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH SERVICES	621110	4348417	4348417
WIC PROGRAM	621110	494370	494370

Field	Value	IRS element (for citing)
Total Program Service Revenue	4842787	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	167	TotalRevenueColumn
Exclusion	$167	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	212000	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-212000	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-212000	TotalRevenueColumn
Related Or Exempt Function Income	-212000	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MICELLANEOUS INCOME	621110	242847	242847
BAD DEBT RECOVERY	621110	1634	1634

Field	Value	IRS element (for citing)
Total Other Revenue	244481	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13186274	TotalRevenueColumn
Related Or Exempt Function Income	4875268	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$167	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4930884	Total
Program Services	4106276	ProgramServices
Management And General	824608	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	959715	Total
Program Services	816384	ProgramServices
Management And General	143331	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	64427	Total
Program Services	23076	ProgramServices
Management And General	41351	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	105307	Total
Program Services	57131	ProgramServices
Management And General	48176	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	410541	Total
Program Services	247335	ProgramServices
Management And General	163206	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	31311	Total
Program Services	27051	ProgramServices
Management And General	4260	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7506	Total
Management And General	7506	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	505858	Total
Management And General	505858	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	47124	Total
Program Services	12291	ProgramServices
Management And General	34833	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	421526	407660	13866
BAD DEBT EXPENSE	390152	390152
CONTRACTUAL MEDICAL	385986	385586	400
PROFESSIONAL FEES AND C	185903	125024	60879

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	364618	Total
Program Services	254644	ProgramServices
Management And General	109974	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8810858	Total
Program Services	6852610	ProgramServices
Management And General	1958248	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	863760	BOY
EOY	734989	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	314111	BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	644380	BOY
EOY	620223	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1303285	BOY
EOY	1495343	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	163600	BOY
EOY	142483	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	85002	BOY
EOY	99585	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	12203235	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1277621	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6271366	BOY
EOY	10925614	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	229363	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9645504	BOY
EOY	14247600	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	917654	BOY
EOY	915075	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	116875	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	52547	BOY
EOY	54031	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	344650	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1087076	BOY
EOY	1313756	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8498428	BOY
EOY	12920596	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	60000	BOY
EOY	13248	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8558428	BOY
EOY	12933844	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9645504	BOY
EOY	14247600	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	4375416	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	0	FSAudited
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	2707998	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4908433	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4343628	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5923733	CurrentTaxYearMinus1Year
Current Tax Year	8310839	CurrentTaxYear
Total	26194631	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2707998	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4908433	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4343628	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5923733	CurrentTaxYearMinus1Year
Current Tax Year	8310839	CurrentTaxYear
Total	26194631	Total

Field	Value	IRS element (for citing)
Public Support Total170	26194631	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	29996	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	-9220	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1031	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	406	CurrentTaxYearMinus1Year
Current Tax Year	167	CurrentTaxYear
Total	22380	Total

Field	Value	IRS element (for citing)
Total Support	26217011	TotalSupport
Public Support Pertcentage170	0.99910	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99650	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	9858048	InvestmentCostOrOtherBasis
Depreciation	138051	Depreciation
Book Value	9719997	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	151406	InvestmentCostOrOtherBasis
Depreciation	30808	Depreciation
Book Value	120598	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	2148658	InvestmentCostOrOtherBasis
Depreciation	1108762	Depreciation
Book Value	1039896	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	45123	InvestmentCostOrOtherBasis
Book Value	45123	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	10925614	TotalOfBookValueLandBuildings
Total Revenue	13186274	TotalRevenue
Total Expenses	8810858	TotalExpenses
Excess Or Deficit For Year	4375416	ExcessOrDeficitForYear
Excess Or Deficit Per FS	4375416	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	13186274	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	13186274	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	13186274	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	8810858	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	8810858	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	8810858	TotalExpensesPerForm990

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	17728	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
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

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	9896796	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OPEN DOOR HEALTH SERVICES INC	BusinessNameLine1