SALEM HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SALEM HOSPITAL INC (EIN 48-0608913)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201122279349303737
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T16:06:11-05:00	Timestamp
Tax Period End Date	2010-09-30	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	2009-10-01	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	CFO	Title
Date Signed	2011-08-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	STEVEN L WEBB	Name
Phone	3162652811	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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	2736103	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	OUR MISSION IS TO BE THE PREFERRED HOME TO LIVE AND WORK, IN AND AROUND THE HILLSBORO COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	129	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	136743	TotalGrossUBI
Net Unrelated Business Txbl Income	-21493	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	131173	ContributionsGrantsPriorYear
Contributions Grants Current Year	130582	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2745978	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2395734	ProgramServiceRevenueCY
Investment Income Prior Year	-4621	InvestmentIncomePriorYear
Investment Income Current Year	1712	InvestmentIncomeCurrentYear
Other Revenue Prior Year	233045	OtherRevenuePriorYear
Other Revenue Current Year	204063	OtherRevenueCurrentYear
Total Revenue Prior Year	3105575	TotalRevenuePriorYear
Total Revenue Current Year	2732091	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	1957881	SalariesEtcPriorYear
Salaries Etc Current Year	1848252	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1010052	OtherExpensePriorYear
Other Expenses Current Year	980386	OtherExpensesCurrentYear
Total Expenses Prior Year	2967933	TotalExpensesPriorYear
Total Expenses Current Year	2828638	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	137642	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-96547	RevenuesLessExpensesCY
Total Assets BOY	843977	TotalAssetsBOY
Total Assets EOY	724070	TotalAssetsEOY
Total Liabilities BOY	211704	TotalLiabilitiesBOY
Total Liabilities EOY	188344	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	632273	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	535726	NetAssetsOrFundBalancesEOY
Mission Description	OUR MISSION IS TO BE THE PREFERRED HOME TO LIVE AND WORK, IN AND AROUND THE HILLSBORO COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2602848	Expense
Grants	0	Grants
Revenue	2532477	Revenue
Description	PROVIDED LONG-TERM CARE VIA A SKILLED NURSING FACILITY AND INDEPENDENT LIVING APARTMENTS. CARE WAS PROVIDED FOR A TOTAL OF 66 NURSING FACILITY RESIDENTS AND 11 APARTMENT RESIDENTS. THERE WERE A TOTAL OF 16,347 CENSUS DAYS FOR NURSING FACILITY RESIDENTS.	Description
Total Program Service Expense	2602848	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	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
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	129	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
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 (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
WENDELL DIRKS
BOARD CHAIRMAN/DIRECTOR	1.0	X	X	0	0	0
JOANN KNAK
DIRECTOR	1.0	X		0	0	0
ALAN GOLDSBY
DIRECTOR	1.0	X		0	0	0
JARED JOST
DIRECTOR	1.0	X		0	0	0
MARTIN RHODES
DIRECTOR	1.0	X		0	0	0
JIM BRENNAN
DIRECTOR	1.0	X		0	0	0
EILEEN UNRUH
VICE-CHAIR/DIRECTOR	1.0	X	X	0	0	0
KYLE CEDERBERG
SECRETARY/DIRECTOR	1.0	X	X	0	0	0
JUNE MOUNT
DIRECTOR	1.0	X		0	0	0
KRIS ERICKSON
CEO/ADMINISTRATOR	40.0		X	0	0	0
ALLEN EDIGER
CHIEF FINANCIAL OFFICER	40.0		X	43530	0	263
KELLY SCHLEHUBER
CEO/ADMINISTRATOR	40.0		X	78279	0	662

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	121809	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	925	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	130582	AllOtherContributions
Noncash Contributions	130297	NoncashContributions
Total Contributions	130582	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET RESIDENT SERVICES	Description
Business Code	623990	BusinessCode
Total Revenue Column	2395734	TotalRevenueColumn
Related Or Exempt Function Income	2395734	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2395734	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1712	TotalRevenueColumn
Exclusion	$1,712	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	55457	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	4012	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	51445	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	51445	TotalRevenueColumn
Unrelated Business Revenue	-2768	UnrelatedBusinessRevenue
Exclusion	$54,213	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	25573	25573
NONPATIENT MEALS	900099	32521	23940	$8,581
MAINTENANCE	811000	79539	79539

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	14985	TotalRevenueColumn
Unrelated Business Revenue	10459	UnrelatedBusinessRevenue
Exclusion	$4,526	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	152618	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2732091	TotalRevenueColumn
Related Or Exempt Function Income	2395734	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	136743	UnrelatedBusinessRevenue
Exclusion	$69,032	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	110820	Total
Management And General	110820	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	1326765	Total
Program Services	1317965	ProgramServices
Management And General	8800	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6035	Total
Program Services	5995	ProgramServices
Management And General	40	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	263906	Total
Program Services	262156	ProgramServices
Management And General	1750	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	140726	Total
Program Services	139793	ProgramServices
Management And General	933	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	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	36578	Total
Management And General	36578	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	127332	Total
Program Services	110086	ProgramServices
Management And General	17246	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8407	Total
Management And General	8407	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	413638	Total
Program Services	400279	ProgramServices
Management And General	13359	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	87725	Total
Program Services	82365	ProgramServices
Management And General	5360	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2713	Total
Program Services	1441	ProgramServices
Management And General	1272	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	1653	Total
Program Services	1552	ProgramServices
Management And General	101	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31011	Total
Program Services	29116	ProgramServices
Management And General	1895	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	54259	Total
Program Services	50944	ProgramServices
Management And General	3315	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS	6419	4399	2020
EQUIPMENT RENTAL & MAINT.	185702	179592	6110
BAD DEBT EXPENSE	7302	7302
RECRUITMENT	1816	397	1419
EDUCATION	5131	3645	1486

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	10700	Total
Program Services	5821	ProgramServices
Management And General	4879	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2828638	Total
Program Services	2602848	ProgramServices
Management And General	225790	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	224051	BOY
EOY	182109	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	50025	BOY
EOY	51958	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	295954	BOY
EOY	226842	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	23141	BOY
EOY	25172	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	20081	BOY
EOY	15526	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1549455	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1381559	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	193502	BOY
EOY	167896	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	37223	BOY
EOY	54567	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	843977	BOY
EOY	724070	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	176017	BOY
EOY	169229	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	35687	BOY
EOY	19115	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	211704	BOY
EOY	188344	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	632273	BOY
EOY	535726	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	632273	BOY
EOY	535726	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	843977	BOY
EOY	724070	EOY

Field	Value	IRS element (for citing)
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 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 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	$799	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	799	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	61440	Depreciation
Book Value	54873	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	1320119	Depreciation
Book Value	113023	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	167896	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	SHARED SERVICES RECEIVABLE	Description
Book Value	54567	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	54567	TotalBookValueOtherAssets
Total Revenue	2732091	TotalRevenue
Total Expenses	2828638	TotalExpenses
Excess Or Deficit For Year	-96547	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-96547	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	2736103	TotRevenueEtcAuditedFinclStmt
Other Revenues	4012	OtherRevenues
Revenue Not Rptd F990	4012	RevenueNotRptdF990
Revenue Subtotal	2732091	RevenueSubtotal
Total Revenue Per Form990	2732091	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2832650	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	4012	OtherExpensesIncluded
Expenses Not Rptd F990	4012	ExpensesNotRptdF990
Expenses Subtotal	2828638	ExpensesSubtotal
Total Expenses Per Form990	2828638	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 PER AUDITED FINANCIALS WITH REVENUE PER RETURN	SCHEDULE D, PART XII, LINE 2D	RENTAL EXPENSE $ 4,012
RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH EXPENSES PER RETURN	SCHEDULE D, PART XIII, LINE 2D	RENTAL EXPENSE $ 4,012

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	RENT	1	129796	FAIR MARKET VALUE
X	GARDEN WINDOW	1	501	SILENT AUCTION BID

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 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	OFFICERS AND DIRECTORS ARE NOT CURRENTLY REQUIRED TO SIGN AN ANNUAL STATEMENT DISCLOSING CONFLICTS OF INTEREST. HOWEVER, THE CHIEF FINANCIAL OFFICER PLANS ON IMPLEMENTING SUCH A REQUIREMENT FOR THE FOLLOWING YEAR. 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.