MIDTOWN HEALTH CENTER INC: Form 990, tax year 2010
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- Organization
- MIDTOWN HEALTH CENTER INC (EIN 47-0833378)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-03-26
- IRS object ID
- 201220869349300312
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-26T11:15:40-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Christensen Brozek Faltys PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1264 | AddressLine1 |
| City | Norfolk | City |
| State | NE | State |
| ZIP Code | 68702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470833378 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norfolk Community Health Care Clinic In | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORF | NameControl |
| Phone | 4026447314 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N 16th Street Suite 16 | AddressLine1 |
| City | Norfolk | City |
| State | NE | State |
| ZIP Code | 68701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kathleen Nordby | Name |
| Title | Executive Director | Title |
| Phone | 4026447314 | Phone |
| Date Signed | 2012-03-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Danny Fuerhoff CPA | Name |
| Phone | 4023711160 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kathleen Nordby | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N 16th Street Suite 16 | AddressLine1 |
| City | Norfolk | City |
| State | NE | State |
| ZIP Code | 68701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2702977 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | To provide access to quality primary health care and education on healthy living to all. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 38 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1289989 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1339916 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 768356 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1360132 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2957 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2785 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 144 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2061302 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2702977 | 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 | 753790 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1506819 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 178915 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1231232 | OtherExpensePriorYear |
| Other Expenses Current Year | 1050173 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1985022 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2556992 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 76280 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 145985 | RevenuesLessExpensesCY |
| Total Assets BOY | 625590 | TotalAssetsBOY |
| Total Assets EOY | 793342 | TotalAssetsEOY |
| Total Liabilities BOY | 145225 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 166990 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 480365 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 626352 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide access to quality care and education on healthy living to all individuals in northeast Nebraska. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1798187 | Expense |
| Revenue | 1360276 | Revenue |
| Description | The organization provides medical services to the poor and uninsured or under-insured. The clinic seen patients from 18 different zip codes and had a total of 13,950 encounters/visits with a total 3,782 patients during 2010. Of this, they had 54% uninsured patients, 18% Medicaid patients, 6% Medicare patients and 22% private insurance patients. | Description |
| Total Program Service Expense | 1798187 | 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 | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 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 | 38 | 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 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4026447314 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 N 16th Street Suite 16 | AddressLine1 |
| City | Norfolk | City |
| State | NE | State |
| ZIP Code | 68701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| Kathy Nordby | ||||||
| CFO/Executive Director | 10.00 | X | 0 | 64409 | 0 | |
| Kim Kwapnioski | ||||||
| Executive Director | 40.00 | X | 69187 | 0 | 0 | |
| Karen Weidner | ||||||
| Chair | 8.00 | X | 0 | 0 | 0 | X |
| Joe Mtika | ||||||
| Vice Chair | 4.00 | X | 0 | 0 | 0 | X |
| Brenda Jones | ||||||
| Secretary | 4.00 | X | 0 | 0 | 0 | X |
| Doug Witte | ||||||
| Treasurer | 4.00 | X | 0 | 0 | 0 | X |
| Pat Samuels | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Betty Froehlich | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Mavis Hatcliff | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Gretchen Forsell | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Jeanne Reigle | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Marcus Rios | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Josh Moenning | ||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 69187 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 64409 | 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 |
| Federated Campaigns | 37500 | FederatedCampaigns |
| Government Grants | 1259041 | GovernmentGrants |
| All Other Contributions | 43375 | AllOtherContributions |
| Total Contributions | 1339916 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient revenue | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 1360132 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1360132 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1360132 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2785 | TotalRevenueColumn |
| Exclusion | $2,785 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Miscellaneous income | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 144 | TotalRevenueColumn |
| Related Or Exempt Function Income | 144 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 144 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2702977 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1360276 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,785 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81777 | Total |
| Program Services | 49066 | ProgramServices |
| Management And General | 24533 | ManagementAndGeneral |
| Fundraising | 8178 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1083274 | Total |
| Program Services | 649965 | ProgramServices |
| Management And General | 324982 | ManagementAndGeneral |
| Fundraising | 108327 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69277 | Total |
| Program Services | 41566 | ProgramServices |
| Management And General | 20783 | ManagementAndGeneral |
| Fundraising | 6928 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173434 | Total |
| Program Services | 109017 | ProgramServices |
| Management And General | 48313 | ManagementAndGeneral |
| Fundraising | 16104 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99057 | Total |
| Program Services | 59434 | ProgramServices |
| Management And General | 29717 | ManagementAndGeneral |
| Fundraising | 9906 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6047 | Total |
| Program Services | 2419 | ProgramServices |
| Management And General | 2419 | ManagementAndGeneral |
| Fundraising | 1209 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22110 | Total |
| Management And General | 22110 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166751 | Total |
| Program Services | 147595 | ProgramServices |
| Management And General | 13016 | ManagementAndGeneral |
| Fundraising | 6140 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21760 | Total |
| Program Services | 4352 | ProgramServices |
| Management And General | 1088 | ManagementAndGeneral |
| Fundraising | 16320 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246917 | Total |
