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HARBORS HOME HEALTH & HOSPICE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HARBORS HOME HEALTH & HOSPICE (EIN 91-1143445)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-27
IRS object ID
201132089349300928
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-27T16:29:09-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRESZLER LARNER MERTZ & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11310 SIMPSON AVEAddressLine1
CityABERDEENCity
StateWAState
ZIP Code985204704ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911143445EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARBORS HOME HEALTH & HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHARBNameControl
Phone3605325454Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7th STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARDITH SAVOYName
TitlePresidentTitle
Date Signed2011-07-27DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameGordon M GlasgowName
Phone3605326873Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCRAIG GOODWINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5592713GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.myhhhh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH SERVICES AND RELATED SUPPORT SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO FUNCTION AT THEIR HIGHEST LEVEL OF INDEPENDENCE WITHIN THEIR HOMES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees100TotalNbrEmployees
Total Nbr Volunteers44TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year23593ContributionsGrantsPriorYear
Contributions Grants Current Year32024ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5441557ProgramServiceRevenuePriorYear
Program Service Revenue CY5298830ProgramServiceRevenueCY
Investment Income Prior Year194355InvestmentIncomePriorYear
Investment Income Current Year175646InvestmentIncomeCurrentYear
Other Revenue Prior Year78943OtherRevenuePriorYear
Other Revenue Current Year86213OtherRevenueCurrentYear
Total Revenue Prior Year5738448TotalRevenuePriorYear
Total Revenue Current Year5592713TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4581936SalariesEtcPriorYear
Salaries Etc Current Year4465919SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1183355OtherExpensePriorYear
Other Expenses Current Year1126525OtherExpensesCurrentYear
Total Expenses Prior Year5765291TotalExpensesPriorYear
Total Expenses Current Year5592444TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-26843RevenuesLessExpensesPriorYear
Revenues Less Expenses CY269RevenuesLessExpensesCY
Total Assets BOY5983920TotalAssetsBOY
Total Assets EOY5944507TotalAssetsEOY
Total Liabilities BOY892799TotalLiabilitiesBOY
Total Liabilities EOY854265TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5091121NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5090242NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH SERVICES AND RELATED SUPPORT SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO FUNCTION AT THEIR HIGHEST LEVEL OF INDEPENDENCE WITHIN THEIR HOMES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4311969Expense
DescriptionTHE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AIDE TO 1,274 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2010.Description
Total Program Service Expense4311969TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees100NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCRAIG GOODWINNamePerson
Telephone Number3605325454TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 7th STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
TOM BOUGHER
Director1.00X000
PHYLLIS TOLLIVER
Director1.00X000
MARK SZTROIN
PHYSICAL THERAPIST52.0018060800X
JOANN STOVER
President1.00X000X
JIM BOORA
Director1.00X000
JERRY KELTNER
Director1.00X000
GREG GRUN
Director1.00X000
ELOISE SHATTUCK
Secretary1.00X000X
EDWARD QUIJADA
Director1.00X000
DON SAMUELSON
Treasurer1.00X000X
DIANNA GOTTULA
Director1.00X000
DEE THORP
ADMINISTRATOR44.00112529026469X
CRAIG GOODWIN
FINANCIAL MGR41.0065978023210X
ARDITH SAVOY
Vice President1.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org359115TotalReportableCompFromOrg
Total Other Compensation49679TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns3491FederatedCampaigns
All Other Contributions28533AllOtherContributions
Total Contributions32024TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621610BusinessCode
Total Revenue Column5298830TotalRevenueColumn
Related Or Exempt Function Income5298830RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5298830TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column175646TotalRevenueColumn
Exclusion$175,646ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionREIMBURSED EXPENSESDescription
Total Revenue Column86213TotalRevenueColumn
Related Or Exempt Function Income86213RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue86213TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5592713TotalRevenueColumn
Related Or Exempt Function Income5385043RelatedOrExemptFunctionIncome
Exclusion$175,646ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total228186Total
Management And General228186ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2959046Total
Program Services2436097ProgramServices
Management And General522949ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total121487Total
Program Services91809ProgramServices
Management And General29678ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total787290Total
Program Services518307ProgramServices
Management And General268983ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total369910Total
Program Services304636ProgramServices
Management And General65274ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2115Total
Program Services1586ProgramServices
Management And General529ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21944Total
Program Services16458ProgramServices
Management And General5486ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18902Total
Program Services14484ProgramServices
Management And General4418ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total117596Total
Program Services88197ProgramServices
Management And General29399ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total279764Total
Program Services279764ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26236Total
Program Services19677ProgramServices
Management And General6559ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total42924Total
Program Services27025ProgramServices
Management And General15899ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TELECOMMUNICATIONS500693755212517
OTHER COSTS32223275054718
MEDICAL AND OPERATING SUPPLIES29032923573254597
EQUIPMENT RENTAL1061471047921355
COMPUTER SERVICES634044755315851

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total74872Total
Program Services60795ProgramServices
Management And General14077ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5592444Total
Program Services4311969ProgramServices
Management And General1280475ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY45169BOY
EOY48024EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY482953BOY
EOY1041165EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY708184BOY
EOY601038EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45000BOY
EOY45000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94035BOY
EOY81736EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis353833LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec331211LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48858BOY
EOY22622EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4132BOY
EOY4132EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4555589BOY
EOY4100790EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5983920BOY
EOY5944507EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY828765BOY
EOY784267EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY64034BOY
EOY69998EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY892799BOY
EOY854265EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5089826BOY
EOY5083939EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1295BOY
EOY6303EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5091121BOY
EOY5090242EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5983920BOY
EOY5944507EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses269ReconcilationRevenueExpenses
Reconcilation Other Changes-1148ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35158CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36504CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23593CurrentTaxYearMinus1Year
Current Tax Year32024CurrentTaxYear
Total164439Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5575971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5456123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5753496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5441557CurrentTaxYearMinus1Year
Current Tax Year5298830CurrentTaxYear
Total27525977Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5611129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5493283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5790000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5465150CurrentTaxYearMinus1Year
Current Tax Year5330854CurrentTaxYear
Total27690416Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50927690416PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168257CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years185517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194355CurrentTaxYearMinus1Year
Current Tax Year174498CurrentTaxYear
Total915088Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168257CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years185517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194355CurrentTaxYearMinus1Year
Current Tax Year174498CurrentTaxYear
Total915088Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years82742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78943CurrentTaxYearMinus1Year
Current Tax Year86213CurrentTaxYear
Total247898Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5779386CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5685744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6058259CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5738448CurrentTaxYearMinus1Year
Current Tax Year5591565CurrentTaxYear
Total28853402Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95970PublicSupportPercentage509
Prior Year Support Percentage0.96580PriorYearSupportPercentage
Investment Income Percentage0.03170InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02860PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis353833OtherCostOrOtherBasis
Depreciation331211Depreciation
Book Value22622BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22622TotalOfBookValueLandBuildings
Total Book Value Other Assets4100790TotalBookValueOtherAssets
Total Revenue5592713TotalRevenue
Total Expenses5592444TotalExpenses
Excess Or Deficit For Year269ExcessOrDeficitForYear
Net Unrealized GL On Investments-1148NetUnrealizedGLOnInvestments
Total Adjustments-1148TotalAdjustments
Excess Or Deficit Per FS-879ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5591565TotRevenueEtcAuditedFinclStmt
Other Revenues-1148OtherRevenues
Revenue Not Rptd F990-1148RevenueNotRptdF990
Revenue Subtotal5592713RevenueSubtotal
Total Revenue Per Form9905592713TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5592444TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5592444ExpensesSubtotal
Total Expenses Per Form9905592444TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMARK SZTROINNamePerson
Base Compensation Filing Org180608BaseCompensationFilingOrg
Total Compensation Filing Org180608TotalCompensationFilingOrg
Comp Report Prior990 Filing Org183173CompReportPrior990FilingOrg

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJim BooraNamePerson
FieldValueIRS element (for citing)
RelationshipInvest. BrokerRelationship
Amount Of Transaction3809613AmountOfTransaction
Description Of TransactionSee Schedule ODescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
SCHEDULE L, PART IV, COLUMN (d)Through the normal course of business, the Organization has funds on deposit at Edward Jones, a national investment brokerage firm with a local branch managed by Jim Boora, a volunteer member of the Board of Directors. He receives no compensation based on any of the Organization's investments and abstains from voting on all matters related to these funds. The fair market value of the certificates of deposit and money market fund held at Edward Jones totaled $3,809,613 at December 31, 2010.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableOnly Forms 990 and 1023 are made available to the public.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesExempt salaries are reviewed and approved by the Board of Directors. They specifically review the compensation of the Adminstrators, Financial Managers and Information Services and periodically seek Salary Survey information when setting these salaries.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Organization monitors its Board members and employees continuously to ensure that conflict of interests are avoided. This manifests itself in Board votes where members with possible conflicts of interest abstain from certain particular votes. Employees are not allowed to maintain employment where a conflict of interest exists.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessForm 990 is prepared by certified public accounting firm and reviewed by Administrator, Financial Manager, and either Board President or Board Treasurer.Form 990, Part VI, Line 11
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTwo board members are siblings.Form 990, Part VI, Line 2