JEFFERSON COMPREHENSIVE CARE SYSTEM INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
JEFFERSON COMPREHENSIVE CARE SYSTEM INC (EIN 71-0433902)
Tax period
2021-06-01 to 2022-05-31
Filed
2023-03-20
IRS object ID
202300799349300625
Schema version
2021v4.2
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)
Return2023-03-20T12:30:53-05:00ReturnTs
Tax Period End2022-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710433902EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON COMPREHENSIVE CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JEFF COMP CARE SYSTEM INCInCareOfNm
Business Name ControlJEFFBusinessNameControlTxt
Phone8705432380PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 TENNESSEE STREETAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHANDA EVANS-MCFIELDPersonNm
Person TitleCFOPersonTitleTxt
Phone8705432380PhoneNum
Signature2023-03-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHANDAPersonFirstNm
Person LastEVANS-MCFIELDPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSANDRA BROWNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 TENNESSEE STREETAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,232,263GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JCCSI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionTHE JEFFERSON COMPREHENSIVE CARE SYSTEM, INC. PROVIDES PRIMARY HEALTH CARE AND RELATED HEALTH EDUCATION AND SOCIAL SERVICES TO PERSONS IN DESIGNATED SERVICE AREAS WITHIN AR.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee110TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,445,708PYContributionsGrantsAmt
CY Contributions Grants$5,526,781CYContributionsGrantsAmt
PY Program Service Revenue$5,626,598PYProgramServiceRevenueAmt
CY Program Service Revenue$5,704,214CYProgramServiceRevenueAmt
PY Investment Income$2,068PYInvestmentIncomeAmt
CY Investment Income$1,268CYInvestmentIncomeAmt
PY Other Revenue$13PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,074,387PYTotalRevenueAmt
CY Total Revenue$11,232,263CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,454,131PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,877,873CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,968,612PYOtherExpensesAmt
CY Other Expenses$4,635,759CYOtherExpensesAmt
PY Total Expenses$10,422,743PYTotalExpensesAmt
CY Total Expenses$10,513,632CYTotalExpensesAmt
PY Revenues Less Expenses$651,644PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$718,631CYRevenuesLessExpensesAmt
Total Assets BOY$11,955,661TotalAssetsBOYAmt
Total Assets EOY$12,784,115TotalAssetsEOYAmt
Total Liabilities BOY$733,959TotalLiabilitiesBOYAmt
Total Liabilities EOY$843,782TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,221,702NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,940,333NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE JEFFERSON COMPREHENSIVE CARE SYSTEM, INC. PROVIDES PRIMARY HEALTH CARE AND RELATED HEALTH EDUCATION AND SOCIAL SERVICES TO PERSONS IN DESIGNATED SERVICE AREAS WITHIN ARKANSAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,429,056ExpenseAmt
Grant$0GrantAmt
Revenue$4,523,187RevenueAmt
DescCOMPREHENSIVE HEALTH SERVICES-MEDICAL & DENTAL CARE FOR THE COMMUNITY. THIS PROGRAM SERVICE ACTIVITY SERVED 7,854 PEOPLE DURING THE FISCAL YEAR ENDED MAY 31, 2022.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,093,909ExpenseAmt
Grant$0GrantAmt
Revenue$997,902RevenueAmt
DescAIDS IN COMMUNITY HEALTH FACILITIES PROGRAM-PROVIDES MEDICAL SERVICES AND CONDUCTS RESEARCH FOR AIDS INFECTED INDIVIDUALS. THIS PROGRAM SERVICE ACTIVITY SERVED 220 PEOPLE DURING THE FISCAL YEAR ENDED MAY 31, 2022.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$319,332ExpenseAmt
Grant$0GrantAmt
Revenue$183,125RevenueAmt
DescPART D PROGRAM SERVICES PROVIDE FAMILY-CENTERED PRIMARY MEDICAL CARE TO WOMEN, INFANTS, CHILDREN, AND YOUTH (WICY) LIVING WITH HIV/AIDS WHEN PAYMENTS FOR SUCH SERVICES ARE UNAVAILABLE FROM OTHER SOURCES DURING THE FISCAL YEAR ENDED MAY 31,2022.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$7,958$0$0SUD
$49,521$0$0OTHER PROGRAM SERVICES
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$57,479TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$7,899,776TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee110EmployeeCnt
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF COMP CARE SYSTEM INCPersonNm
Phone8705432315PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 TENNESSEEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MANUEL KELLY
PHYSICIAN40.00.0Yes (X)$250,077$0$14,385
SHERRI DIAMOND
PHYSICIAN40.00.0Yes (X)$243,454$0$18,220
JESUS A MORENO MUNOZ
PHYSICIAN40.00.0Yes (X)$217,100$0$27,698
MARCUS A CROUTHER
PHYSICIAN40.00.0Yes (X)$216,937$0$26,790
SANDRA BROWN
CEO40.00.0$180,917$0$15,140Yes (X)
ROSETTA M SHELBY-CALVIN
PHYSICIAN40.00.0Yes (X)$179,682$0$9,552
CHANDA EVANS-MCFIELD
CFO40.00.0$123,061$0$14,393Yes (X)
PATRICIA WASHINGTON
DIRECTOR OF OPERATIONS40.00.0$48,418$0$10,762Yes (X)
IVAN HUDSON
BOARD MEMBER1.00.0$0$0$0Yes (X)
