STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

EAST TEXAS COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EAST TEXAS COMMUNITY HEALTH SERVICES INC (EIN 75-2184369)
Tax period
2010-06-01 to 2011-05-31
Filed
2012-03-09
IRS object ID
201200699349300340
Schema version
2010v3.4
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)
Timestamp2012-03-09T15:45:03-06:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOFF & HERRINGTON PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12833 TED TROUT DRIVE SUITE DAddressLine1
CityLUFKINCity
StateTXState
ZIP Code75904ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752184369EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EAST TEXAS COMMUNITY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEASTNameControl
Phone9365605413Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 632040AddressLine1
CityNACOGDOCHESCity
StateTXState
ZIP Code759632040ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBIN MOOREName
TitleEXECUTIVE DIRECTORTitle
Phone9365605413Phone
Date Signed2012-03-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRONNIE HERRINGTON CPAName
Phone9368753317Phone
Date Prepared2012-03-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBIN MOORENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1P O BOX 632040AddressLine1
CityNACOGDOCHESCity
StateTXState
ZIP Code759632040ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4962106GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TACHC.ORG/ETCHSWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionOPERATE A PRIMARY HEALTH CARE CLINIC FOR THE CARE AND TREATMENT OF SICK, INJURED, AFFLICTED, INFIRMED, DISABLED OR DESTITUTE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees72TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2308974ContributionsGrantsPriorYear
Contributions Grants Current Year3409117ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1498908ProgramServiceRevenuePriorYear
Program Service Revenue CY1535195ProgramServiceRevenueCY
Investment Income Prior Year1933InvestmentIncomePriorYear
Investment Income Current Year1985InvestmentIncomeCurrentYear
Other Revenue Prior Year10474OtherRevenuePriorYear
Other Revenue Current Year15809OtherRevenueCurrentYear
Total Revenue Prior Year3820289TotalRevenuePriorYear
Total Revenue Current Year4962106TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2588270SalariesEtcPriorYear
Salaries Etc Current Year3105580SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1210808OtherExpensePriorYear
Other Expenses Current Year1454714OtherExpensesCurrentYear
Total Expenses Prior Year3799078TotalExpensesPriorYear
Total Expenses Current Year4560294TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21211RevenuesLessExpensesPriorYear
Revenues Less Expenses CY401812RevenuesLessExpensesCY
Total Assets BOY2551477TotalAssetsBOY
Total Assets EOY3075198TotalAssetsEOY
Total Liabilities BOY1186591TotalLiabilitiesBOY
Total Liabilities EOY1308500TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1364886NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1766698NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOPERATE A PRIMARY HEALTH CARE CLINIC FOR THE CARE AND TREATMENT OF SICK, INJURED, AFFLICTED, INFIRMED, DISABLED OR DESTITUTE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2235060Expense
Revenue1107220Revenue
DescriptionOPERATION OF CLINICS TO PROVIDE PRIMARY HEALTH CARE SERVICESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense742419Expense
Revenue367785Revenue
DescriptionOPERATION OF A DENTAL CLINICS TO PROVIDE DENTAL SERVICESDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense153414Expense
Revenue75999Revenue
DescriptionOPERATION OF A PHARMACY FOR CLINIC PATIENTSDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense330348Expense
DescriptionOPERATION OF CLINIC PREMISES AND OTHER FACILITIES USED TO PROVIDE PROGRAM SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp330348TotalOfOtherProgramServiceExp
Total Program Service Expense3461241TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees72NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ANITA HUMPHREYSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9365605413TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11401 SOUTH UNIVERSITY DRIVEAddressLine1
CityNACOGDOCHESCity
StateTXState
ZIP Code75961ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
TINA GARRIGAN
BOARD MEMBER0.50X000
DR CHRIS BRAY
VICE CHAIR1.00X000
LARRY NIETO
BOARD MEMBER1.00X000
SHARON COLEMAN
SECRETARY0.50X000
BILLY CORDOVA
BOARD MEMBER0.50X000
REGGIE COTTON
BOARD MEMBER0.50X000
WALTER DEPTULA
BOARD MEMBER0.50X000
BILL HARRISON
BOARD MEMBER0.50X000
JILL GOAD
BOARD MEMBER1.00X000
VELTA PAGE
BOARD MEMBER0.50X000
MICHAEL STEVENSON
CHAIR1.00X000
HENRY SUMMERS
TREASURER0.50X000
RUBEN RODRIGUEZ
BOARD MEMBER1.00X000
ANITA HUMPHREYS
CHIEF FINANCIAL OFFICER40.009137500X
ROBIN MOORE
CHIEF EXECUTIVE DIRECTOR40.0010339000X
DR PENNY JEFFERY
MEDICAL DIRECTOR40.008886800X
TINA COEN
CHIEF NURSING OFFICER40.005576000X
MARILYNN J DENSON
OB PHYSICIAN40.009994600X
JAMES D KOERNER
OB PHYSICIAN40.008135300X
JANICE HENSON
DIRECTOR OF OPERATIONS40.007221000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org194765TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MOORE BUILDING ASSOCIATES INC
PO BOX 153055LUFKINTX75915BUILDING RENOVATION CONTRACTOR437934
BLUE CROSS BLUE SHIELD
PO BOX 731428DALLASTX753731428INSURANCE PROVIDER301864
HENRY SCHEIN INC
DEPT 10241PALATINEIL600550241MEDICAL/DENTAL SUPPLIES115558
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC272162140LAB SERVICES CONTRACTOR115259
WADDELL & REED
PO BOX 29218SHAWNEE MISSIONKS622019050RETIREMENT SERVICES109324
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants3109117GovernmentGrants
All Other Contributions300000AllOtherContributions
Total Contributions3409117TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID621400990084990084
PRIMARY MEDICAL CARE621400545111545111
FieldValueIRS element (for citing)
Total Program Service Revenue1535195TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1985TotalRevenueColumn
Exclusion$1,985ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real6000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column6000TotalRevenueColumn
Related Or Exempt Function Income6000RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINS AND UTILITY REIMBUDescription
Business Code900099BusinessCode
Total Revenue Column9809TotalRevenueColumn
Related Or Exempt Function Income9809RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue9809TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4962106TotalRevenueColumn
