STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHERN CALIFORNIA CHILDRENS THERAPY CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN CALIFORNIA CHILDRENS THERAPY CENTER (EIN 68-0309705)
Tax period
2011-08-01 to 2012-07-31
Filed
2012-12-14
IRS object ID
201203499349300425
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-12-14T10:26:45-08:00Timestamp
Tax Period End Date2012-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pamela A Mainini CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11105 Kennedy Pl Ste 2AddressLine1
CityDavisCity
StateCAState
ZIP Code95616ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680309705EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN CALIFORNIA CHILDRENSBusinessNameLine1
Business Name Line2THERAPY CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone5306681010Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line196 WEST MAIN STREETAddressLine1
CityWOODLANDCity
StateCAState
ZIP Code95695ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDIANE KAVRELLName
TitlePresidentTitle
Date Signed2012-12-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAMELA A MAININI CPAName
Phone5307583653Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANE KAVRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line196 W MAIN STREETAddressLine1
CityWOODLANDCity
StateCAState
ZIP Code95695ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1301964GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.ctchelpskids.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionNo child should go through life with a disability that could be prevented through early intervention.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees20TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year108984ContributionsGrantsPriorYear
Contributions Grants Current Year112340ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1002540ProgramServiceRevenuePriorYear
Program Service Revenue CY1184959ProgramServiceRevenueCY
Investment Income Prior Year11InvestmentIncomePriorYear
Investment Income Current Year15InvestmentIncomeCurrentYear
Other Revenue Prior Year5475OtherRevenuePriorYear
Other Revenue Current Year4650OtherRevenueCurrentYear
Total Revenue Prior Year1117010TotalRevenuePriorYear
Total Revenue Current Year1301964TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year804811SalariesEtcPriorYear
Salaries Etc Current Year871098SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year85159TotalFundrsngExpCurrentYear
Other Expense Prior Year326134OtherExpensePriorYear
Other Expenses Current Year369432OtherExpensesCurrentYear
Total Expenses Prior Year1130945TotalExpensesPriorYear
Total Expenses Current Year1240530TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-13935RevenuesLessExpensesPriorYear
Revenues Less Expenses CY61434RevenuesLessExpensesCY
Total Assets BOY309896TotalAssetsBOY
Total Assets EOY372620TotalAssetsEOY
Total Liabilities BOY19412TotalLiabilitiesBOY
Total Liabilities EOY20702TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY290484NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY351918NetAssetsOrFundBalancesEOY
Mission DescriptionNo child should go through life with a disability that could be prevented through early intervention.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense701440Expense
Revenue754226Revenue
DescriptionINFANT PROGRAM - EARLY IDENTIFICATION AND TREATMENT PROGRAMS PROVIDE THERAPY TO INFANTS AT RISK DUE TO PREMATURITY, LOW BIRTH WEIGHT, MUSCULAR PROBLEMS, CEREBRAL PALSY, DELAYED DEVELOPMENT, A NUMBER OF BIRTH DEFECTS AND VAROIUS OTHER TYPES OF DISABILITIES. THE CENTER IS CURRENTLY TREATING 146 CHILDREN IN ITS INFANT PROGRAM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense400358Expense
Revenue430733Revenue
DescriptionOLDER CHILDREN SERVICES - AS CHILDREN LEAVE INFANCY AND ENTER PRESCHOOL AND SCHOOL AGE THE CENTER PROVIDES ONGOING SUPPORT FOR THE FAMILIES AND THE LOCAL EDUCATORS TO PROVIDE THE CHILD WITH A WELL ROUNDED CONSISTENT TREATMENT PROGRAM. THE CENTER OFFERS PARENT WORKSHOPS, PROVIDES ASSISTANCE AND EDUCATION TO TEACHERS IN THE CLASSROOMS AND HELPS TO COORDINATE APPROPRIATE GOALS FOR EACH CHILD AS THEY GROW. THE CENTER CURRENTLY HAS 45 OLDER CHILDREN IN THIS PROGRAM.Description
FieldValueIRS element (for citing)
Total Program Service Expense1101798TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 LiabilitiesfalseReportOtherLiabilities
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees20NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISTINA MICHEL-ALBERSNamePerson
Telephone Number5306681010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line196 W MAIN STREETAddressLine1
CityWOODLANDCity
StateCAState
ZIP Code95695ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CHRISTINA MICHEL-ALBERS
Executive Direc40.00X11498100
GRACE DEMASI
Secretary2.00X000X
BRANDON KAVRELL
Vice President2.00X000X
ERIC STROMBURG
Director2.00X000
ALYSA MEYER
Director2.00X000
DYKE MUNDY
Treasurer2.00X000X
MARIAN MILLSTONE
Director2.00X000
DIANE KAVRELL
President2.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org114981TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events45750FundraisingEvents
Government Grants5297GovernmentGrants
All Other Contributions61293AllOtherContributions
Total Contributions112340TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE FEESDescription
Total Revenue Column1184959TotalRevenueColumn
Related Or Exempt Function Income1184959RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1184959TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15TotalRevenueColumn
Exclusion$15ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events4650GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events45750CntrbtnsRprtdFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column4650TotalRevenueColumn
Exclusion$4,650ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1301964TotalRevenueColumn
Related Or Exempt Function Income1184959RelatedOrExemptFunctionIncome
Exclusion$4,665ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total114981Total
Program Services45992ProgramServices
Management And General25871ManagementAndGeneral
Fundraising43118Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total638192Total
Program Services630535ProgramServices
Management And General7555ManagementAndGeneral
Fundraising102Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56183Total
Program Services50465ProgramServices
Management And General2494ManagementAndGeneral
Fundraising3224Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total61742Total
Program Services55459ProgramServices
Management And General2740ManagementAndGeneral
Fundraising3543Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6749Total
Management And General6749ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total459Total
Fundraising459Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7655Total
Program Services6876ProgramServices
Management And General340ManagementAndGeneral
Fundraising439Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total660Total
Program Services592ProgramServices
Management And General30ManagementAndGeneral
Fundraising38Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total22272Total
Program Services20006ProgramServices
Management And General988ManagementAndGeneral
Fundraising1278Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total28514Total
Program Services28514ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3225Total
Program Services2897ProgramServices
Management And General143ManagementAndGeneral
Fundraising185Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5401Total
Program Services4851ProgramServices
Management And General240ManagementAndGeneral
Fundraising310Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
UTILITIES56545079251324
TELEPHONE103629307460595
SUPPLIES463061698429322
REPAIR/MAINTENANCE47824295213274
FEE DISCOUNTS212761212761

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14632Total
Program Services7185ProgramServices
Management And General5499ManagementAndGeneral
Fundraising1948Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1240530Total
Program Services1101798ProgramServices
Management And General53573ManagementAndGeneral
Fundraising85159Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY96791BOY
EOY76559EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY79752BOY
EOY137428EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY13750BOY
EOY13750EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY93960BOY
EOY121390EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY121BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7578BOY
EOY8774EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65203LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50484LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17944BOY
EOY14719EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY309896BOY
EOY372620EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19412BOY
EOY20702EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19412BOY
EOY20702EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY290484BOY
EOY351918EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY290484BOY
EOY351918EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY309896BOY
EOY372620EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses61434ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years184910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years135744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108984CurrentTaxYearMinus1Year
Current Tax Year112340CurrentTaxYear
Total649949Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years883430CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1149692CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years940972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1002540CurrentTaxYearMinus1Year
Current Tax Year1184959CurrentTaxYear
Total5161593Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years991401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1334602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1076716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1111524CurrentTaxYearMinus1Year
Current Tax Year1297299CurrentTaxYear
Total5811542Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years11529CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14163CurrentTaxYearMinus2Years
Total25692Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years11529CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14163CurrentTaxYearMinus2Years
Total25692Total
FieldValueIRS element (for citing)
Public Support Total5095785850PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11CurrentTaxYearMinus1Year
Current Tax Year15CurrentTaxYear
Total2741Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11CurrentTaxYearMinus1Year
Current Tax Year15CurrentTaxYear
Total2741Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7575CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7008CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5475CurrentTaxYearMinus1Year
Current Tax Year4650CurrentTaxYear
Total36708Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1001178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1347106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1083733CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1117010CurrentTaxYearMinus1Year
Current Tax Year1301964CurrentTaxYear
Total5850991Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98890PublicSupportPercentage509
Prior Year Support Percentage0.98640PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24476OtherCostOrOtherBasis
Depreciation15095Depreciation
Book Value9381BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13467OtherCostOrOtherBasis
Depreciation13467Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27260OtherCostOrOtherBasis
Depreciation21922Depreciation
Book Value5338BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14719TotalOfBookValueLandBuildings
Total Revenue1301964TotalRevenue
Total Expenses1240530TotalExpenses
Excess Or Deficit For Year61434ExcessOrDeficitForYear
Excess Or Deficit Per FS61434ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1089203TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1089203RevenueSubtotal
Other Revenues Not Included212761OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt212761RevenueNotRptdOnFinStmt
Total Revenue Per Form9901301964TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1027769TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1027769ExpensesSubtotal
Other Expenses Not Included212761OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt212761ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901240530TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SPATIENT DISCOUNTS $212761
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SPATIENT DISCOUNTS $212761

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER/AUCTIONNameOfEvent1
Gross Receipts Event150400GrossReceiptsEvent1
Charitable Contributions Event145750CharitableContributionsEvent1
Gross Revenue Event14650GrossRevenueEvent1
Gross Receipts Total50400GrossReceiptsTotal
Charitable Contributions Total45750CharitableContributionsTotal
Gross Revenue Total Events4650GrossRevenueTotalEvents
Net Income Summary4650NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCOPIES ARE KEPT AT THE MAIN OFFICE AND ARE AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSTATISTICS FOR COMPARABLE POSITIONS ARE REVIEWED WITH A PERSONNEL COMMITTEE PRIOR TO MAKING SALARY DECISIONS.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST WHEN RECRUITED AND ARE EXPECTED TO RECUSE THEMSELVES FROM ANY DISCUSSION OR VOTES WHEN A CONFLICT OF INTEREST IS PRESENT.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessTHE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD PRESIDENT. THE FORM 8879EO IS REQUIRED TO BE SIGNED BY THE BOARD PRESIDENT BEFORE FILING THE FORM 990.