SALEM HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SALEM HOSPITAL INC (EIN 48-0608913)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-03-27
IRS object ID: 201230879349300313
Schema version: 2010v3.7
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 C
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-03-27T12:11:13-05:00	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	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1551 N WATERFRONT PKWY STE 300	AddressLine1
City	WICHITA	City
State	KS	State
ZIP Code	672066601	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	480608913	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SALEM HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SALE	NameControl
Phone	6209472272	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	704 SOUTH ASH	AddressLine1
City	HILLSBORO	City
State	KS	State
ZIP Code	67063	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ALLEN EDIGER	Name
Title	CHIEF FINANCIAL OFFICER	Title
Date Signed	2012-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN M HARRIS	Name
Phone	3162652811	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SALEM HOME	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ALLEN EDIGER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	704 SOUTH ASH	AddressLine1
City	HILLSBORO	City
State	KS	State
ZIP Code	67063	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3054098	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SALEMHOMEKS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	YearFormation
State Legal Domicile	KS	StateLegalDomicile
Activity Or Mission Description	SALEM HOME WILL MASTER PERSON-CENTERED CARE TO BENEFIT RESIDENTS, FAMILIES, STAFF, AND THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	99	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	136894	TotalGrossUBI
Net Unrelated Business Txbl Income	-9156	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	130582	ContributionsGrantsPriorYear
Contributions Grants Current Year	5711	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2395734	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2831741	ProgramServiceRevenueCY
Investment Income Prior Year	1712	InvestmentIncomePriorYear
Investment Income Current Year	1397	InvestmentIncomeCurrentYear
Other Revenue Prior Year	204063	OtherRevenuePriorYear
Other Revenue Current Year	211906	OtherRevenueCurrentYear
Total Revenue Prior Year	2732091	TotalRevenuePriorYear
Total Revenue Current Year	3050755	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	1848252	SalariesEtcPriorYear
Salaries Etc Current Year	1791860	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1757	TotalFundrsngExpCurrentYear
Other Expense Prior Year	980386	OtherExpensePriorYear
Other Expenses Current Year	1101302	OtherExpensesCurrentYear
Total Expenses Prior Year	2828638	TotalExpensesPriorYear
Total Expenses Current Year	2893162	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-96547	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	157593	RevenuesLessExpensesCY
Total Assets BOY	724070	TotalAssetsBOY
Total Assets EOY	1022056	TotalAssetsEOY
Total Liabilities BOY	188344	TotalLiabilitiesBOY
Total Liabilities EOY	198941	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	535726	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	823115	NetAssetsOrFundBalancesEOY
Mission Description	SALEM HOME WILL MASTER PERSON-CENTERED CARE TO BENEFIT RESIDENTS, FAMILIES, STAFF, AND THE COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2605794	Expense
Grants	0	Grants
Revenue	2831741	Revenue
Description	PROVIDED LONG-TERM CARE VIA A SKILLED NURSING FACILITY AND INDEPENDENT LIVING APARTMENTS. CARE WAS PROVIDED FOR A TOTAL OF 71 NURSING FACILITY RESIDENTS AND 12 APARTMENT RESIDENTS. THERE WERE A TOTAL OF 16,122 CENSUS DAYS FOR NURSING FACILITY RESIDENTS.	Description
Total Program Service Expense	2605794	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	99	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ALLEN EDIGER	NamePerson
Telephone Number	6209471498	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	704 SOUTH ASH	AddressLine1
City	HILLSBORO	City
State	KS	State
ZIP Code	67063	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
JARED JOST
VICE-CHAIR/DIRECTOR	1.0	X	X	0	0	0
WENDELL DIRKS
BOARD CHAIRMAN/DIRECTOR	1.0	X	X	0	0	0
MARTIN RHODES
SECRETARY/DIRECTOR	1.0	X	X	0	0	0
JIM BRENNAN
DIRECTOR	1.0	X		0	0	0
ALAN GOLDSBY
DIRECTOR	1.0	X		0	0	0
JOANN KNAK
DIRECTOR	1.0	X		0	0	0
JAMES THOMAS
DIRECTOR	1.0	X		0	0	0
JUNE MOUNT
SECRETARY/DIRECTOR	1.0	X		0	0	0
KRIS ERICKSON
CEO/ADMINISTRATOR	40.0		X	17505	0	0
ALLEN EDIGER
CFO	40.0		X	41946	0	839

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	59451	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	839	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	5711	AllOtherContributions
Total Contributions	5711	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET RESIDENT SERVICES	Description
Total Revenue Column	2831741	TotalRevenueColumn
Related Or Exempt Function Income	2831741	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2831741	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1397	TotalRevenueColumn
Exclusion	$1,397	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	59524	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3343	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	56181	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	56181	TotalRevenueColumn
Unrelated Business Revenue	-2099	UnrelatedBusinessRevenue
Exclusion	$58,280	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
HOUSEKEEPING SERVICE	812900	25778	25778
NONPATIENT MEALS	900099	37685	24324	$13,361
MAINTENANCE	811000	80175	80175

