Regina Health Center in Richfield, Ohio (OH)

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Regina Health Center
Employer Identification Number (EIN)341722394
Name of OrganizationRegina Health Center
In Care of NameAdam Gockowski
Address5232 Broadview Rd, Richfield, OH 44286-9608
ActivitiesOther health services
SubsectionCharitable Organization
Ruling Date05/1993
DeductibilityContributions are deductible
FoundationOrganization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$10,000,000 to $49,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$13,732,841
Amount of Income$11,616,951
Form 990 Revenue Amount$10,366,859
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Health - General and Rehabilitative (Not Elsewhere Classified)


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Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoYes
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?YesYes
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
2010201120122013
The number reported in Box 3 of Form 10961016
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return231236
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?NoNoNoNo
Has it filed a Form 990-T for this year?NoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?YesYes
Did the organization notify the donor of the value of the goods or services provided?YesYes
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0$0
Gross receipts for public use of club facilities $0$0$0$0
Gross income from members or shareholders$0$0$0$0
Gross income from other sources$0$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$0$0
Total reportable compensation from related organizations$1,147,976$693,870
Total estimated amount of other compensation from the organization and related organizations$140,387$77,053
Total number of individuals who received more than $100,000 of reportable compensation from the organization00
Total number of independent contractors who received more than $100,000 of compensation from the organization11
Statement of Revenue
2010201120122013
Total revenue$9,502,841$11,087,237$9,695,413$10,366,859
Contributions, Gifts, Grants and Other Similar Amounts$438,987$2,020,774$483,344$942,389
Program Service Revenue$8,891,042$8,847,159$8,920,395$9,019,256
623000$7,365,867$7,348,127
623000$961,987$1,289,764
623000$129,360$124,932
623000$414,807$222,472
623000$48,374$33,961
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$40,969$39,417$95,670$122,696
Income from investment of tax-exempt bond proceeds$0$0$0$0
Royalties$0$0$0$0
Net rental income$0$0$0$0
Net gain/loss from sales of assets other than inventory$60,015$99,681$89,146$93,465
Gross amount from sales of assets other than inventory (Securities / Other)$70,265 / $0$155,967 / $0$1,372,205 / $0$1,233,845 / $0
Less: cost or other basis and sales expenses (Securities / Other)$10,250 / $0$56,286 / $0$1,283,059 / $0$1,140,380 / $0
Gain or (loss) (Securities / Other)$60,015 / $0$99,681 / $0$89,146 / $0$93,465 / $0
Net income/loss from fundraising events$40,654$36,087$60,245$119,247
Gross income from fundraising events$112,657$108,598$152,620$228,959
Less: direct expenses$72,003$72,511$92,375$109,712
Net income/loss from gaming activities$0$0$0$0
Net income/loss from sales of inventory$0$0$0$0
Miscellaneous Revenue$31,174$44,119$46,613$69,806
Gift, Novelty, and Souvenir Stores $7,233$8,305
900099$12,095$13,509
623000$25,666$26,152
All other revenue$1,619$21,840
Statement of Functional Expenses
2010201120122013
Total functional expenses$9,351,998$8,988,864$9,252,766$9,345,339
Grants and other assistance to domestic organizations and domestic governments$0$0
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$149,479$125,164$166,897$148,936
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$4,477,886$4,351,692$4,359,467$4,459,897
Pension plan accruals and contributions$150,093$156,957
Other employee benefits$557,283$567,058
Payroll taxes$452,942$458,337$335,812$346,349
Fees for services (non-employees)
Management$0$0
Legal$12,627$465
Accounting$78,003$54,366
Lobbying$0$0
Professional fundraising services$0$0$0$0
Investment management fees$0$0
Other$756,455$717,990
Advertising and promotion$21,391$21,228
Office expenses$379,684$293,013
Information technology$44,103$77,558
Royalties$0$0
Occupancy$642,672$690,719
Travel$29,970$24,456
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$14,271$20,018
Interest$0$0
Payments to affiliates$0$0
Depreciation, depletion, and amortization$464,277$477,872
Insurance$91,114$83,796
Other expenses$112,142$84,364
Other expenses$366,329$376,418
Other expenses$112,001$139,105
Other expenses$429,751$439,047
Other expenses$128,424$165,727
Balance Sheet
2010201120122013
