DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC (EIN 55-0730654)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-03-06
IRS object ID: 201220669349300842
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	2012-03-06T13:37:40-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	550521993	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TOOTHMAN RICE PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 908	AddressLine1
City	BRIDGEPORT	City
State	WV	State
ZIP Code	26330	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	550730654	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DIGNITY HOSPICE OF SOUTHERN WV INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DIGN	NameControl
Phone	3048554764	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565	AddressLine1
City	CHAPMANVILLE	City
State	WV	State
ZIP Code	25508	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DENNIS R LEWIS	Name
Title	PRESIDENT	Title
Phone	3048554764	Phone
Date Signed	2012-03-06	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00089711	PTIN
Phone	3046245471	Phone
Date Prepared	2012-03-06	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	DENNIS R LEWIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565	AddressLine1
City	CHAPMANVILLE	City
State	WV	State
ZIP Code	25508	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2532946	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DIGNITYHOSPICE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	WV	StateLegalDomicile
Activity Or Mission Description	DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	70	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	23522	TotalGrossUBI
Net Unrelated Business Txbl Income	-881	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	69972	ContributionsGrantsPriorYear
Contributions Grants Current Year	54130	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3373678	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2451817	ProgramServiceRevenueCY
Investment Income Prior Year	3129	InvestmentIncomePriorYear
Investment Income Current Year	216	InvestmentIncomeCurrentYear
Other Revenue Prior Year	18140	OtherRevenuePriorYear
Other Revenue Current Year	26783	OtherRevenueCurrentYear
Total Revenue Prior Year	3464919	TotalRevenuePriorYear
Total Revenue Current Year	2532946	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	1319368	SalariesEtcPriorYear
Salaries Etc Current Year	1510036	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	4482	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1792567	OtherExpensePriorYear
Other Expenses Current Year	1168311	OtherExpensesCurrentYear
Total Expenses Prior Year	3111935	TotalExpensesPriorYear
Total Expenses Current Year	2678347	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	352984	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-145401	RevenuesLessExpensesCY
Total Assets BOY	2088912	TotalAssetsBOY
Total Assets EOY	2037985	TotalAssetsEOY
Total Liabilities BOY	853775	TotalLiabilitiesBOY
Total Liabilities EOY	948249	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1235137	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1089736	NetAssetsOrFundBalancesEOY
Mission Description	DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2180994	Expense
Revenue	2455294	Revenue
Description	THE HOSPICE PROVIDED CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS, 17,500 UNITS OF SERVICE, PROVIDED COMMUNITY EDUCATION, AND PROVIDED CHARITY CARE INCLUDING MEDICAL SUPPLIES	Description
Total Program Service Expense	2180994	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	0	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	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	70	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	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	WV	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS LEWIS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3048554764	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565 MAIN STREET	AddressLine1
City	CHAPMANVILLE	City
State	WV	State
ZIP Code	25508	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
KENT BOWKER
BOARDMEMBER	1.00	X	0	0	0
STEPHEN NICHOLS
BOARDMEMBER	1.00	X	0	0	0
JAMES GREG DALTON
BOARDMEMBER	1.00	X	0	0	0
NANCY GODBY
BOARDMEMBER	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	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	54130	AllOtherContributions
Total Contributions	54130	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENU	Description
Business Code	621610	BusinessCode
Total Revenue Column	2451817	TotalRevenueColumn
Related Or Exempt Function Income	2451817	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2451817	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	216	TotalRevenueColumn
Related Or Exempt Function Income	216	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	23522	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	23522	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	23522	TotalRevenueColumn
Unrelated Business Revenue	23522	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Business Code	621610	BusinessCode
Total Revenue Column	3261	TotalRevenueColumn
Related Or Exempt Function Income	3261	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	3261	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2532946	TotalRevenueColumn
Related Or Exempt Function Income	2455294	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	23522	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1159249	Total
Program Services	930877	ProgramServices
Management And General	228372	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8249	Total
Program Services	6624	ProgramServices
Management And General	1625	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	238831	Total
Program Services	191781	ProgramServices
Management And General	47050	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	103707	Total
Program Services	83277	ProgramServices
Management And General	20430	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	10046	Total
Management And General	10046	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	18523	Total
Management And General	18523	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	672436	Total
Program Services	672436	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	87298	Total
Program Services	30249	ProgramServices
Management And General	52567	ManagementAndGeneral
Fundraising	4482	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6597	Total
Program Services	2330	ProgramServices
Management And General	4267	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	108873	Total
Program Services	59880	ProgramServices
Management And General	48993	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	162702	Total
Program Services	136924	ProgramServices
Management And General	25778	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	45024	Total
Program Services	22512	ProgramServices
Management And General	22512	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20762	Total
Program Services	10381	ProgramServices
Management And General	10381	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	36050	Total
Program Services	33723	ProgramServices
Management And General	2327	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2678347	Total
Program Services	2180994	ProgramServices
Management And General	492871	ManagementAndGeneral
Fundraising	4482	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	40938	BOY
EOY	15805	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	223734	BOY
EOY	227029	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	812660	BOY
EOY	815219	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	20980	BOY
EOY	8393	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1345739	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	374200	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	990600	BOY
EOY	971539	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2088912	BOY
EOY	2037985	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	191243	BOY
EOY	324750	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	662532	BOY
EOY	623499	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	853775	BOY
EOY	948249	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

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

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

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

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	1235137	BOY
EOY	1089736	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1235137	BOY
EOY	1089736	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2088912	BOY
EOY	2037985	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-145401	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	1	AccountantCompileOrReview
FS Audited	0	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	47165	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	114645	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	52793	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	69972	CurrentTaxYearMinus1Year
Current Tax Year	57391	CurrentTaxYear
Total	341966	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2277783	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2614123	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3094785	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3198293	CurrentTaxYearMinus1Year
Current Tax Year	2449258	CurrentTaxYear
Total	13634242	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2324948	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2728768	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3147578	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3268265	CurrentTaxYearMinus1Year
Current Tax Year	2506649	CurrentTaxYear
Total	13976208	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	13976208	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	31791	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	54499	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	20355	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21270	CurrentTaxYearMinus1Year
Current Tax Year	23522	CurrentTaxYear
Total	151437	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	31791	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	54499	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	20355	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21270	CurrentTaxYearMinus1Year
Current Tax Year	23522	CurrentTaxYear
Total	151437	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2356739	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2783267	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3167933	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3289535	CurrentTaxYearMinus1Year
Current Tax Year	2530171	CurrentTaxYear
Total	14127645	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98930	PublicSupportPercentage509
Prior Year Support Percentage	0.98860	PriorYearSupportPercentage
Investment Income Percentage	0.01070	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01140	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	731000	OtherCostOrOtherBasis
Book Value	731000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	346053	OtherCostOrOtherBasis
Depreciation	117876	Depreciation
Book Value	228177	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	268686	OtherCostOrOtherBasis
Depreciation	256324	Depreciation
Book Value	12362	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	971539	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION RECEIVES ITS FORM 990 PRIOR TO ITS BOARD MEETING AND THE REPORT IS DISCUSSED AT THAT MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.
FORM 990, PART VI, SECTION B, LINE 15	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 C, LINE 19	THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE AT ITS MAIN OFFICE FOR ANY INDIVIDUALS THAT ARE INTERESTED IN SEEING THEM AND MAKES A REQUEST.