DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC (EIN 55-0730654)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-14
IRS object ID: 201331349349301053
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T08:29:10-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	550486667	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARNETT FOSTER TOOTHMAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 908	AddressLine1
City	BRIDGEPORT	City
State	WV	State
ZIP Code	26330	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	550730654	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DIGNITY HOSPICE OF SOUTHERN WV INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DIGN	NameControl
Phone	3048554764	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565	AddressLine1
City	CHAPMANVILLE	City
State	WV	State
ZIP Code	25508	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DENNIS R LEWIS	Name
Title	PRESIDENT	Title
Phone	3048554764	Phone
Date Signed	2013-05-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	WILLIAM J BEHRENS	Name
PTIN	P00089711	PTIN
Phone	3046245471	Phone
Date Prepared	2013-05-08	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DENNIS R LEWIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565	AddressLine1
City	CHAPMANVILLE	City
State	WV	State
ZIP Code	25508	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3087254	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DIGNITYHOSPICE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	WV	StateLegalDomicile
Activity Or Mission Description	DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	62	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	21398	TotalGrossUBI
Net Unrelated Business Txbl Income	-1220	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	54130	ContributionsGrantsPriorYear
Contributions Grants Current Year	23683	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2451817	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3035494	ProgramServiceRevenueCY
Investment Income Prior Year	216	InvestmentIncomePriorYear
Investment Income Current Year	6679	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26783	OtherRevenuePriorYear
Other Revenue Current Year	21398	OtherRevenueCurrentYear
Total Revenue Prior Year	2532946	TotalRevenuePriorYear
Total Revenue Current Year	3087254	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	1510036	SalariesEtcPriorYear
Salaries Etc Current Year	1664558	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	5789	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1168311	OtherExpensePriorYear
Other Expenses Current Year	1146168	OtherExpensesCurrentYear
Total Expenses Prior Year	2678347	TotalExpensesPriorYear
Total Expenses Current Year	2810726	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-145401	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	276528	RevenuesLessExpensesCY
Total Assets BOY	2037985	TotalAssetsBOY
Total Assets EOY	2258990	TotalAssetsEOY
Total Liabilities BOY	948249	TotalLiabilitiesBOY
Total Liabilities EOY	892725	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1089736	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1366265	NetAssetsOrFundBalancesEOY
Mission Description	DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2322746	Expense
Revenue	3042173	Revenue
Description	THE HOSPICE PROVIDED CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS, 20,869 UNITS OF SERVICE, PROVIDED COMMUNITY EDUCATION, AND PROVIDED CHARITY CARE INCLUDING MEDICAL SUPPLIES	Description
Total Program Service Expense	2322746	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	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	62	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	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	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WV	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS LEWIS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3048554764	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565 MAIN STREET	AddressLine1
City	CHAPMANVILLE	City
State	WV	State
ZIP Code	25508	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
KENT BOWKER
BOARDMEMBER	1.00	X	0	0	0
STEPHEN NICHOLS
BOARDMEMBER	1.00	X	0	0	0
JAMES GREG DALTON
BOARDMEMBER	1.00	X	0	0	0
NANCY GODBY
BOARDMEMBER	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	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
All Other Contributions	23683	AllOtherContributions
Total Contributions	23683	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENU	Description
Business Code	621610	BusinessCode
Total Revenue Column	3035494	TotalRevenueColumn
Related Or Exempt Function Income	3035494	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	3035494	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6679	TotalRevenueColumn
Related Or Exempt Function Income	6679	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	21398	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	21398	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	21398	TotalRevenueColumn
Unrelated Business Revenue	21398	UnrelatedBusinessRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3087254	TotalRevenueColumn
Related Or Exempt Function Income	3042173	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	21398	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1313582	Total
Program Services	1050866	ProgramServices
Management And General	262716	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11351	Total
Program Services	9081	ProgramServices
Management And General	2270	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	211951	Total
Program Services	169561	ProgramServices
Management And General	42390	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	127674	Total
Program Services	102139	ProgramServices
Management And General	25535	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	351	Total
Management And General	351	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	9161	Total
Management And General	9161	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	466293	Total
Program Services	466293	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	323773	Total
Program Services	265287	ProgramServices
Management And General	52697	ManagementAndGeneral
Fundraising	5789	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	34209	Total
Program Services	30388	ProgramServices
Management And General	3821	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	72860	Total
Program Services	40073	ProgramServices
Management And General	32787	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	154493	Total
Program Services	141509	ProgramServices
Management And General	12984	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	41522	Total
Program Services	20761	ProgramServices
Management And General	20761	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20348	Total
Program Services	10174	ProgramServices
Management And General	10174	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	23158	Total
Program Services	16614	ProgramServices
Management And General	6544	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2810726	Total
Program Services	2322746	ProgramServices
Management And General	482191	ManagementAndGeneral
Fundraising	5789	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	15805	BOY
EOY	114491	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	227029	BOY
EOY	159256	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	815219	BOY
EOY	975533	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8393	BOY
EOY	5627	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1398632	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	394549	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	971539	BOY
EOY	1004083	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2037985	BOY
EOY	2258990	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	324750	BOY
EOY	293180	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	623499	BOY
EOY	599545	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	948249	BOY
EOY	892725	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	1089736	BOY
EOY	1366265	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1089736	BOY
EOY	1366265	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2037985	BOY
EOY	2258990	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	276528	ReconcilationRevenueExpenses
Reconcilation Other Changes	1	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	1	AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

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

Field	Value	IRS element (for citing)
FS Audited	0	FSAudited
Audit Committee	0	AuditCommittee
Federal Grant Audit Required	0	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	114645	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	52793	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	69972	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	57391	CurrentTaxYearMinus1Year
Current Tax Year	23683	CurrentTaxYear
Total	318484	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2614123	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3094785	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3198293	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2449258	CurrentTaxYearMinus1Year
Current Tax Year	3035494	CurrentTaxYear
Total	14391953	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2728768	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3147578	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3268265	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2506649	CurrentTaxYearMinus1Year
Current Tax Year	3059177	CurrentTaxYear
Total	14710437	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	14710437	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	54499	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20355	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	21270	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	23522	CurrentTaxYearMinus1Year
Current Tax Year	28077	CurrentTaxYear
Total	147723	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	54499	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20355	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	21270	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	23522	CurrentTaxYearMinus1Year
Current Tax Year	28077	CurrentTaxYear
Total	147723	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2783267	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3167933	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3289535	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2530171	CurrentTaxYearMinus1Year
Current Tax Year	3087254	CurrentTaxYear
Total	14858160	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99010	PublicSupportPercentage509
Prior Year Support Percentage	0.98930	PriorYearSupportPercentage
Investment Income Percentage	0.00990	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01070	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	731000	OtherCostOrOtherBasis
Book Value	731000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	354238	OtherCostOrOtherBasis
Depreciation	128757	Depreciation
Book Value	225481	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	313394	OtherCostOrOtherBasis
Depreciation	265792	Depreciation
Book Value	47602	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1004083	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION RECEIVES ITS FORM 990 PRIOR TO ITS BOARD MEETING AND THE REPORT IS DISCUSSED AT THAT MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE AT ITS MAIN OFFICE FOR ANY INDIVIDUALS THAT ARE INTERESTED IN SEEING THEM AND MAKES A REQUEST.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 466293. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 466293.	OTHER FEES
FORM 990, PART XI, LINE 9:	ROUNDING 1.	CHANGES IN NET ASSETS OR FUND BALANCES: