GOOD SAMARITAN HEALTH CENTER OF COBB INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: GOOD SAMARITAN HEALTH CENTER OF COBB INC (EIN 32-0045238)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-08-15
IRS object ID: 201102279349304715
Schema version: 2010v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T19:33:38-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Post & Associates LLC CPAs	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3475 Dallas Highway Suite 125	AddressLine1
City	Marietta	City
State	GA	State
ZIP Code	30064	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	320045238	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Good Samaritan Health Center of Cobb	BusinessNameLine1
Business Name Line2	Inc	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	GOOD	NameControl
Phone	7704193120	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1605 Roberta Drive SW	AddressLine1
City	Marietta	City
State	GA	State
ZIP Code	30008	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Steve LaMontagne	Name
Title	Treasurer	Title
Date Signed	2011-08-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Daniel L Post Jr CPA	Name
Phone	6782905100	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)
Gross Receipts	8316270	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	http://www.goodsamcobb.org/	WebSite
Activity Or Mission Description	Healthcare Clinic	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	20	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	459843	ContributionsGrantsPriorYear
Contributions Grants Current Year	732113	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	413174	ProgramServiceRevenuePriorYear
Program Service Revenue CY	472425	ProgramServiceRevenueCY
Investment Income Prior Year	13244	InvestmentIncomePriorYear
Investment Income Current Year	6227	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5443815	OtherRevenuePriorYear
Other Revenue Current Year	7105505	OtherRevenueCurrentYear
Total Revenue Prior Year	6330076	TotalRevenuePriorYear
Total Revenue Current Year	8316270	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	938214	SalariesEtcPriorYear
Salaries Etc Current Year	778721	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	6206	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	6149	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	72293	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5824053	OtherExpensePriorYear
Other Expenses Current Year	7484098	OtherExpensesCurrentYear
Total Expenses Prior Year	6768473	TotalExpensesPriorYear
Total Expenses Current Year	8268968	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-438397	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	47302	RevenuesLessExpensesCY
Total Assets BOY	1793851	TotalAssetsBOY
Total Assets EOY	1853472	TotalAssetsEOY
Total Liabilities BOY	15894	TotalLiabilitiesBOY
Total Liabilities EOY	28213	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1777957	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1825259	NetAssetsOrFundBalancesEOY
Mission Description	Healthcare Clinic	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	8089109	Expense
Description	The organization is a primary healthcare center for low-income unisured indiviudals that includes medical, dental, dispensary, and counseling services. It provided care for 18,221 patient visits in 2010.	Description
Total Program Service Expense	8089109	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
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	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	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
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	20	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	false	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Gayle Nelson	NamePerson
Telephone Number	7704193120	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1605 Roberta Drive SW	AddressLine1
City	Marietta	City
State	GA	State
ZIP Code	300083855	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Terry Poor
Director	0.00	0	0	0
Steven Hansard
Dental Director	40.00	95275	0	0	X
Steve LaMontagne
Director	0.00	0	0	0
Scott Kimbrough
Director	0.00	0	0	0
Robert Smith
Director	0.00	0	0	0
Reverend Felix Lora
Director	0.00	0	0	0
Michael Vick
Director	0.00	0	0	0
Marily Hall
Lead Dental Assist	0.00	47534	0	0	X
Lynda Ausburn
Director	0.00	0	0	0
Larry J Hornsby MD
Medial Director	40.00	131400	0	0	X
Ken Farrar DMD
Director	0.00	0	0	0
Kacie McDonnell
Nurse Pratitioner	40.00	52391	0	0	X
John Sherrer RRh
Director	0.00	0	0	0
Janie Maddox
Director	0.00	0	0	0
Grant Cole
Director	0.00	0	0	0
Dr Mike Kinney
Director	0.00	0	0	0
David Tucker
Director	0.00	0	0	0
David Bottoms
Director	0.00	0	0	0
Cyrl Kitchens
Director	0.00	0	0	0
Congressman Phil Gingrey MD
Director	0.00	0	0	0
Carol Griffin
Dental Hygienist	40.00	51257	0	0	X
Billy Edens
Director	0.00	0	0	0
Barry Teague
Director	0.00	0	0	0
Amos Williams
Director	0.00	0	0	0
Alan Kirk
Chairman	0.00	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	377857	TotalReportableCompFromOrg
Number Individuals GT100 K	1	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	732113	AllOtherContributions
Total Contributions	732113	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Fees	Description
Total Revenue Column	472425	TotalRevenueColumn
Related Or Exempt Function Income	472425	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	472425	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6227	TotalRevenueColumn
Related Or Exempt Function Income	6227	RelatedOrExemptFunctionIncome