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12087	TotalRevenueColumn
Unrelated Business Revenue	8716	UnrelatedBusinessRevenue
Exclusion	$3,371	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	155725	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3050755	TotalRevenueColumn
Related Or Exempt Function Income	2831741	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	136894	UnrelatedBusinessRevenue
Exclusion	$76,409	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	117727	Total
Management And General	117727	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1266986	Total
Program Services	1213907	ProgramServices
Management And General	53079	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4786	Total
Program Services	4592	ProgramServices
Management And General	194	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	268623	Total
Program Services	257723	ProgramServices
Management And General	10900	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	133738	Total
Program Services	128311	ProgramServices
Management And General	5427	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	750	Total
Management And General	750	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	32485	Total
Management And General	32485	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	123560	Total
Program Services	114499	ProgramServices
Management And General	9061	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4940	Total
Management And General	3183	ManagementAndGeneral
Fundraising	1757	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	410950	Total
Program Services	391092	ProgramServices
Management And General	19858	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	87277	Total
Program Services	81945	ProgramServices
Management And General	5332	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	4628	Total
Program Services	3098	ProgramServices
Management And General	1530	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	592	Total
Program Services	556	ProgramServices
Management And General	36	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	30230	Total
Program Services	28383	ProgramServices
Management And General	1847	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	52786	Total
Program Services	49561	ProgramServices
Management And General	3225	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS	7359	4811	2548
EQUIPMENT RENTAL & MAINTENANCE	183997	177941	6056
BAD DEBT EXPENSE	32973	32973
BED ASSESSMENT	102750	102750
EDUCATION	14691	7222	7469

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11334	Total
Program Services	6430	ProgramServices
Management And General	4904	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2893162	Total
Program Services	2605794	ProgramServices
Management And General	285611	ManagementAndGeneral
Fundraising	1757	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	182109	BOY
EOY	477502	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	51958	BOY
EOY	58299	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	226842	BOY
EOY	273950	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	25172	BOY
EOY	25796	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	15526	BOY
EOY	52186	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1549455	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1415132	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	167896	BOY
EOY	134323	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	54567	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	724070	BOY
EOY	1022056	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	169229	BOY
EOY	198941	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	19115	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	188344	BOY
EOY	198941	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	535726	BOY
EOY	823115	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	535726	BOY
EOY	823115	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	724070	BOY
EOY	1022056	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	157593	ReconcilationRevenueExpenses
Reconcilation Other Changes	129796	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$348	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	348	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Land		Land

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	116313	OtherCostOrOtherBasis
Depreciation	64784	Depreciation
Book Value	51529	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1433142	OtherCostOrOtherBasis
Depreciation	1350348	Depreciation
Book Value	82794	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	134323	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability
Total Of Amounts	0	TotalOfAmounts
Total Revenue	3050755	TotalRevenue
Total Expenses	2893162	TotalExpenses
Excess Or Deficit For Year	157593	ExcessOrDeficitForYear
Donated Services And Facilities	129796	DonatedServicesAndFacilities
Total Adjustments	129796	TotalAdjustments
Excess Or Deficit Per FS	287389	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3150921	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	129796	DonatedSrvcAndUseOfFacilities
Other Revenues	-29630	OtherRevenues
Revenue Not Rptd F990	100166	RevenueNotRptdF990
Revenue Subtotal	3050755	RevenueSubtotal
Total Revenue Per Form990	3050755	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2863532	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-29630	OtherExpensesIncluded
Expenses Not Rptd F990	-29630	ExpensesNotRptdF990
Expenses Subtotal	2893162	ExpensesSubtotal
Total Expenses Per Form990	2893162	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 FOOTNOTE	SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
RECONCILIATION OF REVENUE	SCHEDULE D, PART XII, LINE 2D	BAD DEBT EXPENSE (32,973) RENTAL EXPENSE 3,343 -------- (29,630)
RECONCILIATION OF EXPENSES	SCHEDULE D, PART XIII, LINE 2D	BAD DEBT EXPENSE (32,973) RENTAL EXPENSE 3,343 -------- (29,630)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11A	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER. ANY QUESTIONS OR CONCERNS THE CHIEF FINANCIAL OFFICER HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	WHILE THE ORGANIZATION DOES NOT YET HAVE A FORMAL CONFLICT OF INTEREST POLICY, OFFICERS AND DIRECTORS ARE NOW REQUIRED TO ANNUALLY SIGN A STATEMENT DISCLOSING CONFLICTS OF INTEREST. THE CHIEF FINANCIAL OFFICER IS DEVELOPING A WRITTEN CONFLICT OF INTEREST POLICY. CURRENTLY, HE IS RESPONSIBLE FOR MONITORING ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE PERSON IN CONFLICT IS PROHIBITED FROM VOTING OR BEING INVOLVED IN THE CONFLICT."
COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINE 15A	THE HR DIRECTOR USED PAYSCALE, AN ONLINE COMPENSATION DATABASE, TO PERFORM A SEARCH OF COMPARABLE POSITIONS IN THE AREA AND PROVIDED THE INFORMATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS AGREED UPON A WAGE RANGE WHICH WAS DOCUMENTED IN THE BOARD MINUTES. THE ACTUAL COMPENSATION WAS INCLUDED ON AN INTERNAL FORM AS PART OF THE HIRING PACKET. THIS FORM WAS SIGNED OFF ON BY THE CHAIRMAN OF THE BOARD. THIS PROCESS WAS COMPLETED IN 2010 WITH THE HIRING OF A NEW CEO.
AVAILABILITY OF DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 5	CONTRIBUTION OF USE OF FACILITIES 129,796