PEMI-BAKER HOSPICE & HOME HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PEMI-BAKER HOSPICE & HOME HEALTH (EIN 02-0273178)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-06-21
IRS object ID: 201201739349300600
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 B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-06-21T08:21:43-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	020400296	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRAD BORBIDGE PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	197 LOUDON ROAD STE 350	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020273178	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PEMI-BAKER COMMUNITY HEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PEMI	NameControl
Phone	6035362232	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 BOULDER POINT DRIVE NO 3	AddressLine1
City	PLYMOUTH	City
State	NH	State
ZIP Code	03264	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHANDRA ENGELBERT	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	6035362232	Phone
Date Signed	2012-06-21	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DIMITRIOS PANACOPOULOS CPA	Name
PTIN	P01603705	PTIN
Phone	6032240849	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CHANDRA ENGELBERT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	101 BOULDER POINT DRIVE NO 3	AddressLine1
City	PLYMOUTH	City
State	NH	State
ZIP Code	03264	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2207781	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PEMIBAKERHOMEHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1967	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	PEMI-BAKER COMMUNITY HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY PROVIDING EXCELLENCE IN HEALTH CARE SERVICES THROUGH OUTREACH, IN-HOME, AND FACILITY-BASED PROGRAMMING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	44	TotalNbrEmployees
Total Nbr Volunteers	9	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	171762	ContributionsGrantsPriorYear
Contributions Grants Current Year	146888	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1956112	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2026477	ProgramServiceRevenueCY
Investment Income Prior Year	20766	InvestmentIncomePriorYear
Investment Income Current Year	4371	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8652	OtherRevenuePriorYear
Other Revenue Current Year	24223	OtherRevenueCurrentYear
Total Revenue Prior Year	2157292	TotalRevenuePriorYear
Total Revenue Current Year	2201959	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	1524157	SalariesEtcPriorYear
Salaries Etc Current Year	1672920	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	6543	TotalFundrsngExpCurrentYear
Other Expense Prior Year	550649	OtherExpensePriorYear
Other Expenses Current Year	571463	OtherExpensesCurrentYear
Total Expenses Prior Year	2074806	TotalExpensesPriorYear
Total Expenses Current Year	2244383	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	82486	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-42424	RevenuesLessExpensesCY
Total Assets BOY	2319767	TotalAssetsBOY
Total Assets EOY	2229072	TotalAssetsEOY
Total Liabilities BOY	1226046	TotalLiabilitiesBOY
Total Liabilities EOY	1177064	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1093721	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1052008	NetAssetsOrFundBalancesEOY
Mission Description	PEMI-BAKER COMMUNITY HEALTH IS DEDICATED TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY PROVIDING EXCELLENCE IN HEALTH CARE SERVICES THROUGH OUTREACH, IN-HOME, AND FACILITY-BASED PROGRAMMING.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1914623	Expense
Revenue	2026477	Revenue
Description	HEALTH CARE - PROVIDES ACUTE AND PALLIATIVE SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME OR IN A CLINIC SETTING AND PROVIDES AND MAINTAINS COMMUNITY HEALTH THROUGH COUNSELING, DISEASE DETECTION AND HEALTH EDUCATION.	Description
Total Program Service Expense	1914623	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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	1	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	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	1	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
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	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	44	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	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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	NH	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	CHANDRA ENGELBERT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6035362232	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PEMI-BAKER COMMUNITY HEALTH	AddressLine1
City	PLYMOUTH	City
State	NH	State
ZIP Code	03264	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer
PHILIP PRESTON
BOARD OF DIRECTORS	X	0	0	0
DIANE MAHEUX
TREASURER	X	0	0	0
LUKE GLAVEY
BOARD OF DIRECTORS	X	0	0	0
ANNETTE HOLBA
CHAIRPERSON	X	0	0	0
MARCIA MORRIS
BOARD OF DIRECTORS	X	0	0	0
TABITHA COYKENDALL
SECRETARY	X	0	0	0
EVELYN STILLER
BOARD OF DIRECTORS	X	0	0	0
CHARLENE BOULANGER
VICE CHAIRPERSON	X	0	0	0
DANA ARMSTRONG
BOARD OF DIRECTORS	X	0	0	0
REBECCA HELME
BOARD OF DIRECTORS	X	0	0	0
MICHAEL OESCHGER
BOARD OF DIRECTORS	X	0	0	0
CHANDRA ENGELBERT
EXECUTIVE DIRECTOR		85987	0	14234	40.00	X
DIANE SCARBOROUGH
FINANCE MANAGER		73139	0	8513	40.00	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	159126	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	22747	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
Government Grants	89401	GovernmentGrants
All Other Contributions	57487	AllOtherContributions
Total Contributions	146888	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	HEALTH CARE	Description
Business Code	621610	BusinessCode
Total Revenue Column	2026477	TotalRevenueColumn
Related Or Exempt Function Income	2026477	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2026477	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7623	TotalRevenueColumn
Exclusion	$7,623	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	8652	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	8652	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	8652	TotalRevenueColumn
Exclusion	$8,652	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3252	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-3252	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-3252	TotalRevenueColumn
Exclusion	-$3,252	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	18141	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	2570	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	15571	TotalRevenueColumn
Exclusion	$15,571	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2201959	TotalRevenueColumn
Related Or Exempt Function Income	2026477	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$28,594	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	181873	Total
Program Services	12248	ProgramServices
Management And General	169625	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1212977	Total
Program Services	1183813	ProgramServices
Management And General	29164	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	168302	Total
Program Services	146557	ProgramServices
Management And General	21745	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	109768	Total
Program Services	95586	ProgramServices
Management And General	14182	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	24120	Total
Management And General	24120	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	48546	Total
Program Services	31892	ProgramServices
Management And General	16654	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7000	Total
Program Services	6096	ProgramServices
Management And General	904	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	31372	Total
Program Services	27319	ProgramServices
Management And General	4053	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	69723	Total
Program Services	60715	ProgramServices
Management And General	9008	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	49183	Total
Program Services	47315	ProgramServices
Management And General	1868	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	80601	Total
Program Services	70187	ProgramServices
Management And General	10414	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	77690	Total
Program Services	67652	ProgramServices
Management And General	10038	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12297	Total
Program Services	10708	ProgramServices
Management And General	1589	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROGRAM SUPPLIES	77825	77825
OTHER EXPENSES	22607	19686	2921
EQUIPMENT RENTAL/REPAIR	21167	18432	2735
PRINTING AND PUBLICATIO	17911	15597	2314

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	31421	Total
Program Services	22995	ProgramServices
Management And General	1883	ManagementAndGeneral
Fundraising	6543	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2244383	Total
Program Services	1914623	ProgramServices
Management And General	323217	ManagementAndGeneral
Fundraising	6543	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	90500	BOY
EOY	130872	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	49396	BOY
EOY	12500	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	217414	BOY
EOY	189303	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	13045	BOY
EOY	18577	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1873353	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	437834	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1513208	BOY
EOY	1435519	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	223785	BOY
EOY	229164	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	212419	BOY
EOY	213137	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2319767	BOY
EOY	2229072	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	117062	BOY
EOY	113113	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	44859	BOY
EOY	12557	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1064125	BOY
EOY	1051394	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1226046	BOY
EOY	1177064	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	893438	BOY
EOY	851014	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	200283	BOY
EOY	200994	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1093721	BOY
EOY	1052008	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2319767	BOY
EOY	2229072	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-42424	ReconcilationRevenueExpenses
Reconcilation Other Changes	711	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	227941	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	171039	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	168025	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	171762	CurrentTaxYearMinus1Year
Current Tax Year	146888	CurrentTaxYear
Total	885655	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1509016	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1914545	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1778180	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1956112	CurrentTaxYearMinus1Year
Current Tax Year	2026477	CurrentTaxYear
Total	9184330	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1736957	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2085584	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1946205	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2127874	CurrentTaxYearMinus1Year
Current Tax Year	2173365	CurrentTaxYear
Total	10069985	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	10069985	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	33059	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12135	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16097	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13834	CurrentTaxYearMinus1Year
Current Tax Year	16275	CurrentTaxYear
Total	91400	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	33059	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12135	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	16097	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13834	CurrentTaxYearMinus1Year
Current Tax Year	16275	CurrentTaxYear
Total	91400	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1770016	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2097719	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1962302	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2141708	CurrentTaxYearMinus1Year
Current Tax Year	2189640	CurrentTaxYear
Total	10161385	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99100	PublicSupportPercentage509
Prior Year Support Percentage	0.98950	PriorYearSupportPercentage
Investment Income Percentage	0.00900	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01050	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	297143	OtherCostOrOtherBasis
Book Value	297143	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1326393	OtherCostOrOtherBasis
Depreciation	234106	Depreciation
Book Value	1092287	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	249817	OtherCostOrOtherBasis
Depreciation	203728	Depreciation
Book Value	46089	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1435519	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
BENEFICIAL INTEREST IN PERPETUAL TRUST	200994
ASSETS LIMITED AS TO USE	12143

Field	Value	IRS element (for citing)
Total Book Value Other Assets	213137	TotalBookValueOtherAssets
Total Revenue	2201959	TotalRevenue
Total Expenses	2244383	TotalExpenses
Excess Or Deficit For Year	-42424	ExcessOrDeficitForYear
Other	$711	OtherAmount
Total Adjustments	711	TotalAdjustments
Excess Or Deficit Per FS	-41713	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	2201959	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	2201959	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	2201959	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2244383	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	2244383	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	2244383	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

PART XI, LINE 8 - OTHER ADJUSTMENTS:

CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 711.

PART IV, LINE 11F-THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	BRUNCH/AUCTION	NameOfEvent1
Gross Receipts Event1	18141	GrossReceiptsEvent1
Gross Revenue Event1	18141	GrossRevenueEvent1
Rent Facility Costs Event1	2360	RentFacilityCostsEvent1
Other Direct Expenses Event1	210	OtherDirectExpensesEvent1
Gross Receipts Total	18141	GrossReceiptsTotal
Gross Revenue Total Events	18141	GrossRevenueTotalEvents
Rent Facility Costs Total Events	2360	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	210	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	2570	DirectExpenseSummaryEvents
Net Income Summary	15571	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	THE EXECUTIVE DIRECTOR AND FINANCE MANAGER REVIEW THE 990 PRIOR TO GOING TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C	POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER IS ASKED TO SIGN AN AFFIDAVIT ACKNOWLEDGING THEY HAVE READ THE POLICY, UNDERSTAND THE POLICY, AND ARE IN COMPLIANCE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY BOARD OTHER OFFICERS AND KEY EMPLOYEES REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST
FORM 990, PART XI, LINE 5:	CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 711. TOTAL TO FORM 990, PART XI, LINE 5: 711.	CHANGES IN NET ASSETS OR FUND BALANCES: