VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-13
IRS object ID
202441349349306679
Schema version
2022v5.0
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)
Return2024-05-13T16:07:13-04:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTHCARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone7063229599PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING RDAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31903ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF KIRKPATRICKPersonNm
Person TitleCFOPersonTitleTxt
Phone7063229599PhoneNum
Signature2024-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFPersonFirstNm
Person LastKIRKPATRICKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM EDWARD PHILLIPSPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2024-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerASANTE HILTSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31903ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,846,404GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressVALLEYHEALTHCOLUMBUS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee125TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,819,787PYContributionsGrantsAmt
CY Contributions Grants$5,310,005CYContributionsGrantsAmt
PY Program Service Revenue$5,813,532PYProgramServiceRevenueAmt
CY Program Service Revenue$6,299,757CYProgramServiceRevenueAmt
PY Investment Income$66PYInvestmentIncomeAmt
CY Investment Income-$46,186CYInvestmentIncomeAmt
PY Other Revenue$309,823PYOtherRevenueAmt
CY Other Revenue$236,642CYOtherRevenueAmt
PY Total Revenue$10,943,208PYTotalRevenueAmt
CY Total Revenue$11,800,218CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,483,512PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,072,837CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,495,027PYOtherExpensesAmt
CY Other Expenses$5,278,078CYOtherExpensesAmt
PY Total Expenses$9,978,539PYTotalExpensesAmt
CY Total Expenses$11,350,915CYTotalExpensesAmt
PY Revenues Less Expenses$964,669PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$449,303CYRevenuesLessExpensesAmt
Total Assets BOY$12,630,165TotalAssetsBOYAmt
Total Assets EOY$13,065,673TotalAssetsEOYAmt
Total Liabilities BOY$3,685,293TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,542,901TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,944,872NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,522,772NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,365,453ExpenseAmt
Revenue$6,536,399RevenueAmt
DescTHE ORGANIZATION PROVIDES COMPREHENSIVE PRIMARY HEALTHCARE REGARDLESS OF ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. APPROXIMATELY 38,400 VISITS WERE PROVIDED DURING THE 2023 FISCAL YEAR.Desc
Total Program Service Expenses$7,365,453TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee125EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEOCHA EVANSPersonNm
Phone7063229599PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP319032834ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
KAMESHA FAIR HARBISON MD
PHYSICIAN40.00Yes (X)$321,521$0$7,019
SARAH E LANGTERM 1222
CEO40.00$264,423$0$7,019Yes (X)
KIMBERLY BROWN-GULLATT MD
CMO40.00$216,239$0$7,384Yes (X)
JUDITH C BENNETT MD
PHYSICIAN40.00Yes (X)$167,476$0$7,019
CLIFTON JOHNSON DDS
DENTAL DIREC40.00Yes (X)$158,603$0$7,019
GIOVANNA GUERRA-TROCHE MD
PHYSICIAN40.00Yes (X)$120,257$0$7,384
KENDRA HUNTER DDS
DENTIST40.00Yes (X)$124,488$0$715
JEFF KIRKPATRICK
CFO40.00$110,204$0$6,512Yes (X)
BEATRICE CASIANO ALLEN
BOARD MEMBER1.00$0$0$0Yes (X)
DOROTHY HUMPHREY BASS
BOARD MEMBER1.00$0$0$0Yes (X)
KARON BUSH
BOARD MEMBER1.00$0$0$0Yes (X)
VIRGINIA DICKERSON
VICE CHAIRMA1.00$0$0$0Yes (X)Yes (X)
CECILIO GILL JR
CHAIRMAN1.00$0$0$0Yes (X)Yes (X)
DAISY LYNTON
BOARD MEMBER1.00$0$0$0Yes (X)
DOROTHY MABRY
SECRETARY1.00$0$0$0Yes (X)Yes (X)
MIKE MAYHEW
TREASURER1.00$0$0$0Yes (X)Yes (X)
REV CHRISTOPHER MCCALL
BOARD MEMBER1.00$0$0$0Yes (X)
MATTIE WRIGHT
BOARD MEMBER1.00$0$0$0Yes (X)
ASANTE HILTS
CEO1.00$0$0$0Yes (X)40.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,483,211TotalReportableCompFromOrgAmt
Total Other Compensation$50,071TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$5,086,483GovernmentGrantsAmt
All Other Contributions$223,522AllOtherContributionsAmt
Total Contributions$5,310,005TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621400BusinessCd
Total Revenue Column$6,299,757TotalRevenueColumnAmt
Related Or Exempt Func Income$6,299,757RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,299,757TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$46,186OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$46,186OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$46,186TotalRevenueColumnAmt
Exclusion-$46,186ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM INCENTIVES621400$193,374$193,374
VISION REVENUE621400$22,184$22,184
MISCELLANEOUS REVENUE621400$17,348$17,348

