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OPEN DOOR HEALTH SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
OPEN DOOR HEALTH SERVICES INC (EIN 35-2018494)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-10
IRS object ID
201100419349300510
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-10T09:50:49-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITINGER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 W WHITE RIVER BLVDAddressLine1
CityMUNCIECity
StateINState
ZIP Code473033776ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352018494EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOPENNameControl
Phone7652895928Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13715 SOUTH MADISONAddressLine1
CityMUNCIECity
StateINState
ZIP Code47302ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAN R STOUTName
TitleCFOTitle
Phone7652814256Phone
Date Signed2011-02-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN D MARTIN CPAName
Phone7652843384Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAN R STOUTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13715 SOUTH MADISONAddressLine1
CityMUNCIECity
StateINState
ZIP Code47302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8329660GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ODBMH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE AFFORDABLE, QUALITY HEALTH CARE TO ALL OF EAST CENTRAL INDIANA AND TO IMPROVE THE HEALTH STATUS OF THE UNINSURED, UNDERINSURED, AND THOSE WHO FOR OTHER REASONS DO NOT HAVE ACCESS TO HEALTH RESOURCES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees141TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4908433ContributionsGrantsPriorYear
Contributions Grants Current Year4343628ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3583098ProgramServiceRevenuePriorYear
Program Service Revenue CY3841054ProgramServiceRevenueCY
Investment Income Prior Year-9220InvestmentIncomePriorYear
Investment Income Current Year4InvestmentIncomeCurrentYear
Other Revenue Prior Year65322OtherRevenuePriorYear
Other Revenue Current Year143947OtherRevenueCurrentYear
Total Revenue Prior Year8547633TotalRevenuePriorYear
Total Revenue Current Year8328633TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4500321SalariesEtcPriorYear
Salaries Etc Current Year4921145SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2152426OtherExpensePriorYear
Other Expenses Current Year2421552OtherExpensesCurrentYear
Total Expenses Prior Year6652747TotalExpensesPriorYear
Total Expenses Current Year7342697TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1894886RevenuesLessExpensesPriorYear
Revenues Less Expenses CY985936RevenuesLessExpensesCY
Total Assets BOY5432248TotalAssetsBOY
Total Assets EOY6432999TotalAssetsEOY
Total Liabilities BOY676193TotalLiabilitiesBOY
Total Liabilities EOY691008TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4756055NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5741991NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AFFORDABLE, QUALITY HEALTH CARE TO ALL OF EAST CENTRAL INDIANA AND TO IMPROVE THE HEALTH STATUS OF THE UNINSURED, UNDERINSURED, AND THOSE WHO FOR OTHER REASONS DO NOT HAVE ACCESS TO HEALTH RESOURCES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5565221Expense
Revenue3550007Revenue
DescriptionPROVIDE HEALTH, DENTAL, FAMILY DEVELOPMENT, AND EDUCATION SERVICES TO CITIZENS OF DELAWARE COUNTY AND SELECTED NEIGHBORING COUNTIES IN INDIANA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense416074Expense
Revenue434994Revenue
DescriptionSPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN.Description
FieldValueIRS element (for citing)
Total Program Service Expense5981295TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees141NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAN R STOUTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7652814256TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13715 SOUTH MADISONAddressLine1
CityMUNCIECity
StateINState
ZIP Code47302ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PAT KENNEDY
DIRECTOR1.00X000
JEFFREY HUFF
TREASURER1.00X000X
MONTY BROOKS
DIRECTOR1.00X000
PAM BARNHOUSE
DIRECTOR1.00X000
CONNIE CRAIG
DIRECTOR1.00X000
GARY GRUBBS
DIRECTOR1.00X000
JIM RIGGLE
VICE CHAIR1.00X000X
KATHY VERMEULEN
DIRECTOR1.00X000
RANDY ROBINSON
CHAIR1.00X000X
JUDITH ROEPKE
DIRECTOR1.00X000
JEFFREY MAHONEY
DIRECTOR1.00X000
TRICIA STANLEY
DIRECTOR1.00X000
CARRIE SUMMERS
SECRETARY1.00X000X
NORA LOURA-LEWIS
DIRECTOR1.00X000
TONI ESTEP
CEO40.008010507060X
JAN R STOUT
CFO40.006675203478X
DALE MARION
COO40.005744205810X
JOSEPH C DICKEY
MEDICAL DIRECTOR40.00135553010164X
Kimberly A Koch
DENTAL DIRECTOR40.0013038603912X
ELIZABETH A CHESNUT PINO
PEDIATRICIAN40.0012406707696X
FieldValueIRS element (for citing)
Total Reportable Comp From Org594305TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38120TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAX RUDICEL
6839 W Isanogel Rd 50 NMUNCIEIN47304PHYSICIAN SERVICES259183
MIDWEST HEALTH STRATEGIES
3813 SOUTH MADISONMUNCIEIN47302REHABILITATION SERVICES136656
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns111482FederatedCampaigns
Government Grants3963515GovernmentGrants
All Other Contributions268631AllOtherContributions
Noncash Contributions108233NoncashContributions
Total Contributions4343628TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH SERVICES62111034060603406060
WIC PROGRAM621110434994434994
FieldValueIRS element (for citing)
Total Program Service Revenue3841054TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1031TotalRevenueColumn
Exclusion$1,031ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1027Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1027Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1027TotalRevenueColumn
Exclusion-$1,027ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other income6211109713597135
Muncie Schools6211102600026000
Patient record fees6211101080610806

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column10006TotalRevenueColumn
Related Or Exempt Function Income10006RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue143947TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8328633TotalRevenueColumn
Related Or Exempt Function Income3985001RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total242557Total
Management And General242557ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3851348Total
Program Services3418459ProgramServices
Management And General432889ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total111195Total
Program Services96761ProgramServices