| Program Services | 234936 | ProgramServices |
| Management And General | 9961 | ManagementAndGeneral |
| Fundraising | 2020 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53260 | Total |
| Program Services | 47934 | ProgramServices |
| Management And General | 5326 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12336 | Total |
| Program Services | 1234 | ProgramServices |
| Management And General | 9868 | ManagementAndGeneral |
| Fundraising | 1234 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28369 | Total |
| Program Services | 2837 | ProgramServices |
| Management And General | 24114 | ManagementAndGeneral |
| Fundraising | 1418 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56700 | Total |
| Program Services | 28350 | ProgramServices |
| Management And General | 28350 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9139 | Total |
| Program Services | 6571 | ProgramServices |
| Management And General | 2017 | ManagementAndGeneral |
| Fundraising | 551 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad debt expense | 299929 | 299929 | |
| Lab fees | 83160 | 83160 | |
| Repairs & maintenance | 18446 | 18446 | |
| Repairs & maintenance | 6914 | 6914 | |
| Association dues | 6379 | 6379 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11956 | Total |
| Program Services | 11376 | ProgramServices |
| Fundraising | 580 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2556992 | Total |
| Program Services | 1798187 | ProgramServices |
| Management And General | 579890 | ManagementAndGeneral |
| Fundraising | 178915 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207658 | BOY |
| EOY | 332702 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86708 | BOY |
| EOY | 186116 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1200 | BOY |
| EOY | 1200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 185268 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 44320 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161706 | BOY |
| EOY | 140948 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168318 | BOY |
| EOY | 132376 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 625590 | BOY |
| EOY | 793342 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145225 | BOY |
| EOY | 166990 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145225 | BOY |
| EOY | 166990 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 480365 | BOY |
| EOY | 591852 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 34500 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 480365 | BOY |
| EOY | 626352 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 625590 | BOY |
| EOY | 793342 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 145985 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107502 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 90100 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1194995 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1289989 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1339916 | CurrentTaxYear |
| Total | 4022502 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107502 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 90100 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1194995 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1289989 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1339916 | CurrentTaxYear |
| Total | 4022502 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 4022502 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4313 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2957 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2785 | CurrentTaxYear |
| Total | 16633 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1304 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2463 | CurrentTaxYearMinus3Years |
| Current Tax Year | 144 | CurrentTaxYear |
| Total | 3911 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 4043046 | TotalSupport |
| Gross Receipts From Admissions Etc | 2552411 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99490 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99000 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 | 62555 | OtherCostOrOtherBasis |
| Depreciation | 29206 | Depreciation |
| Book Value | 33349 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 122713 | OtherCostOrOtherBasis |
| Depreciation | 15114 | Depreciation |
| Book Value | 107599 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 140948 | TotalOfBookValueLandBuildings |
| Total Revenue | 2702977 | TotalRevenue |
| Total Expenses | 2556992 | TotalExpenses |
| Excess Or Deficit For Year | 145985 | ExcessOrDeficitForYear |
| Other | $2 | OtherAmount |
| Total Adjustments | 2 | TotalAdjustments |
| Excess Or Deficit Per FS | 145987 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2741836 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 38859 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 38859 | RevenueNotRptdF990 |
| Revenue Subtotal | 2702977 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2702977 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2595851 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 38859 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 38859 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2556992 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2556992 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | In July 2006, the Financial Accounting Standards Board (FASB) issued FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes - an interpretation of FASB Accounting Standards Codification (ASC) 740, Income Taxes. FIN 48 attempts to set out a consistent framework for preparers to use to determine the appropriate level of tax reserve to maintain for uncertain tax positions. This interpretation of ASC 740 uses a two-step approach wherein tax benefit is recognized if a position is more-likely-than-not to be sustained. The amount of the benefit is then measured to be the highest tax benefit which is greater than 50% likely to be realized. FIN 48 also sets out disclosure requirements to enhance transparency of an entity's tax reserves. The Organization adopted the current accounting standard related to unrecognized tax benefits on October 1, 2009. The Organization files required income tax returns in the U.S. federal jurisdiction and various states. With few exceptions, the Organization is no longer subject to U.S. federal, state and local income tax examinations by tax authorities for years before 2006. As a result of the implementation of FIN 48, the Organization has concluded no material uncertain tax positions have been taken on any open tax returns. For the current year the Organization believes all tax positions are fully supportable by existing Federal law and related interpretations and there are no uncertain tax positions to consider in accordance with FIN 48. |
| Part XI, Line 8 - Other Adjustments: | Rounding 2. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 is provided to the board for review before it is filed. | |
| Any conflicts of interest are discussed among the board. A conflict of interest form must be completed and signed by each board member annually. | Form 990, Part VI, Section B, line 12c | |
| The Organization's governing documents are made available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Rounding 2. Total to Form 990, Part XI, Line 5: 2. | Form 990, Part XI, line 5: |
| This process has not changed from the prior year. | Form 990, Part XI, Line 2c |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | This return is being filed between March 1, 2012, and March 30, 2012, as directed by the IRS in Notice 2012-4, because electronic filing was not available January 1, 2012 through February 29, 2012. We request that penalties be waived because it would be inequitable to impose a penalty on us due to the unusual circumstances requiring us to delay the filing of this return. | Explanation |