EDDIE OCHOA MD
VICE CHAIR1.00.0$0$0$0Yes (X)Yes (X)
CHERYL BROUGHTON
BOARD MEMBER1.00.0$0$0$0Yes (X)
EARNESTINE DANIELS
BOARD MEMBER1.00.0$0$0$0Yes (X)
ZACKERY TALIAFERRO
BOARD MEMBER1.00.0$0$0$0Yes (X)
AL LOWERY
BOARD MEMBER1.00.0$0$0$0Yes (X)
WILLIAM BURNEY
SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
BONITA CORBIN
BOARD MEMBER1.00.0$0$0$0Yes (X)
EDDIE DAVIS
BOARD MEMBER1.00.0$0$0$0Yes (X)
BELINDA JONES
BOARD MEMBER1.00.0$0$0$0Yes (X)
MARIE LINDQUIST
BOARD MEMBER1.00.0$0$0$0Yes (X)
LILLIE REEVES
BOARD MEMBER1.00.0$0$0$0Yes (X)
MONICA WILLIAMS
BOARD MEMBER1.00.0$0$0$0Yes (X)
JERRY MALONE
CHAIR1.00.0$0$0$0Yes (X)Yes (X)
LINZIE ANDERSON
TREASURER1.00.0$0$0$0Yes (X)Yes (X)
ARTHUR ETHERLY
BOARD MEMBER1.00.0$0$0$0Yes (X)
LEONARDO MOYA
BOARD MEMBER1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,459,646TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$136,940TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EDAFIO TECHNOLOGIES LLC
5020 NORTHSHORE DRIE SUITE 1NORTH LITTLE ROCKAR72118IT SERVICES/SOFTWARE$279,008
LAB CORPORATION OF AMERICA HOLDINGS
PO BOX 12140LITTLE ROCKAR72205LABORATORY SERVICES$339,652
CPI 340B LLC
PO BOX 7MAMMOTH SPRINGAR72554340B CONSULTING$136,800
FORVIS
PO BOX 1190SPRINGFIELDMO658011190AUDIT$131,740
ACC BUSINESS
PO BOX 5077CAROL STREAMIL601975077INTERNET SERVICES$128,128
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$5,480,768GovernmentGrantsAmt
All Other Contributions$46,013AllOtherContributionsAmt
Total Contributions$5,526,781TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICES621110$4,080,311$4,080,311
340B PHARMACY621110$1,623,903$1,623,903
FieldValueIRS element (for citing)
Total Program Service Revenue$5,704,214TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,268TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,268ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,232,263TotalRevenueColumnAmt
Related Or Exempt Func Income$5,704,214RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,268ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$422,763TotalAmt
Management And General$422,763ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,457,579TotalAmt
Program Services$3,311,049ProgramServicesAmt
Management And General$1,146,530ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$93,000TotalAmt
Program Services$69,080ProgramServicesAmt
Management And General$23,920ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$568,786TotalAmt
Program Services$422,489ProgramServicesAmt
Management And General$146,297ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$335,745TotalAmt
Program Services$249,388ProgramServicesAmt
Management And General$86,357ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,644TotalAmt
Program Services$12,363ProgramServicesAmt
Management And General$4,281ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$98,060TotalAmt
Program Services$72,838ProgramServicesAmt
Management And General$25,222ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,367,156TotalAmt
Program Services$1,015,511ProgramServicesAmt
Management And General$351,645ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,202TotalAmt
Program Services$15,006ProgramServicesAmt
Management And General$5,196ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$399,108TotalAmt
Program Services$296,454ProgramServicesAmt
Management And General$102,654ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$119,209TotalAmt
Program Services$88,547ProgramServicesAmt
Management And General$30,662ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$303,563TotalAmt
Program Services$225,484ProgramServicesAmt
Management And General$78,079ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,680TotalAmt
Program Services$36,159ProgramServicesAmt
Management And General$12,521ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$211,597TotalAmt
Program Services$157,172ProgramServicesAmt
Management And General$54,425ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$154,504TotalAmt
Program Services$114,764ProgramServicesAmt
Management And General$39,740ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
340B PHARMACY EXPENSE$807,326$807,326
SUPPLIES EXPENSE$764,825$764,825
REPAIRS & MAINTENANCE$80,706$59,948$20,758
DUES & SUBSCRIPTIONS$80,262$59,618$20,644

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$163,917TotalAmt
Program Services$121,755ProgramServicesAmt
Management And General$42,162ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,513,632TotalAmt
Program Services$7,899,776ProgramServicesAmt
Management And General$2,613,856ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,345,698BOYAmt
EOY$5,112,429EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,673,033BOYAmt
EOY$1,885,303EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$340,869BOYAmt
EOY$467,424EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,565,550BOYAmt
EOY$3,377,601EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$89,457BOYAmt