Total assets$9,803,374$11,822,665$12,638,166$13,732,841
Cash - non-interest-bearing$513,575$687,118
Savings and temporary cash investments$575,501$306,652
Pledges and grants receivable, net$0$0
Accounts receivable, net$941,543$995,220
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$0$0
Prepaid expenses and deferred charges$14,798$10,777
Land, buildings, and equipment: cost or other basis$3,793,340$3,467,774
Investments - publicly traded securities$6,799,409$8,265,300
Investments - other securities$0$0
Investments - program-related$0$0
Intangible assets$0$0
Other assets$0$0
Total liabilities$984,482$992,077$1,126,361$1,020,302
Accounts payable and accrued expenses$1,041,485$924,991
Grants payable$0$0
Deferred revenue$20,249$31,469
Tax-exempt bond liabilities$0$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$64,627$63,842
Total net assets or fund balances$8,818,892$10,830,588$11,511,805$12,712,539
Unrestricted net assets$9,936,205$11,087,807
Temporarily restricted net assets$1,475,600$1,524,732
Permanently restricted net assets$100,000$100,000
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
2009 - 2013 Total
Public support$49,647,010
Subtotal$49,647,010
Gifts, grants, contributions, and membership fees received$4,426,925
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$45,220,085
Gross receipts from activities that are not an unrelated trade or business under section 513$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Less$0
Amounts received from disqualified persons$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support$0
Total support$50,205,753
Public support$49,647,010
Subtotal$330,006
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$330,006
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$0
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income$228,737
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20032004200520062007
Total revenue$7,891,923$8,631,445$8,170,235$8,685,653$9,134,672
Contributions, gifts, grants, and similar amounts received$476,751$648,917$351,480$470,726$622,652
Contributions to donor advised funds$0$0
Direct public support$476,751$648,917$351,480$470,325$622,229
Indirect public support$0$0$0$401$423
Government contributions (grants)$0$0$0$0$0
Program service revenue including government fees and contracts$7,323,648$7,852,568$7,629,113$7,898,921$8,081,219
Membership dues and assessments$0$0$0$0$0
Interest on savings and temporary cash investments$25,952$19,802$27,779$60,353$62,799
Dividends and interest from securities$18,050$20,895$29,490$27,665$35,974
Net rental income or (loss)$0$0$0$0$0
Gross rents$0$0$0$0$0
Less: rental expenses$0$0$0$0$0
Other investment income$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$3,034$26,520$30,594$126,337$207,744
Gross amount from sales of assets other than inventory$55,378$28,516$41,142$160,978$341,242
Less: cost or other basis and sales expenses$52,344$1,996$10,548$34,641$133,498
Net income or (loss) from special events and activities$32,388$36,047$71,180$74,320$96,254
Gross revenue$55,654$52,456$113,711$107,439$140,129
Less: direct expenses other than fundraising expenses$23,266$16,409$42,531$33,119$43,875
Gross profit or (loss) from sales of inventory$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0
Other revenue$12,100$26,696$30,599$27,331$28,030
Total expenses$7,430,839$7,785,186$8,002,166$8,150,918$8,250,862
Program services$6,549,115$6,627,835$6,787,500$6,943,466$7,074,377
Management and general$715,121$1,002,041$1,057,006$1,058,126$1,039,172
Fundraising$166,603$155,310$157,660$149,326$137,313
Payments to affiliates$0$0$0$0$0
Net assets or fund balances at end of year$4,715,389$5,771,890$5,935,471$6,746,355$7,873,106
Excess or (deficit) for the year$461,084$846,259$168,069$534,735$883,810
Net assets or fund balances at beginning of year$3,716,869$4,715,389$5,771,890$5,935,471$6,746,355
Other changes in net assets or fund balances$537,436$210,242$-4,488$276,149$242,941
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$8,250,862$7,074,377$1,039,172$137,313
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$187,224$0$187,224$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$3,973,324$3,791,123$182,201$0
Pension plan contributions not included above$162,993$140,464$22,529$0
Employee benefits not included above$440,922$393,856$47,022$44
Payroll taxes$393,778$363,985$29,793$0
Professional fundraising fees$0$0$0$0
Accounting fees$21,217$0$21,217$0
Legal fees$17,838$0$17,838$0
Supplies$743,769$721,502$21,769$498
Telephone$31,492$0$31,492$0
Postage and shipping$4,642$1,205$1,654$1,783
Occupancy$767,667$690,900$75,231$1,536
Equipment rental and maintenance$137,811$122,994$11,903$2,914
Printing and publications$8,422$0$0$8,422
Travel$7,543$3,688$3,745$110
