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C h e c k C e l l % ??? ??? ??? ??? + C o m m a ,( C o m m a [ 0 ] -& C u r r e n c y .. C u r r e n c y [ 0 ] / Explanatory TextG 5 E x p l a n a t o r y T e x t % 0 : F o l l o w e d H y p e r l i n k 1 Good; G o o d a % 2 Heading 1G H e a d i n g 1 I}% O 3 Heading 2G H e a d i n g 2 I}% ? 4 Heading 3G H e a d i n g 3 I}% 23 5 Heading 49 H e a d i n g 4 I}% 6( H y p e r l i n k
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Print_Area_MI; 5 w ( Temporarily restricted net assets -- boy( Permanently restricted net assets -- boy# Cash -- non-interest bearing -- eoy- Savings and temporary cash investments -- eoy$ Pledges and grants receivable -- eoy Accounts receivable -- eoy1 Receivables from officers, directors, etc. -- eoy, Receivables from disqualified persons -- eoy" Notes and loans receivables -- eoy" Inventories for sale or use -- eoy+ Prepaid expenses or deferred charges -- eoy) Land, buildings, & equipment (net) -- eoy0 Investments in publicly traded securities -- eoy' Investements in other securities -- eoy" Program-related investments -- eoy Intangible assets -- eoy Other assets -- eoy Total assets -- eoy, Accounts payable and accrued expenses -- eoy Grants payable -- eoy Deferred revenue -- eoy" Tax-exempt bond liabilities -- eoy Escrow account liability -- eoy, Payables to officers, directors, etc. -- eoy* Secured mortgages and notes payable -- eoy, Unsecured mortgages and notes payable -- eoy Other liabilities -- eoy Total liabilities -- eoy Unrestricted net assets -- eoy( Temporarily restricted net assets -- eoy( Permanently restricted net assets -- eoy Method of accounting) Accountant provide compilation or review? Financial sheets audited? Federal grant audit required? Federal grant audit performed? fee_for_srvc_prof_fndrsng, Professional fundraising fees -- Fundraising VARCHAR NUMBER5 Compensation of current officers, etc -- Fundraising6 Travel/ent expenses to public officials -- Fundraising? Travel/ent expenses to public officials -- Management & general sam_cnt pop_cnt Sample count (sample code) Population count (sample code) NTEE code$ Number of rows on compensation table% NUmber of rows on supported org table non_pf_status_cd type_suprtng_org wrttn_IRS_determ sum_of_suprtd_amts - Reason for non-private foundation status code Type of supporting organization4 Written determination (Type I, Type II or Type III)? Sum of amounts of support pltcl_expend Political expenditures vlntr_hrs Volunteer hours amt_4955_tx> Enter the amount of any excise tax incurred under section 4955 amt_4955_tx_on_mgrs< Amount of excise tax incurred by managers under section 4955 frm_4720_filed_4955_tx& ob Form 4720 for 4955 tax this year? corr_made# Was a correction made to Form 4720? amt_expend_for_527_actvs: Amount expended for section 527 exempt function activities amt_intrnl_fnds_contri< Amount contributed to other organizations for 527 activities tot_exmpt_func_expend1 Direct and indirect exempt function expenditures. frm_1120_pol_filed= Did the filing organization file Form 1120-POL for this year? org_belongs_affltd_grp4 Does the organization belong to an affiliated group? ltd_cntrl_prvsns_apply$ Do limited control provisions apply? grssrts_lbbyng_filg_org_tot drct_lbbyng_filg_org_tot tot_lbby_expend_filg_org_tot oth_exmpt_prps_filg_org_tot tot_exmpt_prps_filg_org_tot lbby_ntx_amt_filg_org_tot grssrts_ntx_amt_filg_org_tot lbby_gr_mns_ntx_filg_org_tot ex_mns_lbby_ntx_filg_org_tot grssrts_lbbyng_affltd_grp_tot drct_lbbyng_affltd_grp_tot tot_lbby_expend_affltd_grp_tot oth_exmpt_prps_affltd_grp_tot tot_exmpt_prps_affltd_grp_tot lbby_ntx_amt_affltd_grp_tot grssrts_ntx_amt_affltd_grp_tot lbby_gr_mns_ntx_affltd_grp_tot ex_mns_lbby_ntx_affltd_grp_tot frm_4720_filed= Did the organization file Form 4720 (4911 tax) for this year? c_vlntrs Volunteers? pd_staff_or_mgmt Paid staff or management?
media_ads_amt Media advertisements amount mailing_mems_amt Media to members amount pub_or_broadcst_amt2 Publications, or published or broadcast statements grnts_oth_orgs_amt* Grants to other organizations for lobbying drct_cntct_legis_amt$ Direct contact with legislators, etc rallies_demos_amt3 Rallies, demonstrations, seminars, conventions, etc c_oth_actvs_amt Other lobbying activities tot_lbby_expend_ii_b not_descrbd_in_501c3 amt_of_4912_tx Amount of 4912 tax amt_of_mgrs_4912_tx Amount of 4912 tax by managers frm_4720_filed_4912_tx$ ob Form 4720 for section 4912 tax? subst_all_dues_nonded, Were dues received nondeductible by members? only_in_hse_lbbyng; Make only in-house lobbying expenditures of $2,000 or less? agree_to_cyov_py: Carryover lobbying/political expenditures from prior year? c_dues_assmnts2 Dues, assessments and similar amounts from members nonded_lbby_pltcl_curr Current year 162(e) expenditures nonded_lbby_pltcl_cyov/ Carryover of 162(e) expenditures from last year nonded_lbby_pltcl_tot Total 162(e) expenditures aggr_amt_rptd_dues_ntc+ Amount of nondeductible section 162(e) dues amt_to_be_cyov
c_txbl_amt' Taxable lobbying/political expenditures
num_dafs_held Number of donor advised funds dnr_advsd_contri2 Contributions, etc. received: donor advised funds grnts_pd_from_dnr_fnds/ Grants and allocations from donor advised funds
aggrgt_daf_vl5 Aggregate value of assets held in donor advised funds
num_fnds_held4 Number of separate accounts for participating donors contri_fnds_oth_accts6 Contributions, etc. received: funds and other accounts grnts_fnds_oth_accts$ Grants from funds and other accounts
aggrgt_fnd_vl> Aggregate value of assets held in all funds and other accounts discl_orgs_lgl_cntrl= Inform donors that DAF assetsare the organization's property? discl_for_chrtbl_prps= Inform all donors that funds are only for charitable purposes purpose_of_esmnt Purpose of conservation easments tot_num_of_esmnts Total number of easements tot_acreage" Total acreage subject to easements num_hist_strctr_esmnts5 Number of easements on a certified historic structure num_hist_strctr_esmnts_after? Number of historic structure easements acquired after 8-17-2006 num_esmnts_modif5 Number of easements modified, released, or terminated num_st_esmnts_held; Number of states in which the organization held an easement wrttn_plcy_mntr6 Written policy on monitoring/enforcement of easements? staff_hrs_spnt_on_enfrc2 Hours devoted to monitoring or enforcing easements expns_incurd_for_enfrc) Expenses incurred in enforcing easements sect170h_rqrd_stsfd@ Conservation easement satisfy sections 170(h)(4)(B)(i) and (ii)? art_exhib_amts_revs_incld' Revenues on Form 990, Part VIII, line 1 art_exhib_amts_asts_ptx Assets in Form 990, Part X hld_art_amts_revs_incld hld_art_amts_asts_ptx use_of_collection5 Use of collections of art, historical treasures, etc. slct_asts_for_sale@ Solicit/receive donations of art, etc to be sold to raise funds? agent_trst_etc= Agent, trustee, etc for contributions not included in Part X? begng_bal addn_during_yr distri_during_yr endng_bal incld_on_fs/ Include an amount on Form 990, Part X, line 21? cy_begng_yr_bal Beginning of year balance cy_contri
Contributions cy_invst_earn_or_loss Investment earnings or losses cy_grnt_or_schlr Grants or scholarships
cy_oth_expend Other expenditures cy_admin_expns Administrative expenses
cy_end_yr_bal End of year balance brd_desg_eoy_bal Board designated EOY balance perm_endwmt_eoy_bal Permanent endowment EOY balance term_endwmt_eoy_bal Term endowment EOY balance endwmt_held_by_unrltd_orgs+ Endowments held by unrelated organizations? endwmt_held_by_rltd_orgs) Endowments held by related organizations? are_rltd_orgs_list_sch_r& Are related orgs listed on Schedule R?
land_bk_vl
bldg_bk_vl lshld_imprv_bk_vl equip_bk_vl oth_lnd_bldg_bk_vl d_tot_bk_vl_land_bldg Total expenses Excess or deficit& Donated services and use of facilities tot_rev_etc_aud_fincl_stmt- Total revenue per audited financial statments net_unrlzd_gns_invst# Net unrealized gains on investments dnt_srvc_and_use_of_fclts rcvry_of_py_grnts Recoveries of prior year grants
d_oth_revs rev_not_rptd_f990 rev_subtotal invst_expns_not_incld oth_rev_not_incld rev_not_rptd_on_fincl_stmt tot_rev_per_f990 tot_expns_etc_aud_fincl_stmt dnt_srvc_use_of_fclts& Donated Services and Use of Facilities< py_adj loss_rptd oth_expns_incld expns_not_rptd_f990 expns_subtotal invst_expns_not_incld2 oth_expns_not_incld expns_not_rptd_on_fincl_stmt tot_expns_per_f990 g_fndrsng_actvs agr_ref_fndrsng@ Agreement with any individual/entity for fundraising activities? rows_hghst_pd_fndrsrs* Number of highly-paid fundraisers reported evnts_info_gro_rcpt_tot evnts_info_chrtbl_contri_tot evnts_info_gro_rev_tot Gross revenue, total evnts_info_csh_prz_tot Cash prizes, total evnts_info_ncsh_prz_tot Non-cash prizes, total evnts_info_rnt_fclty_cst_tot Rent or facility costs, total evnts_info_oth_drct_exp_tot Other direct expenses, total evnts_info_drct_exp_sum Direct expense summary evnts_info_net_incm_sum Net income summary gam_info_gro_rev_tot gam_info_csh_prz_tot gam_info_ncsh_prz_tot gam_info_rnt_fclt_cst_tot gam_info_oth_drct_exp_tot gam_info_drct_exp_sum gam_info_net_gam_incm_sum Net gaming income summary fringe_bnfts( Benefits provided to compensated persons wrttn_plcy_t_and_e_expns* Written policy reference T and E expenses?
subst_rqrd Substantiation required? estab_comp_mthd$ Methods of establishing compensation severance_pymt Severance payment? supp_nqlfy_ret_pln* Supplemental nonqualified retirement plan? eqty_based_comp_arrngm& Equity based compensation arrangement? comp_bsd_rev_filng_org, Compensation based on revenue of filing org? comp_bsd_rev_rltd_org. Compensation based on revenue of related orgs? comp_bsd_net_earn_filng_org1 Compensation based on net earnings of filing org? comp_bsd_net_earn_rel_org3 Compensation based on net earnings of related orgs? any_nfixed_pymt Any non-fixed payments? init_cntrct_excpt Initial contract exception? works_num_of_contri arth_num_of_contri artf_num_of_contri books_ncsh_contri_rptd_f990 cars_num_of_contri boats_num_of_contri iprop_num_of_contri spt_num_of_contri schs_num_of_contri spti_num_of_contri smisc_num_of_contri qchs_num_of_contri qco_num_of_contri rer_num_of_contri rec_num_of_contri reo_num_of_contri coll_num_of_contri food_num_of_contri drugs_num_of_contri txdrmy_num_of_contri histart_num_of_contri spcmn_num_of_contri archart_num_of_contri oth_prprty_num_of_contri works_ncsh_contri_rptd_f990 arth_ncsh_contri_rptd_f990 artf_ncsh_contri_rptd_f990 goods_ncsh_contri_rptd_f990 cars_ncsh_contri_rptd_f990 boats_ncsh_contri_rptd_f990 iprop_ncsh_contri_rptd_f990 spt_ncsh_contri_rptd_f990 schs_ncsh_contri_rptd_f990 spti_ncsh_contri_rptd_f990 smisc_ncsh_contri_rptd_f990 qchs_ncsh_contri_rptd_f990 qco_ncsh_contri_rptd_f990 rer_ncsh_contri_rptd_f990 rec_ncsh_contri_rptd_f990 reo_ncsh_contri_rptd_f990 coll_ncsh_contri_rptd_f990 food_ncsh_contri_rptd_f990 drugs_ncsh_contri_rptd_f990 txdrmy_ncsh_contri_rptd_f990 histart_ncsh_contri_rptd_f990 spcmn_ncsh_contri_rptd_f990 archart_ncsh_contri_rptd_f990 oth_prprty_contri_rptd_f990 num_of_8283_rcvd Number of 8283s received any_prop_mst_be_held Any property that must be held? rvw_proc_unsl_nc_gfts/ Review process reference unusual noncash gifts? third_prty_used Third parties used? rows_lqdtn_trmntn_dsltn+ Number of rows reported --liquidation, etc. dir_of_sucsr7 Become a director of successor/transferee organization?
empl_of_sucsr8 Become an employee of successor/transferee organization?
ownr_of_sucsr5 Become an owner of successor/transferee organization? rcv_compC Receive compensation as a result of the organization's liquidation? assts_distriC Distribute its assets in accordance with its governing instruments? rqrd_to_ntfy_agB Required to notify the attorney general of its intent to dissolve? ag_notif6 Notify the attorney general of its intent to dissolve? liab_pd? Discharge or pay all liabilities in accordance with state laws? bnds_outstd& Have any tax-exempt bonds outstanding? bnd_liab_dischrgd; Did the organization discharge tax-exempt bond liabilities? rows_sale_xchg_dspstn/ Number of rows reported -- sale, exchange, etc.
dir_sucsr28 Become a director of successor/ transferee organization? empl_of_sucsr2. Become an employee of transferee organization? ownr_of_sucsr24 Become owner of a successor/transferee organization? rcv_comp2; Receivecompensation as a result of a disposition of assets? rows_dsrgrdd_ents' Number of disregarded entities reported rows_rltd_tx_exmpt_orgs3 Number of related tax-exempt organizations reported rows_rltd_txbl_prtnrshps@ Number of related organizations taxable as partnerships reported rows_rltd_txble_corp_trst rcpt_intl_ann_rnts_rylts1 Receipt of interest, annuities, rents, royalties? gft_grnt_contri_from_oth_org; Gift, grant, or capital contribution to other organization? gft_grnt_contri_to_oth_org= Gift, grant, or capital contribution from other organization? lns_gurnt_from_oth_org6 Loans or loan guarantees to or for other organization? lns_gurnt_to_oth_org/ Loans or loan guarantees by other organization? sl_of_assts_from_oth_org% Sale of assets to other organization? sl_of_assts_to_oth_org+ Purchase of assets from other organization?
exch_of_assts Exchange of assets? rntl_of_fclts_to_oth_org0 Lease of facilities, etc to other organizations? rntl_of_fclts_from_oth_org2 Lease of facilities, etc from other organizations? perf_of_srvcs_for_oth_org perf_of_srvcs_by_oth_org4 Performance of services etc for other organizations?3 Performance of services etc by other organizations? shr_of_fclts( Sharing of facilities, equipment, etc. ? shr_of_pd_empls Sharing of paid employees? reimb_pd_to_oth_org6 Reimbursement paid to other organization for expenses? reimb_pd_by_oth_org6 Reimbursement paid by other organization for expenses? oth_trnsfr_from_oth_org9 Other transfer of cash or property to other organization? oth_trnsfr_to_oth_org; Other transfer of cash or property from other organization? rows_trnsctns_w_rltd_orgs9 Number of rows -- transactions with related organizations rows_unrltd_txbl_prtnrshpsA Number of rows -- unrelated organizations taxable as partnerships2 Characters (including 1-character carriage return) avg_hrs_per_wk Average hours per week position Individual trustee or director rep_comp_from_org) Reportable compensation from organization rep_comp_from_rltd_orgs2 Reportable compensation from related organizations oth_comp Other compensation j_base_comp. Base compensation ($) from filing organization J_bonus_incntv_comp j_oth_rptble_comp/ Other compensation ($) from filing organization
j_def_comp2 Deferred compensation ($) from filing organization j_nontxbl_bnfts0 Nontaxable benefits ($) from filing organization j_total_comp& Total of (B)(i) - (D), from filing org j_comp_rptd_prior) Comp reported prior 990 - from filing org
suprtd_ein EIN of supported organization suprtd_typ_org Type of organization suprtd_list_in_gvrn_doc
suprtd_amt e020 e010 e030 e040 e050 r040 r050 r060 rz100 rz200 rz300 r190 r200 r210 r220 r230 r240 r250 r260 r270 xz100 f020 xz200 xz300 xz400 xz500 xz600 x050 n010 n020 n030 n040 az101 a023 az201 a030 l010 b010 az100 a160 az200 a180 l090 b020 q020 q030 q050 q060 q150 q160 q170 q180 q190 q200 q210 q220 q222: Contributions, gifts, grants, and similar amounts received ProgramServiceRevenue Membership dues and assessments Investment income5 Gross amount from sale of assets other than inventory& Cost or other basis and sales expenses7 Gain or (loss) from sale of assets other than inventory Gross sales of inventory Less: cost of goods sold. Gross profit (or loss) from sales of inventory Other revenue - total Grants and similar amounts paid3 Salaries, other compensation, and employee benefits? Professional fees and other payments to independent contractors+ Occupancy, rent, utilities, and maintenance- Printing, publications, postage, and shipping Other expenses - total Net assets BOY Other changes in net assets< Net assets EOY Land And Buildings BOY Other Assets Total BOY Total Assets BOY Sum Of Total Liabilities BOY Net Assets Or Fund Balances BOY Cash Savings And Investments EOY Cash Savings And Investments BOY Land And Buildings EOY Other Assets Total EOY Total Assets EOY Sum Of Total Liabilities EOY Net Assets Or Fund Balances EOY Organization obd 990T* Direct or indirect political expenditures.6 Did the organization file Form 1120-POL for this year?@ Amount of tax on line 40c, above, reimbursed by the organization c010 c020 c030 c040 Compensation$ Expense account and other allowances crow row count q300 q310 h100 h200 h300 h400 h500 h600 h110 h210 h310 h410 h510 h120 h220 h320 h420 h5203 Did the organization engage in lobbying activities?2 Total number of other employees paid over $100,000 Name of Organization Sample code State Document Locator Number Column Length Type Element Description scpl ein dln taxpd samp_cd weight comp_cnt
suporg_cnt name dba_name state zip subcd cond grp_ret_for_afflts all_afflts_incld
grp_exmpt_num web_site type yr_frmtn st_leg_domcl term_or_cntrct pt1_num_vtng_gvrn_bdy_mems pt1_num_ind_vtng_mems
tot_num_empls tot_num_vlntrs tot_gro_ubi net_unrltd_bus_txbl_incm contri_grnts_py prog_srvc_rev_py
invst_incm_py
oth_rev_py
tot_rev_py grnts_and_smlr_amts_py bnfts_pd_to_mems_py slrs_etc_py tot_prof_fndrsng_exp_py oth_expns_py tot_expns_py rev_less_expns_py pt1_tot_asts_boy pt1_tot_liab_boy net_asts_or_fund_bals_boy contri_grnts_cy prog_srvc_rev_cy
invst_incm_cy
oth_rev_cy
tot_rev_cy grnts_and_smlr_amts_cy bnfts_pd_to_mems_cy slrs_etc_cy tot_prof_fndrsng_exp_cy tot_fndrsng_exp_cy oth_expns_cy tot_expns_cy rev_less_expns_cy pt1_tot_asts_eoy pt1_tot_liab_eoy net_asts_or_fund_bals_eoy ntee desc_ln_5021c3
sch_b_rqrd pltcl_actvs lbbyng_actvs subj_to_prxy_tx donr_advsd_fnd
cnsrv_easemnt colls_of_art crdt_cnslng term_of_perm_endwmts school frgn_offc
frgn_actvs more_than_5000k_to_orgs more_than_5000k_to_inds prof_fndrsng
fndrsng_actvs gaming hospital
grnts_to_orgs
grnts_to_inds
sch_j_rqrd
tx_exmpt_bnds invst_tx_exmpt_bnds
escrw_acct on_behalf_of_issr excss_bnft_trans pr_excss_bnft_trans ln_to_ofcr_or_dqp grnt_to_rltd_prsn bus_rltnshp_with_org bus_rltnshp_thru_fam ofcr_ent_with_bus_rltnshp ded_non_csh_contri ded_contris_of_art
terminated partl_liqdtn
disrgd_entity rltd_entity rltd_org_cntrld_entity actvs_cndctd_prtshp
num_with_1096
num_w2g_incld cmplnc_with_bkup_wthldng num_of_empls emplmn_tx_rets_fld unrltd_bus_incm frm990t_fld frgn_fincl_acct prohib_tx_shltr_trans txbl_prty_notif frm8886t_fld
nonded_contri nonded_discl quid_pro_quo_contri quid_pro_quo_discl frm8282_prop_dispos num_of_8282_fld fnds_to_pay_prems prems_pd frm8899_fld frm1098c_fld excss_bus_hldngs txbl_distri
distri_to_dnr
init_fees_amt
gro_rcpts_amt num_vtng_gvrn_bdy_mems num_ind_vtng_mems fam_or_bus_rlnshp del_of_mgmt_dty chg_to_org_docs mtrl_divrsn_or_misuse mems_or_stkhldrs
elec_brd_mems dcsns_subj_to_apprvl mins_of_gvrn_bdy mins_of_commtts lcl_chapters policies_ref_chapters frm990_prov_to_gvrn_bdy ofcr_mailing_addr cnflct_int_plcy annual_discl_covrd_prsn reg_mntrng_enfrc whistleblower_plcy doc_retention_plcy comp_process_ceo comp_process_oth invst_joint_venture wrttn_plcy_or_proc public_inspctn no_listed_prsns_comp tot_rpt_comp_from_org tot_rpt_comp_from_rltd_orgs tot_oth_comp num_indivs_gt_100k formers_listed tot_comp_from_oth_srcs comp_from_oth_srcs num_of_cntrctrs_gt_100k federated_campaigns memshp_dues fndrsng_events rltd_orgs
govt_grnts all_oth_contri nncsh_contri
tot_contri psr_tot inv_incm_tot_rev
bonds_tot_rev roylrev_tot_rev gro_rents_real less_rent_expnss_real rental_incm_or_loss_real gro_rents_prsn less_rent_expnss_prsn rental_incm_or_loss_prsnl net_rent_tot_rev gro_amt_sls_asts_sec less_cst_sls_exp_sec gain_or_loss_sec gro_amt_sls_asts_oth less_cst_sls_exp_oth gain_or_loss_oth sale_asts_tot_rev gro_inc_fndrsng_evnts fndrsng_drct_expns fndrsng_tot_rev gro_inc_gaming gaming_drct_expns gaming_tot_rev gro_sls_of_invntry cost_of_gds_sold invntry_tot_rev oth_rev_tot tot_rev psr_rltd_amt inv_incm_rltd_amt bonds_rltd_amt roylrev_rltd_amt net_rent_rltd_amt sale_asts_rltd_amt fndrsng_rltd_amt gaming_rltd_amt invntry_rltd_amt oth_rev_rltd_amt tot_rev_rltd_amt psr_unrltd_bus_rev inv_incm_unrltd_bus bonds_unrltd_bus_rev roylrev_unrltd_bus_rev net_rent_unrltd_bus_rev sale_asts_unrltd_bus fndrsng_unrltd_bus_rev gaming_unrltd_bus_rev invntry_unrltd_bus_rev oth_rev_unrltd_bus_rev tot_rev_unrltd_bus_rev psr_excl_amt inv_incm_excl_amt bonds_excl_amt roylrev_excl_amt net_rent_excl_amt sale_asts_excl_amt fndrsng_excl_amt gaming_excl_amt invntry_excl_amt oth_rev_excl_amt tot_rev_excl_amt grnts_to_dom_org_tot grnts_to_dom_ind_tot frgn_grnts_tot bnfts_to_mems_tot comp_curr_ofcr_tot comp_disqlfd_prsns_tot oth_sal_wg_tot pnsn_plan_contris_tot oth_empl_bnfts_tot
pyrll_txs_tot mgmt_srvc_fee_tot fee_for_srvc_leg_tot fee_for_srvc_acct_tot fee_for_srvc_lbby_tot fee_for_srvc_prof_tot fee_for_srvc_invst_tot fee_for_srvc_oth_tot advtg_tot
ofc_expns_tot
info_tech_tot rylts_tot
occupancy_tot trav_tot trav_entrmt_tot conf_mtngs_tot int_total pymt_to_afflt_tot deprec_dpltn_tot
insurance_tot
oth_expns_tot tot_func_expns_tot comp_curr_ofcr_prg_srvcs comp_disqlfd_prsns_prog_srvcs oth_sal_wg_prg_srvcs pnsn_plan_contris_prog_srvcs oth_empl_bnfts_prg_srvcs pyrll_txs_prog_srvcs mgmt_srvc_fee_prgm_srvcs fee_for_srvc_leg_prg_srvcs fee_for_srvc_acct_prg_srvcs fee_for_srvc_lbby_prg_srvcs fee_for_srvc_invst_prg_srvcs fee_for_srvc_oth_prg_srvcs advtg_prg_srvcs ofc_expns_prg_srvcs info_tech_prg_srvcs rylts_prg_srvcs occupancy_prog_srvc trav_prg_srvcs trav_entrmt_prg_srvcs conf_mtngs_prg_srvcs
int_prg_srvcs pymt_to_afflt_prg_srvcs deprec_dpltn_prg_srvcs insurance_prg_srvcs oth_expns_prg_srvcs tot_func_expns_prg_srvcs comp_curr_ofcr_mgmt_gen comp_disqlfd_prsns_mgmt_gen oth_sal_wg_prg_mgmt_gen pnsn_plan_contris_mgmt_gen oth_empl_bnfts_mgmt_gen pyrll_txs_mgmt_gen mgmt_srvc_fee_mgmt_gen fee_for_srvc_leg_mgmt_gen fee_for_srvc_acct_mgmt_gen fee_for_srvc_lbby_mgmt_gen fee_for_srvc_invst_mgmt_gen fee_for_srvc_oth_mgmt_gen advtg_prg_mgmt_gen ofc_expns_mgmt_gen info_tech_mgmt_gen rylts_mgmt_gen occupancy_mgmt_gen
trav_mgmt_gen trav_entrmt_mgmt_gen conf_mtngs_mgmt_gen int_mgmt_gen pymt_to_afflt_mgmt_gen deprec_dpltn_mgmt_gen insurance_mgmt_gen oth_expns_mgmt_gen tot_func_expns_mgmt_gen comp_curr_ofcr_fndrsng comp_disqlfd_prsns_fndrsng oth_sal_wg_fndrsng pnsn_plan_contris_fndrsng oth_empl_bnfts_fndrsng pyrll_txs_fndrsng mgmt_srvc_fee_fndrsng fee_for_srvc_leg_fndrsng fee_for_srvc_acct_fndrsng fee_for_srvc_lbby_fndrsng fee_for_srvc_invst_fndrsng fee_for_srvc_oth_fndrsng advtg_prg_fndrsng ofc_expns_fndrsng info_tech_fndrsng
rylts_fndrsng occupancy_fndrsng trav_fndrsng trav_entrmt_fndrsng conf_mtngs_fndrsng int_fndrsng pymt_to_afflt_fndrsng deprec_dpltn_fndrsng insurance_fndrsng oth_expns_fndrsng tot_func_expns_fndrsng csh_nnint_bearng_boy savngs_temp_csh_invst_boy pledge_grnts_rcvbl_boy accts_rcvbl_boy rcvbl_from_ofcrs_etc_boy rcvbl_from_dsqlfy_prsns_boy oth_nts_lns_rcvbl_net_boy invntry_for_sl_or_use_boy prepaid_exp_defrd_chrgs_boy land_bldgs_equip_bss_net_boy invst_pub_trd_sec_boy invst_oth_sec_boy invst_prg_rltd_boy intangible_assts_boy oth_asts_tot_boy tot_asts_boy accts_pybl_accr_exp_boy grnts_pybl_boy
defrd_rev_boy tx_exmpt_bnds_liab_boy escrow_acct_liab_boy lns_from_ofcr_dir_boy unsec_nts_lns_pybl_boy oth_liab_boy< tot_liab_boy unrstrd_net_asts_boy temp_rstrd_net_asts_boy perm_rstrd_net_asts_boy cap_stck_trst_pr_curr_fnd_boy pd_cap_srpls_lnd_bldg_fnd_boy rtn_earn_endow_etc_boy tot_net_asts_fnd_bal_boy tot_liab_net_asts_fnd_bal_boy csh_nnint_bearng_eoy savngs_temp_csh_invst_eoy pledge_grnts_rcvbl_eoy accts_rcvbl_eoy rcvbl_from_ofcrs_etc_eoy rcvbl_from_dsqlfy_prsns_eoy oth_nts_lns_rcvbl_net_eoy invntry_for_sl_or_use_eoy prepaid_exp_defrd_chrgs_eoy land_bldgs_equip_bss_net_eoy invst_pub_trd_sec_eoy invst_oth_sec_eoy invst_prg_rltd_eoy intangible_assts_eoy oth_asts_tot_eoy tot_asts_eoy accts_pybl_accr_exp_eoy grnts_pybl_eoy
defrd_rev_eoy tx_exmpt_bnds_liab_eoy escrow_acct_liab_eoy lns_from_ofcr_dir_eoy unsec_nts_lns_pybl_eoy oth_liab_eoy tot_liab_eoy unrstrd_net_asts_eoy temp_rstrd_net_asts_eoy perm_rstrd_net_asts_eoy cap_stck_trst_pr_curr_fnd_eoy pd_cap_srpls_lnd_bldg_fnd_eoy rtn_earn_endow_etc_eoy tot_net_asts_fnd_bal_eoy tot_liab_net_asts_fnd_bal_eoy method_of_acctng acct_compile_or_review
fs_audited audit_committee fed_grnt_audit_reqrd fed_grnt_audit_performed Service Center Cylce Page Line Employer Identification Number Accounting period Doing business as Zip Code Exempt subsection
Condtion code Group return for affiliates? All affiliates included? Group exemption number Website Type of org (corp, trust, etc) Year of formation State of legal domicile Termination or contraction$ Number voting members governing body! Number independent voting members total Number employees Total number volunteers Total gross UBI% Net unrelated business taxable income% Contributions and grants - prior year$ Program service revenue - prior year Investment income - prior year Other revenue - prior year Total revenue - prior year' Grants and similar amounts - prior year% Benefits paid to members - prior year Salaries, etc - prior year3 Total professional fundraising expense - prior year Other expenses - prior year Total Expenses - prior year# Revenues less expenses - prior year Total Assets, BOY Total Liabilities, BOY Net Assets or Fund Balances, BOY' Contributions and grants - current year& Program service revenue - current year Investment income - current year Other revenue - current year Total revenue - current year) Grants and similar amounts - current year' Benefits paid to members - current year Salaries, etc - current year5 Total professional fundraising expense - current year( Total fundraising expense - current year Other expenses - current year Total Expenses - current year % Revenues less expenses - current year Total Assets, EOY Total Liabilities, EOY Net Assets or Fund Balances, EOY Described in 501(c)(3)? Schedule B required? Political activities? Lobbying activities? Subject to proxy tax? Donor advised funds? Conservation easements? Collections of art? Credit counseling? Term or permanent endowments? Balance sheet amounts reported? Audited financial statements? School? Foreign office? Foreign activities, etc?1 More than $5000 to organizations Part IX, line 3?/ More than $5000 to individuals Part IX, line 3? Professional fundraising? Fundraising activities? Gaming? Hospital? Grants to organizations? Grants to individuals? Tax exempt bonds? Investment income? Escrow account? On behalf of issuer? Excess benefit transaction?! Prior excess benefit transaction? Loan to officer or DQP? Grant to related person?( Business relationship with organization?) Business relationship thru family member?3 Officer, etc. of entity with business relationship?" Deductible non-cash contributions?% Deductible contributions of art, etc? Terminated? Partial liquidation? Disregarded entity? Related entity?) Related organization a controlled entity?+ Any transfers to exempt non-charitable org?& Activities conducted thru partnership?" Number forms transmitted with 1096 Number W-2Gs included in 1a" Compliance with backup witholding? Number of employees Employment tax returns filed? Unrelated business income? Form 990-T filed? Foreign financial account?# Prohibited tax shelter transaction? Taxable party notification? Form 8886-T filed? Non-deductible contributions? Non-deduct. disclosure? Quid pro quo contributions? Quid pro quo disclosure? Form 8282 property disposed of? Number of 8282s filed Funds to pay premiums? Premiums paid? Form 8899 filed? Form 1098-C filed? Excess business holdings? Taxable distributions? Distribution to donor? Initiation fees amount Gross receipts amount' Number of voting governing body members$ Number of independent voting members Family or business relationship? Delegation of management duties? Changes to organizing docs? Material diversion or misuse? Members or stockholders? election of board members? decisions subject to approval? Minutes of governing body? Minutes of committees? Local chapters? Policies reference chapters?$ Form 990 provided to governing body? Officer mailing address? Conflict of interest policy?% Annual disclosure by covered persons?# Regular monitoring and enforcement? Whistleblower policy? Document retention policy? Compensation process CEO? Compensation process other? Investment in joint venture? Written policy or procedure? Method of public inspection No listed persons compensated% Number individuals greater than $100K Compensation from other sources?( Number of contractors greater than $100K Federated campaigns Fundraising events Related organizations! Government grants (contributions) Noncash contributions Total contributions
Total revenue Gross income from gaming1 Grants to governments and organizations in the US Grants to individuals in the US Benefits paid to or for members: Compensation of current officers, directors, etc -- Total- Compensation of disqualified persons -- Total! Other salaries and wages -- Total# Pension plan contributions -- Total Other employee benefits -- Total Payroll taxes -- Total Management fees -- Total Legal fees -- Total Accounting fees -- Total Lobbying fees -- Total& Professional fundraising fees -- Total# Investment management feed -- Total Other fees -- Total" Advertising and promotion -- Total Office expenses -- Total Information technology -- Total Royalties -- Total Occupancy -- Total Travel -- Total: Travel/entertainment expenses to public officials -- Total+ Conferences, conventions, meetings -- Total Interest expense -- Total Payments to affiliates -- Total. Depreciation, depletion, amortization -- Total Insurance -- Total Other expenses -- Total" Total functional expenses -- TotalE Compensation of current officers, directors, etc -- Program services8 Compensation of disqualified persons -- Program services, Other salaries and wages -- Program services. Pension plan contributions -- Program services+ Other employee benefits -- Program services! Payroll taxes -- Program services# Management fees -- Program services Legal fees -- Program services# Accounting fees -- Program services! Lobbying fees -- Program services. Investment management feed -- Program services Other fees -- Program services- Advertising and promotion -- Program services# Office expenses -- Program services* Information technology -- Program services Royalties -- Program services Occupancy -- Program services Travel -- Program servicesE Travel/entertainment expenses to public officials -- Program services6 Conferences, conventions, meetings -- Program services$ Interest expense -- Program services* Payments to affiliates -- Program services9 Depreciation, depletion, amortization -- Program services Insurance -- Program services" Other expenses -- Program services- Total functional expenses -- Program services< Compensation of disqualified persons -- Management & general0 Other salaries and wages -- Management & general2 Pension plan contributions -- Management & general/ Other employee benefits -- Mana< gement & general% Payroll taxes -- Management & general' Management fees -- Management & general" Legal fees -- Management & general' Accounting fees -- Management & general% Lobbying fees -- Management & general" Other fees -- Management & general1 Advertising and promotion -- Management & general' Office expenses -- Management & general. Information technology -- Management & general! Royalties -- Management & general! Occupancy -- Management & general Travel -- Management & general: Conferences, conventions, meetings -- Management & general( Interest expense -- Management & general. Payments to affiliates -- Management & general! Insurance -- Management & general& Other expenses -- Management & general1 Total functional expenses -- Management & general3 Compensation of disqualified persons -- Fundraising' Other salaries and wages -- Fundraising) Pension plan contributions -- Fundraising& Other employee benefits -- Fundraising Payroll taxes -- Fundraising Management fees -- Fundraising Legal fees -- Fundraising Accounting fees -- Fundraising Lobbying fees -- Fundraising) Investment management feed -- Fundraising Other fees -- Fundraising( Advertising and promotion -- Fundraising Office expenses -- Fundraising% Information technology -- Fundraising Royalties -- Fundraising Occupancy -- Fundraising Travel -- Fundraising1 Conferences, conventions, meetings -- Fundraising Interest expense -- Fundraising% Payments to affiliates -- Fundraising4 Depreciation, depletion, amortization -- Fundraising Insurance -- Fundraising Other expenses -- Fundraising( Total functional expenses -- Fundraising# Cash -- non-interest bearing -- boy- Savings and temporary cash investments -- boy$ Pledges and