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

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	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other Income	30582	30582
Donated Services	5793582	5793582
Donated Medication	1281341	1281341

Field	Value	IRS element (for citing)
Total Other Revenue	7105505	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8316270	TotalRevenueColumn
Related Or Exempt Function Income	7584157	RelatedOrExemptFunctionIncome

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	0	Total

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	678569	Total
Program Services	633231	ProgramServices
Fundraising	45338	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	47083	Total
Program Services	43542	ProgramServices
Fundraising	3541	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	53069	Total
Program Services	49518	ProgramServices
Fundraising	3551	Fundraising

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	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	9000	Total
Management And General	9000	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	6149	Total
Fundraising	6149	Fundraising

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	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	19003	Total
Program Services	19003	ProgramServices

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	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

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	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	82810	Total
Program Services	55433	ProgramServices
Management And General	27377	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	22898	Total
Program Services	14238	ProgramServices
Management And General	8660	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Medical Labs and X-Rays	24015	24015
Donated Services	5793582	5793582
Donated Medications	1281341	1281341
Dispensary	66527	66527
Dental Supplies	47132	47132

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	137790	Total
Program Services	61547	ProgramServices
Management And General	62529	ManagementAndGeneral
Fundraising	13714	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8268968	Total
Program Services	8089109	ProgramServices
Management And General	107566	ManagementAndGeneral
Fundraising	72293	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	54843	BOY
EOY	52748	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	400162	BOY
EOY	535951	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2900	BOY
EOY	2750	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13627	BOY
EOY	13527	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7410	BOY
EOY	9006	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1628078	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	388589	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1314908	BOY
EOY	1239489	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1	BOY
EOY	1	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1793851	BOY
EOY	1853472	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	15894	BOY
EOY	28213	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	15894	BOY
EOY	28213	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1777957	BOY
EOY	1825259	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1777957	BOY
EOY	1825259	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1793851	BOY
EOY	1853472	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	47302	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	436492	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	702492	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	814959	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	498196	CurrentTaxYearMinus1Year
Current Tax Year	762767	CurrentTaxYear
Total	3214906	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	259879	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	413174	CurrentTaxYearMinus1Year
Current Tax Year	472425	CurrentTaxYear
Total	1145478	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	436492	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	702492	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1074838	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	911370	CurrentTaxYearMinus1Year
Current Tax Year	1235192	CurrentTaxYear
Total	4360384	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	30000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	114500	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	123000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	140255	CurrentTaxYearMinus1Year
Current Tax Year	156707	CurrentTaxYear
Total	564462	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	30000	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	114500	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	123000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	140255	CurrentTaxYearMinus1Year
Current Tax Year	156707	CurrentTaxYear
Total	564462	Total

Field	Value	IRS element (for citing)
Public Support Total509	3795922	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	45665	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	49661	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	37953	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13244	CurrentTaxYearMinus1Year
Current Tax Year	6227	CurrentTaxYear
Total	152750	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	45665	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	49661	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	37953	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13244	CurrentTaxYearMinus1Year
Current Tax Year	6227	CurrentTaxYear
Total	152750	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	591	CurrentTaxYearMinus2Years
Total	591	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	482157	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	752153	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1113382	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	924614	CurrentTaxYearMinus1Year
Current Tax Year	1241419	CurrentTaxYear
Total	4513725	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.84100	PublicSupportPercentage509
Prior Year Support Percentage	0.93250	PriorYearSupportPercentage
Investment Income Percentage	0.03380	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.03240	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	402595	OtherCostOrOtherBasis
Book Value	402595	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	677481	OtherCostOrOtherBasis
Depreciation	117653	Depreciation
Book Value	559828	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	512849	OtherCostOrOtherBasis
Depreciation	247988	Depreciation
Book Value	264861	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35153	OtherCostOrOtherBasis
Depreciation	22948	Depreciation
Book Value	12205	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1239489	TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Annual Audit Report on web site.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	Treasurer will review and approve before filing.