EOY$48,055EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,267,217LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,382,255LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,932,713BOYAmt
EOY$1,884,962EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,341BOYAmt
EOY$8,341EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,955,661BOYAmt
EOY$12,784,115EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$733,959BOYAmt
EOY$843,782EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$733,959BOYAmt
EOY$843,782EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,221,702BOYAmt
EOY$11,940,333EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,221,702BOYAmt
EOY$11,940,333EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,955,661BOYAmt
EOY$12,784,115EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$718,631ReconcilationRevenueExpnssAmt
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 CommitteefalseAuditCommitteeInd
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$5,136,951CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,319,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,298,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,440,698CurrentTaxYearMinus1YearAmt
Current Tax Year$5,526,781CurrentTaxYearAmt
Total$27,722,626TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,136,951CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,319,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,298,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,440,698CurrentTaxYearMinus1YearAmt
Current Tax Year$5,526,781CurrentTaxYearAmt
Total$27,722,626TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$27,722,626PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,347CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,254CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,068CurrentTaxYearMinus1YearAmt
Current Tax Year$1,268CurrentTaxYearAmt
Total$10,117TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$1,142TotalAmt
FieldValueIRS element (for citing)
Total Support$27,733,885TotalSupportAmt
Gross Receipts Rltd Activities$29,010,760GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99959PublicSupportCY170Pct
Public Support PY1700.99954PublicSupportPY170Pct
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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$660,276OtherCostOrOtherBasisAmt
Depreciation$660,276DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,681,778OtherCostOrOtherBasisAmt
Depreciation$595,904DepreciationAmt
Book Value$1,085,874BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,925,163OtherCostOrOtherBasisAmt
Depreciation$1,126,075DepreciationAmt
Book Value$799,088BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$1,884,962TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,424,796TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$192,533DonatedServicesAndUseFcltsAmt
Revenue Not Reported$192,533RevenueNotReportedAmt
Revenue Subtotal$11,232,263RevenueSubtotalAmt
Total Revenue Per Form990$11,232,263TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,706,165TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$192,533DonatedServicesUseFcltsAmt
Expenses Not Reported$192,533ExpensesNotReportedAmt
Expenses Subtotal$10,513,632ExpensesSubtotalAmt
Total Expenses Per Form990$10,513,632TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SANDRA BROWN
CEO$180,397$0$520$0$0$0$5,889$0$9,251$0$196,057$0$0$0
MANUEL KELLY
PHYSICIAN$249,477$0$600$0$0$0$5,277$0$9,108$0$264,462$0$0$0
SHERRI DIAMOND
PHYSICIAN$242,936$0$518$0$0$0$8,774$0$9,446$0$261,674$0$0$0
JESUS A MORENO MUNOZ
PHYSICIAN$216,586$0$514$0$0$0$18,252$0$9,446$0$244,798$0$0$0
MARCUS A CROUTHER
PHYSICIAN$216,422$0$515$0$0$0$17,344$0$9,446$0$243,727$0$0$0
ROSETTA M SHELBY-CALVIN
PHYSICIAN$179,169$0$513$0$0$0$444$0$9,108$0$189,234$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11BTHE CEO AND CFO REVIEW FORM 990 FOR ACCURACY BEFORE PRESENTING IT TO THE BOARD FOR REVIEW.
FORM 990, PART VI, LINE 12CTHE BOARD OF DIRECTORS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST AT EACH MONTHLY BOARD MEETING. EMPLOYEES SIGN A DISCLOSURE ANNUALLY AGREEING TO COMPLY WITH THE POLICY. A CORPORATE COMPLIANCE PROGRAM IS MAINTAINED TO MONITOR COMPLIANCE.
FORM 990, PART VI, LINES 15A & 15BCOMPENSATION OF THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS AND IS REQUIRED TO REMAIN WITHIN BUDGET RESTRICTIONS. ADJUSTMENTS TO COMPENSATION ARE MADE BY THE BOARD OF DIRECTORS. OFFICER COMPENSATION ADJUSTMENTS ARE RECOMMENDED BY SUPERVISORS. THE CEO AND BOARD OF DIRECTORS DETERMINE AND ADJUST THE RECOMMENDATIONS.
FORM 990, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2CALTHOUGH NO FORMAL COMMITTEE HAS BEEN ESTABLISHED, THE FINANCE COMMITTEE HAS OVERSIGHT AND SELECTION FUNCTIONS REGARDING THE SELECTION OF AN INDEPENDENT ACCOUNTANT AS WELL AS AUDIT OVERSIGHT. SELECTION FUNCTIONS MUST BE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1367156

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.