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CENTRAL VALLEY HEALTH NETWORK INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VALLEY HEALTH NETWORK INC (EIN 68-0429643)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-04-11
IRS object ID
201241049349300604
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)
Timestamp2012-04-11T21:14:17-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1M L Reimche CPA MBABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11701 W Manor DriveAddressLine1
CityVisaliaCity
StateCAState
ZIP Code93291ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680429643EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Central Valley Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone9165522846Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 O Street Number 100AddressLine1
CitySacramentoCity
StateCAState
ZIP Code95811ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCathy FreyName
TitleExecutive DirectorTitle
Phone9165522846Phone
Date Signed2012-04-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM L ReimcheName
Phone5593090943Phone
Date Prepared2012-03-08DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCathy Frey CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 O Street Number 100AddressLine1
CitySacramentoCity
StateCAState
ZIP Code95811ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4158361GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.cvhnclinics.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe mission of CVHN is to facilitate community health centers' strength in the marketplace and to support member's effective delivery of high quality and accessible health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees72TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4100323ContributionsGrantsPriorYear
Contributions Grants Current Year3834162ContributionsGrantsCurrentYear
Program Service Revenue Prior Year121221ProgramServiceRevenuePriorYear
Program Service Revenue CY316390ProgramServiceRevenueCY
Investment Income Prior Year146InvestmentIncomePriorYear
Investment Income Current Year9InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year7800OtherRevenueCurrentYear
Total Revenue Prior Year4221690TotalRevenuePriorYear
Total Revenue Current Year4158361TotalRevenueCurrentYear
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 Year1844655SalariesEtcPriorYear
Salaries Etc Current Year1929134SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2345372OtherExpensePriorYear
Other Expenses Current Year2166217OtherExpensesCurrentYear
Total Expenses Prior Year4190027TotalExpensesPriorYear
Total Expenses Current Year4095351TotalExpensesCurrentYear
Revenues Less Expenses Prior Year31663RevenuesLessExpensesPriorYear
Revenues Less Expenses CY63010RevenuesLessExpensesCY
Total Assets BOY1560943TotalAssetsBOY
Total Assets EOY1838690TotalAssetsEOY
Total Liabilities BOY1641264TotalLiabilitiesBOY
Total Liabilities EOY1856001TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-80321NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-17311NetAssetsOrFundBalancesEOY
Mission DescriptionCVHN's mission is to facilitate community health centers' strength in the marketplace and to support member's effective delivery of high quality and accessible health care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3665995Expense
Grants0Grants
Revenue4158361Revenue
DescriptionIncorporated in 1998, the Central Valley Health Network (CVHN) is a consortium of 13 Federally Qualified Health Center (FQHC) corporations that provide comprehensive preventive primary care services to low-income and medically under-served families throughout California's Central Valley.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense3665995TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
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 Footnote0ReportFin48Footnote
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 Required1ScheduleJRequired
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 Contributions0DeductibleNonCashContributions
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 With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees72NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 Body1Form990ProvidedToGoverningBody
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 FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Central Valley Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9165522846TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 O Street Number 100AddressLine1
CitySacramentoCity
StateCAState
ZIP Code95811ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
Harry Foster
Director2X000
Garciela Soto-Perez
President2X000
Soyla Griffin
Treasurer2X000
Ben Flores
Director2X000
Temery A Lindsey PHD
Director2X000
Francisco Castillon
Director2X000
David Jomaoas
Director2X000
Michael O Sullivan
Director2X000
Colleen Curtis
Treasurer2X000
Paulo Soares
Director2X000
John Alexander
Secretary2X000
Jim Ellsworth
Director2X000
Jonathan Porteus
Director2X000
David Quakenbush
CEO4013295400XXX
Jason Vega
CEO408648500XXX
Mary Renner
Interim CEO & HR Director407869800XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org298137TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Federated Campaigns0FederatedCampaigns
Membership Dues103983MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants2681210GovernmentGrants
All Other Contributions1048969AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions3834162TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Program Service Fees9000991577591577590$0
Member Sponsored Conference90009926700267000$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column131931TotalRevenueColumn
Related Or Exempt Function Income131931RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue316390TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9TotalRevenueColumn
Related Or Exempt Function Income9RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7800Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7800Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7800TotalRevenueColumn
Related Or Exempt Function Income7800RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4158361TotalRevenueColumn
Related Or Exempt Function Income324199RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total108864Total
Program Services108864ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1431068Total
Program Services1352027ProgramServices
Management And General79041ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total251649Total
Program Services216696ProgramServices
Management And General34953ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total137553Total
Program Services130518ProgramServices
Management And General7035ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3431Total
Management And General3431ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16046Total
Program Services425ProgramServices
Management And General15621ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total218710Total
Program Services205569ProgramServices
Management And General13141ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42817Total
Program Services34912ProgramServices
Management And General7905ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total82915Total
Program Services77653ProgramServices
Management And General5262ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total184855Total
Program Services104080ProgramServices
Management And General80775ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total168037Total
Program Services149193ProgramServices
Management And General18844ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total94109Total
Program Services82603ProgramServices
Management And General11506ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total98915Total
Management And General98915ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10240Total
Management And General10240ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Postage and printing18844147924052
Sub-contracts117005711700570
Dues and licenses205491030910240
Bad debt12039012039

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24653Total
Program Services8297ProgramServices
Management And General16356ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4095351Total
Program Services3665995ProgramServices
Management And General429356ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY128255BOY
EOY453152EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY102560BOY
EOY72568EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1020941BOY
EOY1152205EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY54571BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY30273BOY
EOY35337EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis521788LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec407418LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY213285BOY
EOY114370EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11058BOY
EOY11058EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1560943BOY
EOY1838690EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1039416BOY
EOY985267EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY601848BOY
EOY870734EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1641264BOY
EOY1856001EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-80321BOY
EOY-17311EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-80321BOY
EOY-17311EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1560943BOY
EOY1838690EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses63010ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1573429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1107224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1722994CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2537464CurrentTaxYearMinus1Year
Current Tax Year3834162CurrentTaxYear
Total10775273Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1573429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1107224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1722994CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2537464CurrentTaxYearMinus1Year
Current Tax Year3834162CurrentTaxYear
Total10775273Total
FieldValueIRS element (for citing)
Public Support Total17010775273PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57846CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33304CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year146CurrentTaxYearMinus1Year
Current Tax Year9CurrentTaxYear
Total106255Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3136CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16169CurrentTaxYearMinus1Year
Current Tax Year139731CurrentTaxYear
Total190778Total
FieldValueIRS element (for citing)
Total Support11072306TotalSupport
Public Support Pertcentage1700.97317PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97178PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationThe organization is a 503(1)(c), section 509(a)(1) and 170(b) (1) (A) (vi) per IRS designation letter.GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis521788OtherCostOrOtherBasis
Depreciation407418Depreciation
Book Value114370BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings114370TotalOfBookValueLandBuildings
Total Revenue4158361TotalRevenue
Total Expenses4095351TotalExpenses
Excess Or Deficit For Year63010ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS63010ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4158361TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4158361RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904158361TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4095351TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4095351ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904095351TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDavid QuakenbushNamePerson
Base Compensation Filing Org132954BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org132954TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org130101CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe 990 was reviewed by the CEO & CFO and a draft was provided to each board member prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAnnually disclose conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The CEO and top management salary is determined by the board of directors and rate is determined based on other comparative entities.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Upon request.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAn automatic extension until May 15, 2012 was requested, return is not late.Explanation