NORTHWEST GEORGIA REGIONAL CANCER COALITION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: NORTHWEST GEORGIA REGIONAL CANCER COALITION INC (EIN 02-0657616)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-05-14
IRS object ID: 201211359349304616
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T14:31:58-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	542079099	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WHITTINGTON JONES & RUDERT CPAS PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1264	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301621264	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	020657616	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWEST GEORGIA REGIONAL CANCER COALITION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORT	NameControl
Phone	7062956048	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	96 EAST CALLAHAN ST NO 479-01	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301615473	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GENE AGNEW	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7062956048	Phone
Date Signed	2012-05-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LISA MCWHORTER	Name
PTIN	P01044722	PTIN
Phone	7062347571	Phone
Date Prepared	2012-05-09	DatePrepared

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	GENE AGNEW	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	96 EAST CALLAHAN ST NO 479-01	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	301615473	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	315956	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.NWGACANCER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE CANCER AWARENESS AND EDUCATION AND THE QUALITY AND AVAILABILITY OF CANCER CARE FOR THOSE RESIDING IN AND AROUND NORTHWEST GEORGIA THROUGH THE PROVISION OF PROGRAMS AND SERVICES. SPECIFIC GOALS OF THESE PROGRAMS AND SERVICES INCLUDE DEVELOPMENT OF THE CANCER CARE PROVIDER WORK FORCE, SERVING THE MEDICALLY UNDERSERVED AND CREATING A CONTINUM OF CANCER CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	1	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	37500	ContributionsGrantsPriorYear
Contributions Grants Current Year	54505	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	359600	ProgramServiceRevenuePriorYear
Program Service Revenue CY	258720	ProgramServiceRevenueCY
Investment Income Prior Year	7561	InvestmentIncomePriorYear
Investment Income Current Year	2731	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	404661	TotalRevenuePriorYear
Total Revenue Current Year	315956	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	110877	SalariesEtcPriorYear
Salaries Etc Current Year	94644	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	278551	OtherExpensePriorYear
Other Expenses Current Year	381791	OtherExpensesCurrentYear
Total Expenses Prior Year	389428	TotalExpensesPriorYear
Total Expenses Current Year	476435	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15233	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-160479	RevenuesLessExpensesCY
Total Assets BOY	575086	TotalAssetsBOY
Total Assets EOY	414755	TotalAssetsEOY
Total Liabilities BOY	67536	TotalLiabilitiesBOY
Total Liabilities EOY	67684	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	507550	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	347071	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO IMPROVE CANCER AWARENESS AND EDUCATION AND THE QUALITY AND AVAILABILITY OF CANCER CARE FOR THOSE RESIDING IN AND AROUND NORTHWEST GEORGIA THROUGH THE PROVISION OF PROGRAMS AND SERVICES. SPECIFIC GOALS FO THESE PROGRAMS AND SERVICES INCLUDE DEVELOPMENT OF THE CANCER CARE PROVIDER WORK FORCE, SERVING THE MEDICALLY UNDERSERVED AND CREATING A CONTINUM OF CANCER CARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Revenue	0	Revenue
Description	GORDON HOSPITAL COLOSSAL COLON EVENT PROGRAM	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	25506	Expense
Revenue	0	Revenue
Description	REGIONAL BIO-RESPOSITORY PROGRAM EXPENSE	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	23263	Expense
Revenue	0	Revenue
Description	SCREENING PROGRAM EXPENSE	Description

Activity Other ActivityOther (12 entries)

ExpenseExpense	RevenueRevenue	DescriptionDescription
7664	0	CERVICAL CANCER EDUCATION
47778	0	PROMOTORA DE SALUD
45536	0	CHATTOOGA COUNTY PROGRAM EXPENSE
27578	0	POLK COUNTY TOBACCO PROJECT
23000	0	PALLIATIVE CANCER CARE SUMMIT EXPENSE
12602	0	CERVICAL/PROSTATE AWARENESS PROGRAM EXPENSE
12400	0	COMMUNITY HEALTH ADVISOR PROGRAM EXPENSE
32892	0	CANCER NAVIGATORS PROGRAM
1775	0	COMMUNICATIONS COMMITTEE
47637	0	BREAST CANCER SCREENING FUND
4561	0	DHR COLORECTAL/PROSTATE AWARENESS PROGRAM
37981	0	MEMBER ALLOCATION FOR CANCER ACTIVITES

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	301404	TotalOfOtherProgramServiceExp
Total Program Service Expense	350173	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	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
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	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1	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	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	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	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	0	ConflictOfInterestPolicy
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	GENA AGNEW	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7062956048	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	96 CALLAHAN STREET SUITE 479-01	AddressLine1
City	ROME	City
State	GA	State
ZIP Code	30161	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
GENA AGNEW
EXEC DIR.	40.00	X	X	94644	0	0
MATT MUMBER
NON-VOTING MEMBER	1.00	X		0	0	0
PETE WEBER
VICE-CHAIRMAN	1.00	X		0	0	0
SANDY MCKENZIE
CHAIRMAN	1.00	X		0	0	0
DAN SWEITZER
TREASURER	1.00	X		0	0	0
BILL MCKAY
DIRECTOR	1.00	X		0	0	0
AMY JORDAN
DIRECTOR	1.00	X		0	0	0
DANNY SMITH
DIRECTOR	1.00	X		0	0	0
JC ABDOU
DIRECTOR	1.00	X		0	0	0
ERIC TURNER
DIRECTOR	1.00	X		0	0	0
SAM NAGUIB
DIRECTOR	1.00	X		0	0	0
CHARLES STEWART
SECRETARY	1.00	X		0	0	0
ERIC GARRARD
DIRECTOR	1.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	94644	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	54505	AllOtherContributions
Total Contributions	54505	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DEPARTMENT OF COMMUNIT	624100	189360	189360
FLOYD BOA PPLK TOBACCO	624100	25000	25000
GCC BRAG -ONC	624100	20000	20000
CONTRIBUTIONS	624100	13360	13360
FLOYD BOA TOBACCO GRAN	624100	6000	6000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5000	TotalRevenueColumn
Related Or Exempt Function Income	5000	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	258720	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2731	TotalRevenueColumn
Related Or Exempt Function Income	2731	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	315956	TotalRevenueColumn
Related Or Exempt Function Income	261451	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	94644	Total
Management And General	94644	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4000	Total
Management And General	4000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	150	Total
Management And General	150	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3588	Total
Management And General	3588	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9456	Total
Management And General	9456	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	7001	Total
Management And General	7001	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	389	Total
Management And General	389	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2550	Total
Management And General	2550	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
PROMOTORA DE SALUD	47778	47778
BREAST CANCER SCREENING	47637	47637
CHATTOOGA COUNTY PROGRA	45536	45536
MEMBER ALLOCATION FOR C	37981	37981

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	175725	Total
Program Services	171241	ProgramServices
Management And General	4484	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	476435	Total
Program Services	350173	ProgramServices
Management And General	126262	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	518886	BOY
EOY	401944	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	53000	BOY
EOY	10000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	15108	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	12297	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3200	BOY
EOY	2811	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	575086	BOY
EOY	414755	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	62536	BOY
EOY	27203	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	7500	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	32981	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	67536	BOY
EOY	67684	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-341700	BOY
EOY	-410726	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	849250	BOY
EOY	757797	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	507550	BOY
EOY	347071	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	575086	BOY
EOY	414755	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-160479	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	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	434360	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	436460	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	371860	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	397100	CurrentTaxYearMinus1Year
Current Tax Year	313225	CurrentTaxYear
Total	1953005	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	434360	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	436460	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	371860	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	397100	CurrentTaxYearMinus1Year
Current Tax Year	313225	CurrentTaxYear
Total	1953005	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	1953005	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8312	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	11474	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10305	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7561	CurrentTaxYearMinus1Year
Current Tax Year	2731	CurrentTaxYear
Total	40383	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8312	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	11474	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10305	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7561	CurrentTaxYearMinus1Year
Current Tax Year	2731	CurrentTaxYear
Total	40383	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2031	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	488	CurrentTaxYearMinus3Years
Total	2519	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	444703	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	448422	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	382165	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	404661	CurrentTaxYearMinus1Year
Current Tax Year	315956	CurrentTaxYear
Total	1995907	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97850	PublicSupportPercentage509
Prior Year Support Percentage	0.97800	PriorYearSupportPercentage
Investment Income Percentage	0.02020	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.02080	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

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12389	OtherCostOrOtherBasis
Depreciation	11980	Depreciation
Book Value	409	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2719	OtherCostOrOtherBasis
Depreciation	317	Depreciation
Book Value	2402	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2811	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	MEMBER ACTIVITY ALLOCATIONS	Description
Amount	$32,981	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	32981	TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 8B	A COPY OF THE RETURN IS AVAILABLE UPON REQUEST
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE RETURN IS AVAILABLE FOR ALL GOVERNING BODY MEMEBERS TO REVIEW
FORM 990, PART VI, SECTION C, LINE 19	ALL INFORMATION IS AVAILABLE UPON REQUEST
FORM 990, PART X, LINE 24E	CANCER CARE NURSE NAVIGATOR: PROGRAM SERVICE EXPENSES 32892. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32892. POLK COUNTY TOBACCO PROJECT: PROGRAM SERVICE EXPENSES 27578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27578. REGIONAL BIO-RESPOSITORY: PROGRAM SERVICE EXPENSES 25506. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25506. REGIONAL COLORECTAL SCREENING: PROGRAM SERVICE EXPENSES 23263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23263. PALLIATIVE CANCER CARE SUMMIT PROGRAM: PROGRAM SERVICE EXPENSES 23000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23000. CERVICAL/PROSTATE AWARENESS PROGRAM: PROGRAM SERVICE EXPENSES 12602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12602. COMMUNITY HEALTH ADVISOR: PROGRAM SERVICE EXPENSES 12400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12400. CERVICAL CANCER EDUCATION: PROGRAM SERVICE EXPENSES 7664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7664. DHR COLORECTAL/PROSTATE AWARENESS PROGRAM: PROGRAM SERVICE EXPENSES 4561. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4561. COMMUNICATIONS COMMITTEE: PROGRAM SERVICE EXPENSES 1775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1775. MEALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1301. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1301. MARKETING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 912. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 912. CONFERENCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 710. TELEPHONE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 498. PRINTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 377. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 377. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 131. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 129. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126.	ALL OTHER FUNCTIONAL EXPENSES