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SENECA HEALTH SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SENECA HEALTH SERVICES INC (EIN 55-0563106)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-06
IRS object ID
201200669349301450
Schema version
2010v3.7
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)
Timestamp2012-03-06T14:39:41-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS & KAWASH ACBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA ST E STE 300AddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253012724ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550563106EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SENECA HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSENENameControl
Phone3048726503Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 WEBSTER ROADAddressLine1
CitySUMMERSVILLECity
StateWVState
ZIP Code26651ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCINDY HELTZELName
TitleVP OF FINANCETitle
Phone3048726503Phone
Date Signed2011-12-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT R DENYERName
Phone3043458400Phone
Date Prepared2012-03-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts17839965GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionTO PROVIDE INDIVIDUALS WITH A SYSTEM OF HEALTH SERVICES THAT PROMOTE OUTCOMES CONSISTENT WITH SPECIFIC NEEDS AND POTENTIALActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees532TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2137939ContributionsGrantsPriorYear
Contributions Grants Current Year2254192ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15898383ProgramServiceRevenuePriorYear
Program Service Revenue CY15537657ProgramServiceRevenueCY
Investment Income Prior Year14628InvestmentIncomePriorYear
Investment Income Current Year-3158InvestmentIncomeCurrentYear
Other Revenue Prior Year61601OtherRevenuePriorYear
Other Revenue Current Year35439OtherRevenueCurrentYear
Total Revenue Prior Year18112551TotalRevenuePriorYear
Total Revenue Current Year17824130TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11147876SalariesEtcPriorYear
Salaries Etc Current Year11497210SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6494352OtherExpensePriorYear
Other Expenses Current Year6231530OtherExpensesCurrentYear
Total Expenses Prior Year17642228TotalExpensesPriorYear
Total Expenses Current Year17728740TotalExpensesCurrentYear
Revenues Less Expenses Prior Year470323RevenuesLessExpensesPriorYear
Revenues Less Expenses CY95390RevenuesLessExpensesCY
Total Assets BOY5683130TotalAssetsBOY
Total Assets EOY6048349TotalAssetsEOY
Total Liabilities BOY1757228TotalLiabilitiesBOY
Total Liabilities EOY2027057TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3925902NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4021292NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE INDIVIDUALS WITH A SYSTEM OF HEALTH SERVICES THAT PROMOTE OUTCOMES CONSISTENT WITH SPECIFIC NEEDS AND POTENTIALMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15245489Expense
DescriptionMENTAL HEALTH, INTELLECTUALLY DEFICIENT/DEVELOPMENTALLY DELAYED AND SUBSTANCE ABUSE SERVICESDescription
Total Program Service Expense15245489TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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 ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096303NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees532NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCYNTHIA G HELTZELNamePerson
Telephone Number3048726503TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11305 WEBSTER RDAddressLine1
CitySUMMERSVILLECity
StateWVState
ZIP Code26651ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS FISK
BD. VICE-CHAX000
PEG CALLAGHAN
BD. CHAIRX000
DAVE JARROLL
BRD. CHAIRPEX000
DENNIS DRISCOLL
BD. MEMBERX000
STEPHANIE RANDOLPH
BD. SECRETARX000
GUY HENSLEY JR
PRESIDENT/CE11912002983740.00X
MARCIE VAUGHAN
VP CLIN SERV8876902190140.00X
CYNTHIA HELTZEL
VP FINANCE7934101602140.00X
AMY LEROSE
VP HUMAN RES7511801995440.00X
ELIZABETH DIX
CORP SECRETA260140393140.00X
NOEL JEWELL
PSYCHIATRIST25019202787240.00X
LOIS URICK
PSYCHIATRIST15393802346940.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org792492TotalReportableCompFromOrg
Total Other Compensation142985TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BRICKSTREET MUTUAL
PO BOX 11285CHARLESTONWV25339INSURANCE324362
INTERIM HEALTHCARE
250 GRANDE MEADBRIDGEPORTWV26330NURSE SERVICES243745
NET SMART TECHNOLOGY
PO BOX 415862BOSTONMA02241TECHNOLOGY CONT166647
FIBERNET
ONE LUMOS PLAZAWAYNESBOROVA22980TELEPHONE106790
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants2254192GovernmentGrants
Total Contributions2254192TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET CLIENT REVENUESDescription
Total Revenue Column15537657TotalRevenueColumn
Related Or Exempt Function Income15537657RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15537657TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5177TotalRevenueColumn
Exclusion$5,177ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7500Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15835Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-8335Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8335TotalRevenueColumn
Related Or Exempt Function Income-8335RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Total Revenue Column35439TotalRevenueColumn
Related Or Exempt Function Income35439RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue35439TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17824130TotalRevenueColumn
Related Or Exempt Function Income15564761RelatedOrExemptFunctionIncome
Exclusion$5,177ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total388362Total
Program Services88769ProgramServices
Management And General299593ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8762469Total
Program Services7584537ProgramServices
Management And General1177932ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total274009Total
Program Services204024ProgramServices
Management And General69985ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1050173Total
Program Services764387ProgramServices
Management And General285786ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1022197Total
Program Services894435ProgramServices
Management And General127762ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14221Total
Management And General14221ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33563Total
Management And General33563ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3387928Total
Program Services3380029ProgramServices
Management And General7899ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total28503Total
Program Services25777ProgramServices
Management And General2726ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total372564Total
Program Services269674ProgramServices
Management And General102890ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total364524Total
Program Services243343ProgramServices
