WINN COMMUNITY HEALTH CENTER INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WINN COMMUNITY HEALTH CENTER INC (EIN 20-5823527)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202413209349305231
- Schema version
- 2023v5.1
- Note
- A later return for the same period supersedes this one.
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T09:20:06-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 871297467 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OAKWATER FINANCIAL GROUP LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 203 N ABEL ST | AddressLine1Txt |
| City | WINNFIELD | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71483 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205823527 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINN COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WINN | BusinessNameControlTxt |
| Phone | 3186480375 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1288 | AddressLine1Txt |
| City | WINNFIELD | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71483 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEANO THORNTON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3183480375 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS BATES CPA | PreparerPersonNm |
| PTIN | P02527065 | PTIN |
| Phone | 3186283985 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEANO THORNTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1288 | AddressLine1Txt |
| City | WINNFIELD | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71483 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,756,489 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WINNCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | WINN COMMUNITY HEALTH CENTER PROVIDES OUTPATIENT SERVICES PRIMARLIY TO MEDICARE, MEDICAID AND MEDICALLY INDIGENT INDIVIDUALS THROUGHOUT CENTRAL LOUISIANA | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 721 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,948,478 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,152,810 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,593,464 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,604,377 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,335,297 | PYOtherRevenueAmt |
| CY Other Revenue | $10,999,302 | CYOtherRevenueAmt |
| PY Total Revenue | $28,877,239 | PYTotalRevenueAmt |
| CY Total Revenue | $36,756,489 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,371,012 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,520,416 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,683,440 | PYOtherExpensesAmt |
| CY Other Expenses | $8,908,838 | CYOtherExpensesAmt |
| PY Total Expenses | $23,054,452 | PYTotalExpensesAmt |
| CY Total Expenses | $28,429,254 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,822,787 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,327,235 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,304,419 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,334,856 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,200,260 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,968,133 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,104,159 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,366,723 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WINN COMMUNITY HEALTH CENTER PROVIDES OUTPATIENT SERVICES PRIMARLIY TO MEDICARE, MEDICAID AND MEDICALLY INDIGENT INDIVIDUALS THROUGHOUT CENTRAL LOUISIANA | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | WINN COMMUNITY HEALTH CENTER PROVIDES OUTPATIENT SERVICES PRIMARLIY TO MEDICARE, MEDICAID AND MEDICALLY INDIGENT INDIVIDUALS THROUGHOUT CENTRAL LOUISIANA | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,011,165 | ExpenseAmt |
| Desc | WINN COMMUNITY HEALTH CENTER PROVIDES OUTPATIENT SERVICES PRIMARLIY TO MEDICARE, MEDICAID AND MEDICALLY INDIGENT INDIVIDUALS THROUGHOUT CENTRAL LOUISIANA | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $22,011,165 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $22,011,165 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 721 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WCHC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3186480375 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 431 W LAFAYETTE ST | AddressLine1Txt |
| City | WINNFIELD | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71483 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| ELLEN RUSSELL | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| JOE BASS | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| KAYE PYLES | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| LANIKA WALKER | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE CARPENTER | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| CINDY JAMISON | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| STANLEY KING | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| JUNE MELTON | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA JONES | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENT HUBBARD | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENDA MELTON | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| KATINA SMITH | |||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| DEANO THORNTON | |||||||
| CEO | 40.00 | $278,888 | $0 | $0 | Yes (X) | ||
| DAVID ADAMS | |||||||
| COO | 40.00 | $186,305 | $0 | $0 | Yes (X) | ||
| TWYLA HYMAN | |||||||
| CFO | 40.00 | $138,754 | $0 | $0 | Yes (X) | ||
| JOSEPH RUSTOM | |||||||
| DDS | 40.00 | $355,078 | $0 | $0 | Yes (X) | ||
| JOAN WALKER | |||||||
| MEDICAL DIRECTOR | 40.00 | $262,135 | $0 | $0 | Yes (X) | ||
| JENNETTE BERGSTEDT | |||||||
| PHYSICIAN | 40.00 | $220,248 | $0 | $0 | Yes (X) | ||
| CAROLINE BATTLES | |||||||
| PHYSICIAN | 40.00 | $181,675 | $0 | $0 | Yes (X) | ||
| ANGELA ODOM-AUSTIN | |||||||
| PHYSICIAN | 40.00 | $189,764 | $0 | $0 | Yes (X) | ||
| JUN S CHO | |||||||
| DDS | 40.00 | $205,648 | $0 | $0 | Yes (X) | ||
| SANDRA CULP | |||||||
| DDS | 40.00 | $185,566 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,204,061 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRIS & DICKERSON | |||||
| PO BOX 51367 | SHREVEPORT | LA | 71135 | PHARMACEUTICAL | $3,109,232 |
| ECLINICAL WORKS | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | SOFTWARE | $398,563 |
| JAMES MORRIS | |||||
| 4025 MONUMENT AVE | RICHMOND | VA | 23230 | SERVICE | $133,068 |
| D'ARGENT DEVELOPMENT | |||||
| 1460 CENTRE COURT | ALEXANDRIA | LA | 71301 | CONSTRUCTION | $131,998 |
| LOCUMTENENSCOM | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | SERVICE | $117,029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,152,810 | GovernmentGrantsAmt |
