STRATEGY STUDIO / PUBLIC DATA EXPLORER

WCA FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WCA FOUNDATION INC (EIN 22-2393584)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349305864
Schema version
2010v3.4
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)
Timestamp2011-11-14T15:20:20-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BUFFAMANTE WHIPPLE BUTTAFARO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 WEST THIRD STREETAddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222393584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WCA FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWCAFNameControl
Phone7166645461Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 214AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRISTIE HERBSTName
TitleCHAIRMANTitle
Phone7166645461Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWAYNE J RISHELL CPAName
Phone7166645104Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 214AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2819892GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND SUPPORT COMMUNITY HEALTH IN JAMESTOWN NEW YORK THRUGH THE SUPPORT OF THE WOMEN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, NEW YORK (WCA HOSPITAL), AND ANY OTHER AFFILIATES OF W.C.A. GROUP, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year120114ContributionsGrantsPriorYear
Contributions Grants Current Year139232ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-615143InvestmentIncomePriorYear
Investment Income Current Year529691InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year-495029TotalRevenuePriorYear
Total Revenue Current Year668923TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1435649GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY460450GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13425SalariesEtcPriorYear
Salaries Etc Current Year18886SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year46817OtherExpensePriorYear
Other Expenses Current Year51381OtherExpensesCurrentYear
Total Expenses Prior Year1495891TotalExpensesPriorYear
Total Expenses Current Year530717TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1990920RevenuesLessExpensesPriorYear
Revenues Less Expenses CY138206RevenuesLessExpensesCY
Total Assets BOY11866591TotalAssetsBOY
Total Assets EOY12900983TotalAssetsEOY
Total Liabilities BOY2613797TotalLiabilitiesBOY
Total Liabilities EOY2710965TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9252794NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10190018NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE AND SUPPORT COMMUNITY HEALTH IN JAMESTOWN, NEW YORK THROUGH THE SUPPORT OF THE WOMEN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, NEW YORK (WCA HOSPITAL), AND ANY OTHER AFFILIATES OF W.C.A. GROUP, INC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense460450Expense
Grants460450Grants
DescriptionSUPPORT OF COMMUNITY HEALTH THROUGH GRANTS TO THE WOMEN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, NEW YORK (WCA HOSPITAL), AND OTHER AFFILIATES OF W.C.A. GROUP, INC. GRANTS INCLUDE SUPPORT OF MED-VAC HELICOPTER SERVICE, RADIOLOGY, DIALYSIS, CANCER TREATMENT, MEDICAL LIBRARIES, NURSING, AND THE EMERGENCY ROOM.Description
Total Program Service Expense460450TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIGETTA OVERCASHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7166645461TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 214AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
FLORENCE CASS
EXECUTIVE DIREC5.00XX1888600
MARTIN LYDELL
DIRECTOR1.00X000
JON SCALISE
DIRECTOR1.00X000
HOWARD T HOWLETT JR
DIRECTOR1.00X000
RANJIT K LAHA
DIRECTOR1.00X000
LAVERNE MEYERS
VICE CHAIRMAN1.00XX000
BRIGETTA OVERCASH
CHAIRMAN1.00XX000
P CHRISTIAN YATES
DIRECTOR1.00X000
ROLLIN J READING JR
DIRECTOR1.00X000
REBECCA ROBBINS
DIRECTOR1.00X000
MARY J TAYLOR
SECRETARY1.00XX000
BETSY WRIGHT
DIRECTOR1.00X034523047167
NONE
TREASURER1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org18886TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs345230TotalReportableCompFrmRltdOrgs
Total Other Compensation47167TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions139232AllOtherContributions
Total Contributions139232TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column160171TotalRevenueColumn
Exclusion$160,171ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2520489Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2150969Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities369520Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column369520TotalRevenueColumn
Related Or Exempt Function Income369520RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column668923TotalRevenueColumn
Related Or Exempt Function Income369520RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$160,171ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total460450Total
Program Services460450ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18886Total
Management And General18886ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5900Total
Management And General5900ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6417Total
Management And General6417ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
INVESTMENT MANAGEMENT F3331333313
OTHER EXPENSES37293729
TAXES13351335
TELEPHONE687687