Related Or Exempt Function Income1551004RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,985ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total402329Total
Program Services144628ProgramServices
Management And General257701ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2105578Total
Program Services1735324ProgramServices
Management And General370254ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total95648Total
Program Services70092ProgramServices
Management And General25556ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total316483Total
Program Services212278ProgramServices
Management And General104205ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total185542Total
Program Services139084ProgramServices
Management And General46458ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total179193Total
Program Services133366ProgramServices
Management And General45827ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total166632Total
Program Services149129ProgramServices
Management And General17503ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total35552Total
Program Services15684ProgramServices
Management And General19868ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total53401Total
Management And General53401ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total98184Total
Program Services86183ProgramServices
Management And General12001ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total19691Total
Program Services3267ProgramServices
Management And General16424ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTUAL SERVICES30314027427428866
CONSUMABLE SUPPLIES26445024855715893
RECRUITING AND TRAINING16747313905128422
MAINTENANCE937618022513536
DUES AND MEMBERSHIPS34281450729774

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total38956Total
Program Services25592ProgramServices
Management And General13364ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4560294Total
Program Services3461241ProgramServices
Management And General1099053ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3022BOY
EOY379590EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY217244BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY59471BOY
EOY51458EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY508713BOY
EOY549767EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY32249BOY
EOY10186EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY440EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3455668LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1371911LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1727364BOY
EOY2083757EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3414BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2551477BOY
EOY3075198EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY202453BOY
EOY165747EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY862186BOY
EOY998908EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY121952BOY
EOY143845EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1186591BOY
EOY1308500EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1345200BOY
EOY1766698EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19686BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1364886BOY
EOY1766698EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2551477BOY
EOY3075198EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses401812ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1730738CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1906474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2332638CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2308974CurrentTaxYearMinus1Year
Current Tax Year2646147CurrentTaxYear
Total10924971Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1730738CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1906474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2332638CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2308974CurrentTaxYearMinus1Year
Current Tax Year2646147CurrentTaxYear
Total10924971Total
FieldValueIRS element (for citing)
Public Support Total17010924971PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11747CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14136CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13755CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7933CurrentTaxYearMinus1Year
Current Tax Year4843CurrentTaxYear
Total52414Total
FieldValueIRS element (for citing)
Total Support10977385TotalSupport
Gross Receipts From Admissions Etc7178173GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99520PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99400PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis129059OtherCostOrOtherBasis
Book Value129059BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2394036OtherCostOrOtherBasis
Depreciation605004Depreciation
Book Value1789032BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7500OtherCostOrOtherBasis
Depreciation1500Depreciation
Book Value6000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis925073OtherCostOrOtherBasis
Depreciation765407Depreciation
Book Value159666BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2083757TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED LIABILITIESDescription
Amount$143,845Amount
FieldValueIRS element (for citing)
Total Of Amounts143845TotalOfAmounts
Total Revenue4962106TotalRevenue
Total Expenses4560294TotalExpenses
Excess Or Deficit For Year401812ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS401812ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4962106TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4962106RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904962106TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4560294TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4560294ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904560294TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11REVIEWED BY THE EXECUTIVE DIRECTOR AND COMPARED TO THE AUDITED FINANCIAL STATEMENTS. IN THE RARE INSTANCE OF ANY DIFFERENCES, THE EXECUTIVE DIRECTOR REVIEWS WITH THE BOARD.
ANNUAL ASSURANCES IN GRANT APPLICATION AND CONFLICT OF INTEREST STATEMENTS SIGNED ANNUALLY.FORM 990, PART VI, SECTION B, LINE 12C
FOR THE EXECUTIVE DIRECTOR, ANNUAL REVIEW DOCUMENTS ARE COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. EACH MEMBER PREPARES A RATING AND REVIEWS WITH THE ENTIRE BOARD IN EXECUTIVE SESSION. A RECOMMENDATION IS PREPARED BY THE EXECUTIVE COMMITTEE AND PRESENTED TO THE ENTIRE BOARD FOR APPROVAL. FOR OTHER KEY EMPLOYEES COMPENSATION, COMPARABILTY DATA IS REVIEWED.FORM 990, PART VI, SECTION B, LINE 15
AVAILABLE UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19