| Total Contributions | $6,152,810 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621000 | BusinessCd |
| Total Revenue Column | $19,604,377 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,604,377 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,604,377 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUE | 621000 | $10,934,631 | $10,934,631 |
| NET ASSETS RELEASED FROM RESTRICT | 621000 | $64,671 | $64,671 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,999,302 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,756,489 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,603,679 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,204,061 | TotalAmt |
| Program Services | $1,600,114 | ProgramServicesAmt |
| Management And General | $603,947 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,208,158 | TotalAmt |
| Program Services | $10,184,407 | ProgramServicesAmt |
| Management And General | $3,023,751 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,514 | TotalAmt |
| Program Services | $168,356 | ProgramServicesAmt |
| Management And General | $24,158 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,826,716 | TotalAmt |
| Program Services | $2,140,214 | ProgramServicesAmt |
| Management And General | $686,502 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088,967 | TotalAmt |
| Program Services | $1,042,765 | ProgramServicesAmt |
| Management And General | $46,202 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $800 | TotalAmt |
| Management And General | $800 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,742 | TotalAmt |
| Program Services | $507,512 | ProgramServicesAmt |
| Management And General | $156,230 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,565 | TotalAmt |
| Program Services | $155,650 | ProgramServicesAmt |
| Management And General | $47,915 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $5,580,346 | $4,266,855 | $1,313,491 |
| OTHER EXPENSES | $787,252 | $392,445 | $394,807 |
| CONTRACTED SERVICES | $728,714 | $728,714 | |
| FACILITY EXPENSE | $357,529 | $357,529 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,890 | TotalAmt |
| Program Services | $466,604 | ProgramServicesAmt |
| Management And General | $120,286 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,429,254 | TotalAmt |
| Program Services | $22,011,165 | ProgramServicesAmt |
| Management And General | $6,418,089 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,610,242 | BOYAmt |
| EOY | $9,844,969 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,934 | BOYAmt |
| EOY | $13,337,272 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,603,605 | BOYAmt |
| EOY | $165,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,191,247 | BOYAmt |
| EOY | $5,221,621 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,236 | BOYAmt |
| EOY | $141,839 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,816,725 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,993,525 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,525,155 | BOYAmt |
| EOY | $12,823,200 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,000 | BOYAmt |
| EOY | $800,955 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,304,419 | BOYAmt |
| EOY | $42,334,856 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,839 | BOYAmt |
| EOY | $1,102,305 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $864,421 | BOYAmt |
| EOY | $1,865,828 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200,260 | BOYAmt |
| EOY | $2,968,133 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,928,371 | BOYAmt |
| EOY | $39,255,606 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,788 | BOYAmt |
| EOY | $111,117 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,104,159 | BOYAmt |
| EOY | $39,366,723 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,304,419 | BOYAmt |
| EOY | $42,334,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,327,235 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$64,671 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,701,930 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,701,930 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $10,909,621 | InvestmentCostOrOtherBasisAmt |
| Book Value | $10,909,621 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,034,018 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,034,018 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,171,156 | InvestmentCostOrOtherBasisAmt |
| Book Value | $3,171,156 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $3,993,525 | DepreciationAmt |
| Book Value | -$3,993,525 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,823,200 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY, CURRENT | $90,120 |
| LEASE LIABILITY | $592,916 |
| ACCRUED PAYROLL | $1,182,792 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,865,828 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH RUSTOM | ||||||||||||||
| DDS | $355,078 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $355,078 | $0 | $0 | $0 |
| DEANO THORNTON | ||||||||||||||
| CEO | $278,888 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $278,888 | $0 | $0 | $0 |
| JOAN WALKER | ||||||||||||||
| MEDICAL DIRECTOR | $262,135 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $262,135 | $0 | $0 | $0 |
| JENNETTE BERGSTEDT | ||||||||||||||
| PHYSICIAN | $220,248 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $220,248 | $0 | $0 | $0 |
| JUN S CHO | ||||||||||||||
| DDS | $205,648 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $205,648 | $0 | $0 | $0 |
| ANGELA ODOM-AUSTIN | ||||||||||||||
| PHYSICIAN | $189,764 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $189,764 | $0 | $0 | $0 |
| DAVID ADAMS | ||||||||||||||
| COO | $186,305 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $186,305 | $0 | $0 | $0 |
| SANDRA CULP | ||||||||||||||
| DDS | $185,566 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $185,566 | $0 | $0 | $0 |
| CAROLINE BATTLES | ||||||||||||||
| PHYSICIAN | $181,675 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $181,675 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT WILL REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT IF INTEREST POLICY IS MONITORED VIA BOARD MEETINGS |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION PROCESS FOR EXECUTIVE DIRECTOR IS APPROVED BY BOARD OF DIRECTORS. COMPENSATION PROCESS FOR ALL KEY EMPLOYEES IS REVIEWED BY BOARD OFDIRECTORS |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS DISCLOSURE NOTICES ARE POSTED ON THE WEBSITE AND IN FACILITIES THAT SUCH DOCUMENTS ARE AVAILABLE FOR INSPECTION |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS -64,671. |