ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY (EIN 31-0963263)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-01-28
IRS object ID: 201140289349300904
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 D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-01-28T12:44:49-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARK SCHAEFER HACKETT & CO	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2525 N LIMESTONE STREET	AddressLine1
City	SPRINGFIELD	City
State	OH	State
ZIP Code	45503	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	310963263	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALCO	NameControl
Phone	7403972660	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 EAST Gambier Street	AddressLine1
City	Mount Vernon	City
State	OH	State
ZIP Code	43050	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Rick Schlegel	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7403972660	Phone
Date Signed	2011-01-23	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kent Pummel	Name
Phone	9373992000	Phone
Date Prepared	2011-01-23	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RICHARD SCHLEGEL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	106 east gambier street	AddressLine1
City	mount vernon	City
State	OH	State
ZIP Code	43050	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	924725	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	knox.net/knox/community/freedom_center/	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1980	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	The treatment & counseling of the alcoholic & drug abuser, family members affected by alcoholism or chemical dependency, & the general public.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	23	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	637037	ContributionsGrantsPriorYear
Contributions Grants Current Year	572441	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	347643	ProgramServiceRevenuePriorYear
Program Service Revenue CY	347083	ProgramServiceRevenueCY
Investment Income Prior Year	120	InvestmentIncomePriorYear
Investment Income Current Year	24	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1324	OtherRevenuePriorYear
Other Revenue Current Year	5177	OtherRevenueCurrentYear
Total Revenue Prior Year	986124	TotalRevenuePriorYear
Total Revenue Current Year	924725	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	881703	SalariesEtcPriorYear
Salaries Etc Current Year	778376	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	223951	OtherExpensePriorYear
Other Expenses Current Year	202470	OtherExpensesCurrentYear
Total Expenses Prior Year	1105654	TotalExpensesPriorYear
Total Expenses Current Year	980846	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-119530	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-56121	RevenuesLessExpensesCY
Total Assets BOY	539249	TotalAssetsBOY
Total Assets EOY	506023	TotalAssetsEOY
Total Liabilities BOY	208579	TotalLiabilitiesBOY
Total Liabilities EOY	231474	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	330670	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	274549	NetAssetsOrFundBalancesEOY
Mission Description	The FREEDOM CENTER's mission is to provide the finest prevention and treatment services available in Knox County for problems related to alcohol, tobacco and other drugs. Our continuum of care strives to provide unbiased information, encourage low-risk choices and to reduce the stigma of addiction. Our services for individuals and families seek to overcome denial, to diminish problems caused by substance abuse in a measurable way and to motivate clients to be personally accountable in their own recovery. Our ultimate goal is to promote drug-free living, to teach healthy decision-making and to enhance overall wellness.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	738279	Expense
Revenue	352260	Revenue
Description	Outpatient counseling & treatment provided for people directly and indirectly affected by alcohol & drug abuse. Provide mental health screening for employee assistance and special programs for women. Prevention program by reaching elementary school students through in school programs aimed at educating the public and preventing substance abuse.	Description
Total Program Service Expense	738279	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	23	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7403972660	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	106 E Gambier St	AddressLine1
City	MT VERNON	City
State	OH	State
ZIP Code	43050	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per WeekAverageHoursPerWeek
WeNDI FOWLER
Board President	X	X	0	0	0
CHRISTIAN CAGLE
Board Vice President	X	X	0	0	0
KELLY BRENNEMAN
SECRETARY	X	X	0	0	0
BECKY BROWNFIELD
TREASURER	X	X	0	0	0
Rickey Ernsberger
BoARD MEMBER	X		0	0	0
BUFFY HALLINAN
BOARD MEMBER	X		0	0	0
Robert O'HARA
BOARD MEMBER	X		0	0	0
BRENDA GEORGE
BOARD MEMBER	X		0	0	0
LISA BEEKMAN
BOARD MEMBER	X		0	0	0
Shawn Crosbie
BOARD MEMBER	X		0	0	0
Richard Schlegel
Executive Director		X	70109	0	18394	38.00

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	70109	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	18394	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Federated Campaigns	7875	FederatedCampaigns
Government Grants	544624	GovernmentGrants
All Other Contributions	19942	AllOtherContributions
Total Contributions	572441	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
medicaid (title XIX)	624100	216254	216254
client fees	624100	66434	66434
Client Insurance	624100	33706	33706
knox county drug court	624100	30689	30689