Management And General14434ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total402462Total
Program Services328874ProgramServices
Management And General73588ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total313583Total
Program Services265821ProgramServices
Management And General47762ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13067Total
Management And General13067ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19695Total
Program Services18500ProgramServices
Management And General1195ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total406011Total
Program Services406011ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total77344Total
Program Services22597ProgramServices
Management And General54747ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42087Total
Program Services33460ProgramServices
Management And General8627ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total322110Total
Program Services213590ProgramServices
Management And General108520ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39267Total
Program Services28446ProgramServices
Management And General10821ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32851Total
Program Services25450ProgramServices
Management And General7401ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total187Total
Management And General187ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total160282Total
Management And General160282ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26776Total
Program Services6670ProgramServices
Management And General20106ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical supplies368022367266756
Bad debts341640341640
Professional fees11622710318913038
Purchased services7101870868150
Telephone563314342912902

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total328637Total
Program Services190264ProgramServices
Management And General138373ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7342697Total
Program Services5981295ProgramServices
Management And General1361402ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY513860BOY
EOY432632EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY738244BOY
EOY264264EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY100000BOY
EOY158333EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1289665BOY
EOY1552806EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY66421BOY
EOY101969EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96366BOY
EOY95283EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4443309LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec615597LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2627192BOY
EOY3827712EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY500BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5432248BOY
EOY6432999EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY652120BOY
EOY674829EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7323BOY
EOY16179EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16750BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY676193BOY
EOY691008EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4606055BOY
EOY5591991EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY150000BOY
EOY150000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4756055BOY
EOY5741991EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5432248BOY
EOY6432999EOY
FieldValueIRS element (for citing)
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 Years2318456CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2271802CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2707998CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4908433CurrentTaxYearMinus1Year
Current Tax Year4343628CurrentTaxYear
Total16550317Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2318456CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2271802CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2707998CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4908433CurrentTaxYearMinus1Year
Current Tax Year4343628CurrentTaxYear
Total16550317Total
FieldValueIRS element (for citing)
Public Support Total17016550317PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20248CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29996CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-9220CurrentTaxYearMinus1Year
Current Tax Year1031CurrentTaxYear
Total91147Total
FieldValueIRS element (for citing)
Total Support16641464TotalSupport
Gross Receipts From Admissions Etc16327418GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98550PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis389470OtherCostOrOtherBasis
Depreciation44810Depreciation
Book Value344660BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1056226OtherCostOrOtherBasis
Depreciation570787Depreciation
Book Value485439BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2997613OtherCostOrOtherBasis
Book Value2997613BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3827712TotalOfBookValueLandBuildings
Total Revenue8328633TotalRevenue
Total Expenses7342697TotalExpenses
Excess Or Deficit For Year985936ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS985936ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8328633TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8328633RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908328633TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7342697TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7342697ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907342697TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF OPEN DOOR HEALTH SERVICES, INC. AND SUBSIDIARY.Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990108233NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE ORGANIZATION'S FORM 990 AT THE REGULAR BOARD MEETING.
Form 990, Part VI, Section B, line 12cTHE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE KNOWN CONFLICTS OF INTEREST STATEMENTS WHICH ARE REVIEWED EVERY YEAR FOR POSSIBLE CONFLICTS.
Form 990, Part VI, Section B, line 15aTHE BOARD OF DIRECTORS REVIEWS THE CEO'S SALARY ON AN ANNUAL BASIS.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE ALSO AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CHC PROPERTIES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1676AddressLine1
CityMUNCIECity
StateINState
ZIP Code47308ZIPCode
FieldValueIRS element (for citing)
EIN270439883EIN
Primary ActivitiesREAL ESTATE HOLDINGPrimaryActivities
Legal Domicile StateINLegalDomicileState
Total Income-13TotalIncome
EOY Assets3023600EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR HEALTH SERVICES INCBusinessNameLine1