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total530717Total
Program Services460450ProgramServices
Management And General70267ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2593050BOY
EOY2364523EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2127BOY
EOY2127EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9271414BOY
EOY10534333EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11866591BOY
EOY12900983EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY4575EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY1113797BOY
EOY1206390EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1500000BOY
EOY1500000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2613797BOY
EOY2710965EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7195999BOY
EOY7818828EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY85877BOY
EOY337682EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1970918BOY
EOY2033508EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9252794BOY
EOY10190018EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11866591BOY
EOY12900983EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses138206ReconcilationRevenueExpenses
Reconcilation Other Changes799018ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1WCA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN160743226EIN
Type Of OrganizationHOSPITALTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$460,451Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts460451SumOfAmounts

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8583168BeginningOfYearBalance
Contributions62590Contributions
Investment Earnings Or Losses1214176InvestmentEarningsOrLosses
Other Expenditures-434703OtherExpenditures
End Of Year Balance9425231EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7139823BeginningOfYearBalance
Contributions59230Contributions
Investment Earnings Or Losses1783330InvestmentEarningsOrLosses
Other Expenditures-399215OtherExpenditures
End Of Year Balance8583168EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.75700BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.24300PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINVESTMENT HOLDING-WCA HOSPITALDescription
Amount$1,500,000Amount
FieldValueIRS element (for citing)
Total Of Amounts1500000TotalOfAmounts
Total Revenue668923TotalRevenue
Total Expenses530717TotalExpenses
Excess Or Deficit For Year138206ExcessOrDeficitForYear
Net Unrealized GL On Investments799018NetUnrealizedGLOnInvestments
Total Adjustments799018TotalAdjustments
Excess Or Deficit Per FS937224ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1467941TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments799018NetUnrealizedGainsInvestments
Revenue Not Rptd F990799018RevenueNotRptdF990
Revenue Subtotal668923RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990668923TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt530717TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal530717ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990530717TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WCA HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1207 FOOTE AVEAddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient160743226EINOfRecipient
IRC Section170 (B) (1)IRCSection
Amount Of Cash Grant460450AmountOfCashGrant
Purpose Of GrantSUPPORT ACTIVITIES RELATED TO COMMUNITY HEALTHPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION RECEIVES REQUESTS FROM THE SUPPORTED ORGANIZATION FOR GRANTS. THE BOARD OF DIRECTORS APPROVES GRANTS BASED UPON THE AVAILABILITY OF AMOUNTS FROM INDIVIDUAL ENDOWMENTS THAT MATCH THE INTENDED PURPOSE OF THE ENDOWMENT OR FROM UNRESTRICTED FUNDS. THE ORGANIZATION REIMBURSES THE SUPPORTED ORGANIZATION AS DOCUMENTED EVIDENCE IS PROVIDED THAT THE FUNDS HAVE BEEN EXPENDED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBETSY WRIGHTNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs345230CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs28510DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs18657NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs392397TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11LINE 11A EXPLANATION - THE FORM 990 IS PROVIDED TO THE BOARD FOR THEIR REVIEW BEFORE ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE.
CONFLICT OF INTEREST DISCLOSURES ARE REVIEWED ON AN ANNUAL BASIS.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION HAS ONE PART-TIME EMPLOYEE THAT IS COMPENSATED BASED UPON AN HOURLY RATE, WHICH IS APPROVED BY THE BOARD.FORM 990, PART VI, SECTION B, LINE 15A
GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 799,018.FORM 990, PART XI, LINE 5:
FINANCE / AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
WCA HOSPITAL
POBOX 840JAMESTOWNNY14701160743226HOSPITALNY501(C)(3)170(B)(1)0
STARFLIGHT INC
207 FOOTE AVENUEJAMESTOWNNY14701MEDICAL TRANSPORTATIONNY501(C)(3)107(B)(1)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
WCA HOSPITAL
B100451
STARFLIGHT INC
B360000