grants receivable -- boy Accounts receivable -- boy1 Receivables from officers, directors, etc. -- boy, Receivables from disqualified persons -- boy" Notes and loans receivables -- boy" Inventories for sale or use -- boy+ Prepaid expenses or deferred charges -- boy) Land, buildings, & equipment (net) -- boy0 Investments in publicly traded securities -- boy' Investements in other securities -- boy" Program-related investments -- boy Intangible assets -- boy Other assets -- boy Total assets -- boy, Accounts payable and accrued expenses -- boy Grants payable -- boy Deferred revenue -- boy" Tax-exempt bond liabilities -- boy Escrow account liability -- boy, Payables to officers, directors, etc. -- boy* Secured mortgages and notes payable -- boy, Unsecured mortgages and notes payable -- boy Other liabilities -- boy Total liabilities -- boy Unrestricted net assets -- boy Source Core Sch A Sch C Sch D Sch G Sch J Sch M Sch N Sch R- Grants to orgs and individuals outside the US Average Hours per week( Contributions to employee benefit plans ) Reportable compensation from related orgs Formers listed? Greater than $150,000? Membership dues Program service revenue -- Total, Program service revenue -- Related or exempt$ Program service revenue -- Unrelated# Program service revenue -- Excluded Investment income -- Total& Investment income -- Related or exempt Investment income -- Unrelated Investment income -- Excluded! Tax-exempt bond proceeds -- Total- Tax-exempt bond proceeds -- Related or exempt% Tax-exempt bond proceeds -- Unrelated$ Tax-exempt bond proceeds -- Excluded Royalties -- Related or exempt Royalties -- Unrelated Royalties -- Excluded Gross rents -- Real estate Rental expense -- Real estate Net rent -- Real estate Gross rents -- Personal property# Rental expense -- Personal property Net rent -- Personal property Net rental income -- Total& Net rental income -- Related or exempt Net rental income -- Unrelated Net rental income -- Excluded Gross sales -- Securities Sales expense -- Securities! Net gain from sales -- Securities Gross sales -- Other assets Sales expense -- Other assets# Net gain from sales -- Other assets Sales of assets -- Total$ Sales of assets -- Related or exempt Sales of assets -- Unrelated Sales of assets -- Excluded Gross fundraising Fundraising expenses Fundraising income -- Total' Fundraising income -- Related or exempt Fundraising income -- Unrelated Fundraising income -- Excluded Gaming expenses Gaming income -- Total" Gaming income -- Related or exempt Gaming income -- Unrelated Gaming income -- Excluded Cost of goods sold (inventory)' Income from sales of inventory -- Total0 Income from sales of inventory -- Related/exempt+ Income from sales of inventory -- Unrelated* Income from sales of inventory -- Excluded Other revenue -- Total" Other revenue -- Related or exempt Other revenue -- Unrelated Other revenue -- Excluded" Total revenue -- Related or exempt Total revenue -- Unrelated Total revenue -- Excluded% Total Liabilities + Net Assets -- boy Retained earnings -- eoy! Paid-in or capital surplus -- eoy Total Net Assets -- eoy% Total Liabilities + Net Assets -- eoy* Grassroots lobbying -- Filing organization& Direct lobbying -- Filing organization% Total lobbying -- Filing organization0 Other exempt expenditures -- Filing organization+ Total exempt purpose -- Filing organization1 Lobbying nontaxable amount -- Filing organization* Grassroots nontaxable amount -- Filing org* Grassroots subtotal -- Filing organization( Lobbying subtotal -- Filing organization' Grassroots lobbying -- Affiliated group# Direct lobbying -- Affiliated group" Total lobbying -- Affiliated group- Other exempt expenditures -- Affiliated group( Total exempt purpose -- Affiliated group. Lobbying nontaxable amount -- Affiliated group0 Grassroots nontaxable amount -- Affiliated group' Grassroots subtotal -- Affiliated group% Lobbying subtotal -- Affiliated group Total lobbying expenditures% Activities not described in 501(c)(3) Beginning of year escrow balance" Additions during the year (escrow)' Distributions during the year (escrow) Ending balance (escrow) Investments -- Land Investments -- Buildings% Investments -- Leasehold improvements Investnents -- Equipment Investments -- Other Total book value of investments* Other revenues - Schedule D reconciliation) Total amounts - Schedule D reconciliation, Revenue subtotal - Schedule D reconciliation, Investment expenses not included on Form 9901 Other revenue not included - Sch D reconciliation1 Total revenue not included - Sch D reconciliation$ Total revenue - Sch D reconciliation. Total Expenses, and Losses per financial stmts- Prior year adjustments - Sch D reconciliation& Losses reported - Sch D reconciliation. Other expenses included - Sch D reconciliation! Expenses not reported on Form 990( Expenses subtotal - Sch D reconciliation% Other expenses - Sch D reconciliation- Expenses not reported on financial statements2 Total expenses per Form 990 - Sch D reconciliation, Charitable contributions, total - Schedule G# Fundraising activities - Schedule G" Gross receipts, total - Schedule G Works of art -- revenues$ All other contributions, gifts, etc.> Compensation of current officers, etc -- Management & general4 Depreciation, depletion, etc -- Management & general2 Investment management feed -- Management & general' Cap Stck Trst Prin Current Funds -- boy+ Paid In Cap Srpls Land Bldg Eqp Fund -- boy& Retained Earnings Endowment Etc -- boy$ Total NetAssets Fund Balances -- boy Works of art -- number Historical treasures -- number Historical treasures -- revenues Fractional interests -- number Fractional interests -- revenues Cars and vehicles -- number Cars and vehicles -- revenues Boats and planes -- number Boats and planes -- revenues! Conservation (Historic) -- number Conservation (other) -- number Real estate (other) -- number Conservation (other) -- revenues Real estate (other) -- revenues" Miscellaneous securities -- number$ Miscellaneous securities -- revenues Taxidermy -- number Taxidermy -- revenues# Real estate (residential) -- number% Real estate (residential) -- revenues" Real estate (commercial) -- number< $ Real estate (commercial) -- revenues Historical artifacts -- number Historical artifacts -- revenues$ Publicly-traded securities -- number& Publicly-traded securities -- revenues Intellectual property -- number! Intellectual property -- revenues Closely-held stock -- number Closely-held stock -- revenues Partnership/LLC/Trust -- number! Partnership/LLC/Trust -- revenues Collectibles -- number Collectibles -- revenues Food inventory -- number Food inventory -- revenues$ Drugs and medical supplies -- number& Drugs and medical supplies -- revenues Scientific Specimens -- number Scientific Specimens -- revenues! Archeological artifacts -- number# Archeological artifacts -- revenues+ Sum of other contributed property -- number- Sum of other contributed property -- revenues$ Clothing/Household goods -- revenues# Conservation (historic) -- revenues8 Number of related organizations taxable as corp or trust? Amount of carryover of nonddctbl lobbying/political expenditure
Row number c020_sum c030_sum c040_sum EZ Schedule J required? Compensation -- sum. Contributions to employee benefit plans -- sum+ Expense account and other allowances -- sum Employee compensation (1 of 5) Employee benefits (1 of 5) Employee exense account (1 of 5) Employee compensation (2 of 5) Employee compensation (3 of 5) Employee compensation (4 of 5) Employee compensation (5 of 5) Employee benefits (2 of 5) Employee benefits (3 of 5) Employee benefits (4 of 5) Employee benefits (5 of 5) Employee exense account (2 of 5) Employee exense account (3 of 5) Employee exense account (4 of 5) Employee exense account (5 of 5)) Initiation fees and capital contributionsE Gross receipts, included on line 9, for public use of club facilities< Amount of tax imposed on the organization under section 4911< Amount of tax imposed on the organization under section 4955< Amount of tax imposed on the organization under section 49127 Engage in any section 4958 excess benefit transactions?E Amount of tax imposed on managers under sections 4912, 4955, and 4958E Was the organization a party to a prohibited tax shelter transaction?1 Direct or indirect political campaign activities?B Was there a liquidation, dissolution, termination, or contraction?2 Is the organization listed in governing documents? Bonus and incentive compensation srow chrty_care_plcy Charity care policy?
wrttn_plcy Written policy?
plcy_appld Policy applied to all hospitals fpg_ref_free_care FPG reference free care? fpg_free_pct fpg_ref_discntd_care FPG reference discounted care fpg_disc_pct free_disc_care_med_ind. Free or discounted care to medically indigent? amt_bud_for_chrty_care" Amounts budgeted for charity care? expns_exceed_budget Expenses exceeded budget? unable_to_provide_care Unable to provide care? annual_com_bnft_rpt Annual community benefit report?
rpt_pub_avail Report publically available? chrty_cst_num_actv_or_prog Number of activities or programs chrty_cst_prsns_srvd Persons served chrty_cst_tot_com_bnft_expns Total community benefit expense chrty_cst_drct_offst_rev Direct offsetting revenue chrty_cst_net_com_bnft_expns Net community benefit expense unreim_med_num_actv_or_prog unreim_med_prsns_srvd unreim_med_tot_com_bnft_expns unreim_med_drct_offst_rev unreim_med_net_com_bnft_expns unreim_cst_num_actv_or_prog unreim_cst_prsns_srvd unreim_cst_tot_com_bnft_expns unreim_cst_drct_offst_rev unreim_cst_net_com_bnft_expns tot_chrty_num_actv_or_prog tot_chrty_prsns_srvd tot_chrty_tot_com_bnft_expns tot_chrty_drct_offst_rev tot_chrty_net_com_bnft_expns com_hs_num_actv_or_prog com_hs_prsns_srvd com_hs_tot_com_bnft_expns com_hs_drct_offst_rev com_hs_net_com_bnft_expns hp_ed_num_actv_or_prog hp_ed_prsns_srvd hp_ed_tot_com_bnft_expns hp_ed_drct_offst_rev hp_ed_net_com_bnft_expns sub_hs_num_actv_or_prog sub_hs_prsns_srvd sub_hs_tot_com_bnft_expns sub_hs_drct_offst_rev sub_hs_net_com_bnft_expns rsrch_num_actv_or_prog rsrch_prsns_srvd rsrch_tot_com_bnft_expns rsrch_drct_offst_rev rsrch_net_com_bnft_expns csh_contri_num_actv_or_prog csh_contri_prsns_srvd csh_contri_tot_com_bnft_expns csh_contri_drct_offst_rev csh_contri_net_com_bnft_expns oth_bnft_num_actv_or_prog oth_bnft_prsns_srvd oth_bnft_tot_com_bnft_expns oth_bnft_drct_offst_rev oth_bnft_net_com_bnft_expns com_bnft_num_actv_or_prog com_bnft_prsns_srvd com_bnft_tot_com_bnft_expns com_bnft_drct_offst_rev com_bnft_net_com_bnft_expns imprvmnts_num_actv_or_prog imprvmnts_prsns_srvd imprvmnts_tot_imprvmnts_expns Total community building expense imprvmnts_drct_offst_rev imprvmnts_net_imprvmnts_expns Net community building expense econ_dev_num_actv_or_prog econ_dev_prsns_srvd econ_dev_tot_econ_dev_expns econ_dev_drct_offst_rev econ_dev_net_econ_dev_expns com_suprt_num_actv_or_prog com_suprt_prsns_srvd com_suprt_tot_com_suprt_expns com_suprt_drct_offst_rev com_suprt_net_com_suprt_expns environ_num_actv_or_prog environ_prsns_srvd environ_tot_environ_expns environ_drct_offst_rev environ_net_environ_expns ldrshp_num_actv_or_prog ldrshp_prsns_srvd ldrshp_tot_ldrshp_expns ldrshp_drct_offst_rev ldrshp_net_ldrshp_expns coal_bldg_num_actv_or_prog coal_bldg_prsns_srvd coal_bldg_tot_coal_bldg_expns coal_bldg_drct_offst_rev coal_bldg_net_coal_bldg_expns hlth_adv_num_actv_or_prog hlth_adv_prsns_srvd hlth_adv_tot_hlth_adv_expns hlth_adv_drct_offst_rev hlth_adv_net_hlth_adv_expns wrk_dev_num_actv_or_prog wrk_dev_prsns_srvd wrk_dev_tot_wrk_dev_expns wrk_dev_drct_offst_rev wrk_dev_net_wrk_dev_expns oth_num_actv_or_prog oth_prsns_srvd oth_tot_oth_expns oth_drct_offst_rev oth_net_oth_expns tot_num_actv_or_prog tot_prsns_srvd tot_tot_tot_expns tot_drct_offst_rev tot_net_tot_expns bad_debt_expns_rptd Bad debt expense reported? bad_debt_expns_amt Bad debt expense amount amt_attr_to Amount attributable to amt_reim_by_medicare Amount reimbursed by Medicare cst_care_reim_by_medicare# Cost of care reimbursed by Medicare medicare_surpls_shrtfall Line 5 less line 6 cst_mthdlgy Cost accounting system wrttn_debt_coll_plcy Written debt collection policy? prov_for_chrty_care Provision for charity care? Sch H) Consolidated audited financial statement? Schedule O required? evnts_info_ent_entrtn_tot evnts_info_evnt_fd_bev_tot( Food and beverage expenses, other events$ Entertainment expenses, other events rbttbl_prsmptn_prcdr! Rebuttable presumption procedure? FPG free percentage FPG discount percentage VARCHAR2 NUMBER ( Description of entity's primary activity& Organization's profit % or ownership %& Officers, etc. profit % or ownership %" Physican's profit % or ownership % Name Name of facility Zip code Type of facility jrow hrow
fclty_name fclty_zip
type_of_fclty enty_name descr_ent_prim_acty org_pft_or_ownr ofcrs_etc_prft_or_ownr phys_prft_or_ownr4 Characters (including 1-character carriage return) hospjnt_cnt hospfclt_cnt# Number of rows joint hospital table" Number of rows on facilities table sch_o_req# How was financial statement issued?
Core+Sch J Form 990 filers only Form 990 and 990-EZ filers Form 990-EZ filers only2 characters (including 1-character carriage return) Gen GEN. Number of rows on supported organization table1 Population estimate multiplier (2 decimal places) rprt_lnd_bldg_eqp rprt_inv_oth_sec rprt_prog_rel_inv rprt_oth_ast
rprt_oth_liab rprt_fin_48_ftnt indpndnt_audt_fin_stmt cnsld_audt_fin_stmt fin_stmt_att trans_rltd_ent trnsfr_to_non_chrtbl_org sec_mrtg_nts_pybl_boy sec_mrtg_nts_pybl_eoy rcncltn_rev_exp rcncltn_oth_chg QX005 QX010 QX015 QX070 QX080 QX225 QX230 QX235 QX240 QX245 QX250 QX260 QX270 QX280 QX320 QX330 QX340 r195 qx025 wrttn_irs_determ sum_of_suprtd_amts evnts_info_ent_entrtn_tot Revenue less expenses0 Report an amount for land building or equipment?< / Report an amount for investments in securities?# Report program related investments? Report other assets? Report other liabilities? Financial statement attached?# Transactions with related entities? Gross revenue from gaming Gross revenue from fundraising Gaming and fundraising expenses0 Net income (or loss) from gaming and fundraising# Activities not previously reported?* Changes to organizing/governing documents?$ Subject to 6033(e) notice/proxy tax?. Loans to/from officers, directors or trustees?7 Amount of loans to/from officers, directors or trustees Account in foreign country? Office in foreign country?7 Tax-exempt interest reported by 4947(a)(1) organization
Hospitals? Indoor tanning? Form 720 filed? Controlled entity?$ Transactions with controlled entity?0 Transfers to exempt non-charitable organization? Transfers to 537 organization? fclt_num
chna_cndct
chna_descr nds_assmnt_cndct tk_into_acct oth_fclt chna_wdly_avlbl chna_public elgbl_crtr_explnd
explns_bss bss_for_amts explns_applctn_mthd inclds_pblcty_msrs how_msrs_pblczd
actns_nnpymnt nnpymnt_actn_mthds coll_acty coll_acty_mthds
pre_coll_acty nndscrm_emrgncy_cr_plcy rsn_no_nndscrm_plcy max_amt_dtrmnd amt_gnrlly_blld gr_chrg Facility line number Conduct a needs assessment?# What the needs assessment describes Year needs assessment conducted' Take into account input from community? Conducted with other facilities?, Needs assessment widely available to public?1 How needs assessment was made available to public+ Explain eligibility crieria for assistance?& Explain basis for calculating charges?! Factors used to calculate charges+ Explain method for applying for assistance?/ Include measures to publicize assistance policy$ How assistance policy was publicized% Written policy regarding non-payment? Nonpayment policy actions Which collection activities$ Efforts before collection activities Actions related to collection?) Non-discriminatory emergency room policy?# Why no non-discriminatory ER policy% How maximum charge amounts determined- Did hospital charge more than amounts billed?% Charge amounts equal to gross chrage? rcncl_unrlzd_inv rcncltn_dntd_srvc rcncltn_inv_exp rcncltn_pri_adj acrb_issd fs_audt_issd org_incr_exc_tx fil_4720_rprt_exc_tx exc_rprt_4720_all_amt Incur 4959 excise tax? ob 4720 for excise tax? Amount of excise tax schh_ptv_sec_c_num_oth_fclt! Number of non-hospital facilities div_rltd_org$ Dividends from related organizations Investment expenses Prior period adjustments) Compiled separately, consolidated or both' Audited separately, consolidate or both Books -- revenues tot_rev_gen tot_func_expns_tot_gen tot_net_asts_fnd_bal_boy_gen tot_net_asts_fnd_bal_eoy_gen Total revenue from Part VIII Total expenses from Part IX Total boy net assets from Part X Total eoy net assets from Part X spprtd_org_cnt! Number of supported organizations Amount of monetary support Amount of other support frst_lcnsd_cy_py_ind tx_exmpt_hsptl_cy_py_ind chna_cndct_non_fclts_ind implmnttn_strtgy_adpt_ind implmnttn_strtgy_adpt_yr strtgy_pstd_web_ind strtgy_att_ind how_fap_explnd# Licensed in the current/prior year?# Acquired in the current/prior year?' Conducted with non-hospital facilities? Implementation strategy adopted?$ Year implementation strategy adopted* Implementation strategy posted on website?+ Implementation strategy attached to return? How was method explained?
oth_spprt_amtB 2017 SOI Exempt Organizations Study Record Element Specifications eo2017 eo2017_comp
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J "
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K #
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L $
L L K @ M F ~
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M %
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N &
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O '
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P
P P K @ Q F ~
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Q
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R
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S
S S K @ T F ~
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T
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U
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V
V V K @ W F ~
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W
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X
X X K @ Y F ~
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Y
Y Y K @ Z F ~
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Z
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[
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\
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]
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^
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_
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a $
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b &
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c '
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d (
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e )
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f *
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g +
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h ,
h h K @ i F ~
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i -
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j .
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k /
k % k K ջ@ l F ~
k .@
k e '
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l 0
l l K @ m F ~
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l e '
l b l [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ Q
m 1
m m K @ n F ~
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n 2
n ! n K @ o F ~
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o 3
o # o K @ p F ~
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p 4
p % p K @ q F ~
p .@
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q 5
q q K /@ r F ~
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r 6
r r K >@ s F ~
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r e '
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s 7
s ! s K M@ t F ~
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t 8
t # t K \@ u F ~
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u 9
u % u K k@ v F ~
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v :
v v K z@ w F ~
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w ;
w w K @ x F ~
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x <
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y =
y # y K @ z F ~
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z >
z % z K @ { F ~
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{ ?
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| @
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} A
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~ B
~ # ~ K @ F ~
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C
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E
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F
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G
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H
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I
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J
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K
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L
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M
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N
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O
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P
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Elizabeth Nelson Arnsberger Paul Microsoft Excel @ @ (uȾ@ +:S
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1 Statistics of Income EO990_17 EZ990_17
Subtables_17 EO990_17!Print_Area EZ990_17!Print_Area Subtables_17!Print_Area Print_Area_MI Worksheets
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F Microsoft Excel 2003 Worksheet Biff8 Excel.Sheet.8 9q