Conferences, conventions, and meetings$9,136$4,915$3,736$485
Interest$0$0$0$0
Depreciation, depletion, etc.$372,535$335,281$37,254$0
Other expenses not covered above$970,549$504,464$344,564$121,521
Balance Sheets
20032004200520062007
Total assets$5,776,119$6,910,552$7,276,852$7,715,696$8,725,450
Cash - non-interest-bearing$0$315,803$179,963$146,359$58,578
Savings and temporary cash investments$1,548,858$1,454,673$1,316,127$1,513,017$1,104,291
Accounts receivable less allowance for doubtful accounts$726,683$825,493$744,777$862,846$870,768
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0
Grants receivable$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0
Inventories for sale or use$0$0$0$0$0
Prepaid expenses and deferred charges$27,330$20,363$17,077$20,648$21,647
Investments - publicly-traded securities$0$0
Investments - other securities$0$0$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0
Investments - other$723,692$909,474$1,285,462$1,548,055$2,355,963
Land, buildings, and equipment less accumulated depreciation$2,749,556$3,384,746$3,733,446$3,624,771$4,314,203
Other assets, including program-related investments$0$0$0$0$0
Total liabilities$1,060,730$1,138,662$1,341,381$969,341$852,344
Accounts payable and accrued expenses$695,510$772,369$908,545$900,839$770,146
Grants payable$0$17,081$70,038$0$77,710
Deferred revenue$0$1,000$33,006$3,888$4,488
Loans from officers, directors, trustees, and key employees$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0
Mortgages and other notes payable$365,220$348,212$329,792$0$0
Other liabilities$0$0$0$64,614$0
Total liabilities and net assets/fund balances$5,776,119$6,910,552$7,276,852$7,715,696$8,725,450
Total net assets or fund balances$4,715,389$5,771,890$5,935,471$6,746,355$7,873,106
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20032004200520062007
Total revenue$7,891,923$8,631,445$8,170,235$8,685,653$9,134,672
Total revenue, gains, and other support per audited financial statements$8,001,625$8,661,073$8,200,778$8,861,421$9,031,821
Other expenses$109,702$29,628$30,543$175,768$-102,851
Net unrealized gains on investments$86,436$13,219$-11,988$142,649$-146,726
Donated services and use of facilities$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0
Other$23,266$16,409$42,531$33,119$43,875
Other revenue$0$0$0$0$0
Investment expenses$0$0$0$0$0
Other$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20032004200520062007
Total expenses$7,430,839$7,785,186$8,002,166$8,150,918$8,250,862
Total expenses and losses per audited financial statements$7,454,105$7,801,595$8,044,697$8,184,037$8,294,737
Other revenue$23,266$16,409$42,531$33,119$43,875
Donated services and use of facilities$0$0$0$0$0
Prior year adjustments$0$0$0$0$0
Losses$0$0$0$0$0
Other$23,266$16,409$42,531$33,119$43,875
Other expenses$0$0$0$0$0
Investment expenses$0$0$0$0$0
Other$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
40$106,610$26,781$0
40$78,842$24,688$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings21
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20060
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$334,547$8,177,473
Program service revenue
Program service revenue 1000000$000$0$6,569,535
Program service revenue 2000000$000$0$969,689
Program service revenue 3000000$000$0$255,200
Program service revenue 4000000$000$0$257,561
Program service revenue 5000000$000$0$29,234
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$62,799$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$35,974$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$207,744$0
Net income or (loss) from special events000000$000$0$96,254
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$28,030$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$83,911$8,233$0
$61,040$12,713$0
$55,722$16,419$0
$57,474$9,941$0
$58,745$8,238$0
Total number of other employees paid over $50,00019
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$29
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$290,528
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees
Support Schedule
20022003200420052006
Total$7,661,846$7,856,501$8,568,878$8,068,461$8,484,996
Gifts, grants, and contributions received$574,550$476,751$648,917$351,480$470,726
Membership fees received$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$7,054,372$7,323,648$7,852,568$7,629,113$7,898,921
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$19,656$44,002$40,697$57,269$88,018
Net income from unrelated business activities not included above$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0
Other income$13,268$12,100$26,696$30,599$27,331
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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