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,736TotalRevenueColumnAmt
Related Or Exempt Func Income$3,736RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$236,642OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,800,218TotalRevenueColumnAmt
Related Or Exempt Func Income$6,536,399RelatedOrExemptFuncIncomeAmt
Exclusion-$46,186ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$593,782TotalAmt
Program Services$205,624ProgramServicesAmt
Management And General$388,158ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,470,029TotalAmt
Program Services$3,094,771ProgramServicesAmt
Management And General$1,375,258ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$624,384TotalAmt
Program Services$413,996ProgramServicesAmt
Management And General$210,388ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$384,642TotalAmt
Program Services$251,171ProgramServicesAmt
Management And General$133,471ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,199TotalAmt
Management And General$17,199ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,247TotalAmt
Management And General$12,247ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,430,075TotalAmt
Program Services$670,537ProgramServicesAmt
Management And General$759,538ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$333,259TotalAmt
Management And General$333,259ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$210,142TotalAmt
Management And General$210,142ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$287,660TotalAmt
Program Services$143,830ProgramServicesAmt
Management And General$143,830ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$348,197TotalAmt
Program Services$276,155ProgramServicesAmt
Management And General$72,042ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,715TotalAmt
Program Services$78,098ProgramServicesAmt
Management And General$9,617ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,494TotalAmt
Program Services$19,494ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,894TotalAmt
Management And General$18,894ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$584,707TotalAmt
Program Services$463,731ProgramServicesAmt
Management And General$120,976ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$83,240TotalAmt
Management And General$83,240ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,695,269$1,695,269
REPAIRS & MAINTENANCE$57,516$28,758$28,758
DUES & SUBSCRIPTIONS$48,039$24,019$24,020
RECRUITMENT$44,275$44,275

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Management And General$150ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,350,915TotalAmt
Program Services$7,365,453ProgramServicesAmt
Management And General$3,985,462ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,423BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$288,885BOYAmt
EOY$858,334EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$951,791BOYAmt
EOY$232,962EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$97,294BOYAmt
EOY$93,983EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$24,057BOYAmt
EOY$116,306EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,455,792LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,537,764LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,610,785BOYAmt
EOY$9,918,028EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,252,916BOYAmt
EOY$1,719,266EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$400,014BOYAmt
EOY$126,794EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,630,165BOYAmt
EOY$13,065,673EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$762,455BOYAmt
EOY$730,846EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,922,838BOYAmt
EOY$2,751,733EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$60,322EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,685,293BOYAmt
EOY$3,542,901EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,944,872BOYAmt
EOY$9,522,772EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,944,872BOYAmt
EOY$9,522,772EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,630,165BOYAmt
EOY$13,065,673EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$449,303ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$128,597NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,398,484CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,965,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,966,096CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,819,787CurrentTaxYearMinus1YearAmt
Current Tax Year$5,310,005CurrentTaxYearAmt
Total$22,459,452TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,398,484CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,965,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,966,096CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,819,787CurrentTaxYearMinus1YearAmt
Current Tax Year$5,310,005CurrentTaxYearAmt
Total$22,459,452TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$22,459,452PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$66CurrentTaxYearMinus1YearAmt
Total$66TotalAmt
FieldValueIRS element (for citing)
Total Support$22,459,518TotalSupportAmt
Gross Receipts Rltd Activities$26,498,066GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$863,163OtherCostOrOtherBasisAmt
Book Value$863,163BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,166,707OtherCostOrOtherBasisAmt
Depreciation$2,079,802DepreciationAmt
Book Value$8,086,905BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,227,822OtherCostOrOtherBasisAmt
Depreciation$3,457,962DepreciationAmt
Book Value$769,860BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,100OtherCostOrOtherBasisAmt
Book Value$198,100BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,918,028TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITIESDesc
Amt$60,322Amt
FieldValueIRS element (for citing)
Total Liability$60,322TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,913,620TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$128,597NetUnrealizedGainsInvstAmt
Revenue Not Reported$128,597RevenueNotReportedAmt
Revenue Subtotal$11,785,023RevenueSubtotalAmt
Other Revenues Not Included$15,195OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$15,195RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,800,218TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,335,720TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$11,335,720ExpensesSubtotalAmt
Other Expenses Not Included$15,195OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$15,195ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,350,915TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.
SCHEDULE D, PAGE 4, PART XI, LINE 4BRECLASSIFIED EXPENSES 15,195
SCHEDULE D, PAGE 4, PART XII, LINE 4BRECLASSIFIED EXPENSES 15,195

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KAMESHA FAIR HARBISON MD
PHYSICIAN$269,220$52,301$7,019$328,540
SARAH E LANGTERM 1222
CEO$255,200$9,223$7,019$271,442
KIMBERLY BROWN-GULLATT MD
CMO$216,239$7,384$223,623
JUDITH C BENNETT MD
PHYSICIAN$167,476$7,019$174,495
CLIFTON JOHNSON DDS
DENTAL DIRECTOR$158,603$7,019$165,622

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIIFormAndLineReferenceDesc
ExplanationBONUS: OFFICERS AND EMPLOYEES ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. WHETHER A BONUS/INCENTIVE PAYMENT IS AWARDED IS DEPENDENT UPON ATTAINMENT OF PREDETERMINED GOALS AND THE NET PROFIT OF THE ORGANIZATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.
FORM 990, PAGE 1, PART I, LINE 6THE ORGANIZATION RECOGNIZES THAT THE BOARD MEMBERS VOLUNTARILY DEVOTE THEIR TIME AND ENERGY TO SERVE THEIR COMMUNITY BY PARTICIPATING IN THE GOVERNANCE OF THIS ORGANIZATION'S MISSION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO, CFO AND FINANCE COMMITTEE REVIEW THE FORM 990. AFTERWARDS THE RETURN IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES AND REVIEWED BY THE ENTIRE BOARD. INDIVIDUALS WITH CONFLICTS SHALL RECUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
FORM 990, PAGE 6, PART VI, LINE 15ASTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED. ALL BOARD DELIBERATIONS ARE WELL DOCUMENTED.
FORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES 642,852 749,227 0 PURCHASED FEES 27,685 10,311 0 TOTAL 670,537 759,538 0

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