Management And General121181ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total866165Total
Program Services843976ProgramServices
Management And General22189ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2930Total
Program Services222ProgramServices
Management And General2708ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total29209Total
Management And General29209ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total177040Total
Program Services62497ProgramServices
Management And General114543ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total134212Total
Program Services103344ProgramServices
Management And General30868ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSE/TAXES50700949383513174
BAD DEBT191011191011
CLIENT EXPENSES89630872622368
DUES AND SUBSCRIPTIONS18759106917690
MISCELLANEOUS1315271985954

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1110Total
Program Services100ProgramServices
Management And General1010ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17728740Total
Program Services15245489ProgramServices
Management And General2483251ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26463BOY
EOY18842EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2710506BOY
EOY2871636EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY363581BOY
EOY423553EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1707965BOY
EOY1831996EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6481BOY
EOY6350EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2516293LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1701803LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY794443BOY
EOY814490EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY73691BOY
EOY81482EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5683130BOY
EOY6048349EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY974052BOY
EOY958619EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY21418BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY714092BOY
EOY1058749EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47666BOY
EOY9689EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1757228BOY
EOY2027057EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3925902BOY
EOY4021292EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3925902BOY
EOY4021292EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5683130BOY
EOY6048349EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses95390ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
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 Years1814845CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1910681CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1948319CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2137939CurrentTaxYearMinus1Year
Current Tax Year2254192CurrentTaxYear
Total10065976Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1814845CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1910681CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1948319CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2137939CurrentTaxYearMinus1Year
Current Tax Year2254192CurrentTaxYear
Total10065976Total
FieldValueIRS element (for citing)
Public Support Total17010065976PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70408CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28932CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15417CurrentTaxYearMinus1Year
Current Tax Year5177CurrentTaxYear
Total195635Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22263CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27397CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61601CurrentTaxYearMinus1Year
Current Tax Year35439CurrentTaxYear
Total181286Total
FieldValueIRS element (for citing)
Total Support10442897TotalSupport
Gross Receipts From Admissions Etc15573096GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96390PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95950PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis36075OtherCostOrOtherBasis
Book Value36075BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis915725OtherCostOrOtherBasis
Depreciation743514Depreciation
Book Value172211BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis555593OtherCostOrOtherBasis
Depreciation405886Depreciation
Book Value149707BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis963460OtherCostOrOtherBasis
Depreciation537509Depreciation
Book Value425951BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45440OtherCostOrOtherBasis
Depreciation14894Depreciation
Book Value30546BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings814490TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
HEALTH CARE PROVIDER TAX$9,689
CLIENT REFUNDS
OTHER CURRENT LIABILITIES
FieldValueIRS element (for citing)
Total Of Amounts9689TotalOfAmounts
Total Revenue17824130TotalRevenue
Total Expenses17728740TotalExpenses
Excess Or Deficit For Year95390ExcessOrDeficitForYear
Excess Or Deficit Per FS95390ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17848130TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities24000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99024000RevenueNotRptdF990
Revenue Subtotal17824130RevenueSubtotal
Total Revenue Per Form99017824130TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17752740TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities24000DonatedServicesUseOfFacilities
Expenses Not Rptd F99024000ExpensesNotRptdF990
Expenses Subtotal17728740ExpensesSubtotal
Total Expenses Per Form99017728740TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
NOEL JEWELL
25019227872278064
LOIS URICK
15393823469177407

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BDRAFT OF THE FORM 990 IS PROVIDED TO THE GOVERNING BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CEACH BOARD MEMBER COMPLETES AND SIGNS A CONFLICT OF INTEREST FORM ANNUALLY. THE BOARD THEN REVIEWS THE FORMS AND ADDRESSES ANY CONFLICTS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHERE IS AN ANNUAL PRESIDENT EVALUATION AND REVIEW COMMITTEE APPOINTED EACH YEAR FROM THE BOARD OF DIRECTORS. ONE MEMBER IS APPOINTED BY THE BOARD CHAIR PERSON, ONE BY THE CEO AND THE OTHER IS ELECTED BY THE BOARD OF DIRECTORS. THE EVALUATION COMMITTEE MAKES SALARY RECOMMENDATIONS TO THE BOARD OF DIRECTORS AS PART OF THEIR REPORT. THE CORPORATE ATTORNEY LOOKS AT COMPARABLE SALARIES AND MAKES A RECOMMENDATION BASED UPON HIS REVIEW OF VARIOUS AVAILABLE INFORMATION AS WELL AS OTHER LIKE ORGANIZATIONS AVAILABLE BY PUBLIC DISCLOSURE REGULATIONS. THE PRESIDENT HAS AN EMPLOYMENT CONTRACT APPROVED BY THE BOARD OF DIRECTORS AND IS UPDATED AND APPROVED ANYTIME THERE ARE ANY CHANGES. AT LEAST ANNUALLY THE CORPORATE ATTORNEY GOES THROUGH THE PRESIDENT'S CONTRACT ITEM BY ITEM TO BE SURE ALL ARE AWARE OF THE TERMS AND CONDITIONS. THE TERM IS USUALLY EVERY THREE YEARS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BOFFICERS SALARIES ARE SET BY THE PRESIDENT AND APPROVED BY THE BOARD OF DIRECTORS EACH YEAR AT THE ANNUAL MEETING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST.