STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MILAN PUSKAR HEALTH RIGHT INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MILAN PUSKAR HEALTH RIGHT INC (EIN 31-1118673)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-03
IRS object ID
201220639349300217
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)
Timestamp2012-03-03T09:03:05-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TOOTHMAN RICE PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 908AddressLine1
CityBRIDGEPORTCity
StateWVState
ZIP Code26330ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311118673EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MILAN PUSKAR HEALTH RIGHT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMILANameControl
Phone3042925702Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1341 SPRUCE STREETAddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071519ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURA JONESName
TitleEXECUTIVE DIRECTORTitle
Phone3042925702Phone
Date Signed2012-03-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM J BEHRENSName
Phone3046245471Phone
Date Prepared2012-03-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAURA JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1341 SPRUCE STREETAddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071519ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16786810GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MPHEALTHRIGHT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PRIMARY CARE SERVICES AT NO COST TO UNISURED AND UNDERINSURED LOW INCOME RESIDENTS OF WEST VIRGINIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members26NbrIndependentVotingMembers
Total Nbr Employees25TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13213086ContributionsGrantsPriorYear
Contributions Grants Current Year16765723ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28178ProgramServiceRevenuePriorYear
Program Service Revenue CY18716ProgramServiceRevenueCY
Investment Income Prior Year4716InvestmentIncomePriorYear
Investment Income Current Year2371InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13245980TotalRevenuePriorYear
Total Revenue Current Year16786810TotalRevenueCurrentYear
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 Year728535SalariesEtcPriorYear
Salaries Etc Current Year786792SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9380TotalFundrsngExpCurrentYear
Other Expense Prior Year12539123OtherExpensePriorYear
Other Expenses Current Year16071543OtherExpensesCurrentYear
Total Expenses Prior Year13267658TotalExpensesPriorYear
Total Expenses Current Year16858335TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-21678RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-71525RevenuesLessExpensesCY
Total Assets BOY1629042TotalAssetsBOY
Total Assets EOY1508022TotalAssetsEOY
Total Liabilities BOY100320TotalLiabilitiesBOY
Total Liabilities EOY50825TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1528722NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1457197NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE PRIMARY CARE SERVICES AT NO COST TO UNISURED AND UNDERINSURED LOW INCOME RESIDENTS OF WEST VIRGINIA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16642764Expense
Revenue21087Revenue
DescriptionTHE ORGANIZATION PROVIDES MEDICAL CARE TO THE PATIENTS IN NORTH CENTRAL WEST VIRGINIA. THE ORGANIZATION ALSO PROVIDES PRESCRIPTION, MEDICAL SUPPLIES AND SOCIAL SERVICES FREE OF CHARGE. ALL PATIENTS ARE INDIGENT.Description
Total Program Service Expense16642764TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Contributions1DeductibleNonCashContributions
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 With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees25NumberOfEmployees
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 Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members26NumberIndependentVotingMembers
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
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3042925702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1341 SPRUCE STREETAddressLine1
CityMORGANTOWNCity
StateWVState
ZIP Code265071519ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
SHELLY DUNCAN
BOARD MEMBER1.00X000
GEORGE RECORD
BOARD MEMBER1.00X000
JULIA CHICO
BOARD MEMBER1.00X000
ROBERT SCHREIBER
PRESIDENT1.00X000
MARGARET KEARNEY
BOARD MEMBER1.00X000
CHARLENE MARSHALL
BOARD MEMBER1.00X000
JOHN CAMPBELL
BOARD MEMBER1.00X000
JERRY YOHO
BOARD MEMBER1.00X000
LISA MOHERMAN
SECRETARY4.00X000
DAVE FLYNN
BOARD MEMBER1.00X000
REBECCA BURTON
BOARD MEMBER1.00X000
MIKE MORRIS
TREASURER1.00X000
E JANE MARTIN
BOARD MEMBER1.00X000
JUDE MILLER
BOARD MEMBER1.00X000
CINDY HEISKELL
BOARD MEMBER1.00X000
BILL MCCUTCHEON
BOARD MEMBER1.00X000
FRANK VITALE
BOARD MEMBER1.00X000
JULIA MURCOCH
BOARD MEMBER1.00X000
SHERRY SIMMONS
BOARD MEMBER1.00X000
MARY LYNNE WITHROW
BOARD MEMBER1.00X000
VICKI CUMMINGS
BOARD MEMBER1.00X000
KAREN FITZPATRICK
BOARD MEMBER1.00X000
TERESA TURNER
BOARD MEMBER1.00X000
STEVE TANCIN
BOARD MEMBER1.00X000
DOUGLAS LEECH
BOARD MEMBER1.00X000
MELANIE FISHER
BOARD MEMBER1.00X000
DENISE KNOEBEL
VICE PRESIDENT4.00X000
ROBERT D'ALESSANDRI
BOARD MEMBER1.00X000
LAURA JONES
EXECUTIVE DIRECTOR40.006282700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns132990FederatedCampaigns
Government Grants757018GovernmentGrants
All Other Contributions15875715AllOtherContributions
Noncash Contributions15639557NoncashContributions
Total Contributions16765723TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column18716TotalRevenueColumn
Related Or Exempt Function Income18716RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18716TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2371TotalRevenueColumn
Related Or Exempt Function Income2371RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16786810TotalRevenueColumn
Related Or Exempt Function Income21087RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total669804Total
Program Services563426ProgramServices
Management And General106378ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56541Total
Program Services47561ProgramServices
Management And General8980ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total60447Total
Program Services50847ProgramServices
Management And General9600ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3500Total
Management And General3500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total133110Total
Program Services131799ProgramServices
Management And General1311ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15800897Total
Program Services15768142ProgramServices
Management And General23375ManagementAndGeneral
Fundraising9380Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11063Total
Program Services5978ProgramServices
Management And General5085ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total55779Total
Program Services30234ProgramServices
Management And General25545ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5180Total
Program Services5180ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41382Total
Program Services20691ProgramServices
Management And General20691ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total20632Total
Program Services18906ProgramServices
Management And General1726ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16858335Total
Program Services16642764ProgramServices
Management And General206191ManagementAndGeneral
Fundraising9380Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY210028BOY
EOY141420EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY467994BOY
EOY430365EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY86543BOY
EOY106810EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7252BOY
EOY8654EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1177880LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec357107LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY857225BOY
EOY820773EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1629042BOY
EOY1508022EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY100320BOY
EOY50825EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY100320BOY
EOY50825EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1367889BOY
EOY1296364EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY62500BOY
EOY62500EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY98333BOY
EOY98333EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1528722BOY
EOY1457197EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1629042BOY
EOY1508022EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-71525ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years933669CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years997709CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1215892CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year763116CurrentTaxYearMinus1Year
Current Tax Year1105899CurrentTaxYear
Total5016285Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51636CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40328CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23832CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28178CurrentTaxYearMinus1Year
Current Tax Year18716CurrentTaxYear
Total162690Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years985305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1038037CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1239724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year791294CurrentTaxYearMinus1Year
Current Tax Year1124615CurrentTaxYear
Total5178975Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5095178975PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12976CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5269CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4716CurrentTaxYearMinus1Year
Current Tax Year2371CurrentTaxYear
Total32823Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12976CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5269CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4716CurrentTaxYearMinus1Year
Current Tax Year2371CurrentTaxYear
Total32823Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1186CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2599CurrentTaxYearMinus2Years
Total3853Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years992864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1052199CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1247592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year796010CurrentTaxYearMinus1Year
Current Tax Year1126986CurrentTaxYear
Total5215651Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99300PublicSupportPercentage509
Prior Year Support Percentage0.99680PriorYearSupportPercentage
Investment Income Percentage0.00630InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00280PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis60000OtherCostOrOtherBasis
Book Value60000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis918300OtherCostOrOtherBasis
Depreciation188747Depreciation
Book Value729553BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis199580OtherCostOrOtherBasis
Depreciation168360Depreciation
Book Value31220BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings820773TotalOfBookValueLandBuildings
Total Revenue16786810TotalRevenue
Total Expenses16858335TotalExpenses
Excess Or Deficit For Year-71525ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-71525ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16786810TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal16786810RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016786810TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16858335TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16858335ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016858335TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE COMPANY DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS.Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions13NumberOfContributions
Noncash Contribs Rptd F99012163788NoncashContribsRptdF990
Method Of Determining RevenuesAWP AND MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11DURING THE IRS'S DEVELOPMENT OF THIS FORM, THE AICPA SUGGESTED THAT COMPLIANCE AND FIDUCIARY DUTIES WOULD BE BEST MET IF A NON-PROFIT BOARD OF DIRECTORS, AUDIT COMMITTEE OR OTHER APPROPRIATE COMMITTEE RECEIVED CONFIRMATION FROM THE PARTY OR PARTIES RESPONSIBLE FOR FILING THE TAX RETURN THAT IT HAD BEEN PREPARED BY A QUALIFIED PERSON(S) OR FIRM AND HAD BEEN FILED IN A TIMELY MANNER, RATHER THAN REVIEWING THE FORM IN LINE-BY-LINE DETAIL WITH MANAGEMENT. WE ARE CONCERNED THAT THE VAST MAJORITY OF NON-PROFIT BOARD MEMBERS ARE NOT IN A POSITION TO REVIEW A FORM 990 AND FURTHER WILL BE CONCERNED TO DO SO AS TO WHAT THAT MAY IMPLY ABOUT COMPLIANCE. MOST NON-PROFITS HIRE CPA FIRMS OR OTHER TAX PROFESSIONALS TO PREPARE FORMS 990 AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD OR AUDIT COMMITTEE'S ROLE THEN IS TO EVALUATE THE COMPETENCY OF THE PERSON(S) OR FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THESE STEPS WITH OUR BOARD.
ANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19