Field	Value	IRS element (for citing)
Total Program Service Revenue	347083	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	24	TotalRevenueColumn
Exclusion	$24	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous	Description
Business Code	900099	BusinessCode
Total Revenue Column	5177	TotalRevenueColumn
Related Or Exempt Function Income	5177	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5177	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	924725	TotalRevenueColumn
Related Or Exempt Function Income	352260	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$24	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	86541	Total
Program Services	51924	ProgramServices
Management And General	34617	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	534818	Total
Program Services	404835	ProgramServices
Management And General	129983	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	23437	Total
Program Services	17275	ProgramServices
Management And General	6162	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	85082	Total
Program Services	63066	ProgramServices
Management And General	22016	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	48498	Total
Program Services	34919	ProgramServices
Management And General	13579	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1693	Total
Program Services	1693	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	12750	Total
Program Services	8930	ProgramServices
Management And General	3820	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5068	Total
Program Services	4476	ProgramServices
Management And General	592	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	800	Total
Program Services	560	ProgramServices
Management And General	240	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	18252	Total
Program Services	12784	ProgramServices
Management And General	5468	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4218	Total
Program Services	2954	ProgramServices
Management And General	1264	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	29179	Total
Program Services	20437	ProgramServices
Management And General	8742	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	7598	Total
Program Services	7333	ProgramServices
Management And General	265	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3077	Total
Program Services	2155	ProgramServices
Management And General	922	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1066	Total
Program Services	747	ProgramServices
Management And General	319	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16880	Total
Program Services	11823	ProgramServices
Management And General	5057	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9198	Total
Program Services	6442	ProgramServices
Management And General	2756	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
bad debt expense	35738	35738	0
Urine Testing	18551	18551	0
equipment rental	17512	12265	5247
miscellaneous levy expe	16936	16121	815
MISCELLANEOUS	1792	1404	388

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2162	Total
Program Services	1847	ProgramServices
Management And General	315	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	980846	Total
Program Services	738279	ProgramServices
Management And General	242567	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	130112	BOY
EOY	34123	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	144138	BOY
EOY	162405	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5887	BOY
EOY	5847	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	474345	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	178919	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	258390	BOY
EOY	295426	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	7500	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	722	BOY
EOY	722	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	539249	BOY
EOY	506023	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	108271	BOY
EOY	86441	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	44725	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	100308	BOY
EOY	100308	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	208579	BOY
EOY	231474	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	330670	BOY
EOY	274549	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	330670	BOY
EOY	274549	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	539249	BOY
EOY	506023	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	911918	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	727241	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	778097	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	634952	CurrentTaxYearMinus1Year
Current Tax Year	788695	CurrentTaxYear
Total	3840903	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	911918	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	727241	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	778097	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	634952	CurrentTaxYearMinus1Year
Current Tax Year	788695	CurrentTaxYear
Total	3840903	Total

Field	Value	IRS element (for citing)
Public Support Total170	3840903	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5375	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5347	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3900	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	120	CurrentTaxYearMinus1Year
Current Tax Year	24	CurrentTaxYear
Total	14766	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	190	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	240	CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year	1324	CurrentTaxYearMinus1Year
Current Tax Year	5177	CurrentTaxYear
Total	6931	Total

Field	Value	IRS element (for citing)
Total Support	3862600	TotalSupport
Gross Receipts From Admissions Etc	745271	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99440	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99360	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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	53460	OtherCostOrOtherBasis
Book Value	53460	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	221000	OtherCostOrOtherBasis
Depreciation	55352	Depreciation
Book Value	165648	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	109678	OtherCostOrOtherBasis
Depreciation	37915	Depreciation
Book Value	71763	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	90207	OtherCostOrOtherBasis
Depreciation	85652	Depreciation
Book Value	4555	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	295426	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	PAYABLE DUE FUNDING SOURCE, MEDICAID	Description
Amount	$100,308	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	100308	TotalOfAmounts
Total Revenue	924725	TotalRevenue
Total Expenses	980846	TotalExpenses
Excess Or Deficit For Year	-56121	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	-56121	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	924725	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	924725	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	924725	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	980846	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	980846	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	980846	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part X:	Identifier
Return Reference	Description of Uncertain Tax Positions Under FIN 48:	ReturnReference
Explanation	Income from certain activities not directly related to the Agency's tax-exempt purpose is subject to taxation as unrelated business income. Generally accepted accounting principles clarify the accounting and recognition for income tax positions taken or expected to be taken in the Agency's annual reporting returns. The Agency's reporting returns are subject to audit by federal and state taxing authorities. Open audit periods are 2006 - 2008. No income tax provision has been included in the financial statements as the Agency has determined it does not have unrelated business income subject to taxation.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section B, line 11	Executive Director will review and a copy will be made available to the Treasurer of the Board before the return is submitted.
Form 990, Part VI, Section B, line 12c	Directors and officers are required to disclose actual or possible conflicts of interest to the Board of Directors. The Executive Director monitors the policy to ensure that compliance is enforced.
Form 990, Part VI, Section C, line 19	The organization will make these documents available upon request.