PROFESSIONAL COUNSELING ASSOCIATES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PROFESSIONAL COUNSELING ASSOCIATES INC (EIN 71-0479416)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-03
- IRS object ID
- 202311239349302816
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-03T15:57:19-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3667 | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710479416 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROFESSIONAL COUNSELING ASSOCIATES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BRIAN LUTZ | InCareOfNm |
| Business Name Control | PROF | BusinessNameControlTxt |
| Phone | 5012211843 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 RICHARDS ROAD | AddressLine1Txt |
| City | NORTH LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72117 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH FAUGHT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5012211843 | PhoneNum |
| Signature | 2023-05-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KEITH | PersonFirstNm |
| Person Last | FAUGHT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER SHERRILL | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 RICHARDS ROAD | AddressLine1Txt |
| City | NORTH LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,867,547 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.pca-ar.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | WE HELP MAKE OUR COMMUNITY HEALTHIER, SAFER, AND MORE PRODUCTIVE BY IMPROVING THE LIVES OF THE PEOPLE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 54 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 54 | VotingMembersIndependentCnt |
| Total Employee | 25 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,740,761 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,805,656 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,155,351 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $973,282 | CYProgramServiceRevenueAmt |
| PY Investment Income | $126,280 | PYInvestmentIncomeAmt |
| CY Investment Income | -$608 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,953 | PYOtherRevenueAmt |
| CY Other Revenue | $26,574 | CYOtherRevenueAmt |
| PY Total Revenue | $4,033,345 | PYTotalRevenueAmt |
| CY Total Revenue | $3,804,904 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,000,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,841 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,800,435 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,325,470 | PYOtherExpensesAmt |
| CY Other Expenses | $1,523,681 | CYOtherExpensesAmt |
| PY Total Expenses | $3,375,311 | PYTotalExpensesAmt |
| CY Total Expenses | $5,324,116 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $658,034 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,519,212 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,668,216 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,945,848 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $240,488 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,332 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,427,728 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,908,516 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO OFFER PATHWAYS TO WHOLENESS, HEALING, AND HOPE THROUGH CARING AND EFFECTIVE MENTAL HEALTH SERVICES. WE HELP MAKE OUR COMMUNITY HEALTHIER, SAFER, AND MORE PRODUCTIVE BY IMPROVING THE LIVES OF THE PEOPLE WE SERVE, HELPING INDIVIDUALS AND FAMILIES BUILD ON THEIR OWN STRENGTHS, AND BY SUPPORTING THE WORK OF OTHER CAREGIVERS AND SERVICE PROVIDERS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,524,162 | ExpenseAmt |
| Grant | $2,000,000 | GrantAmt |
| Revenue | $973,282 | RevenueAmt |
| Desc | PROFESSIONAL COUNSELING ASSOCIATES(PCA) PROVIDES MENTAL HEALTH CARE FOR LOWER INCOME & ELDERLY PEOPLE. PCA PROVIDED OUTPATIENT CARE TO 2,012 CLIENTS. | Desc |
| Total Program Service Expenses | $4,524,162 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 25 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 54 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 54 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN LUTZ | PersonNm |
| Phone | 4799575570 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 EAST 16TH STREET | AddressLine1Txt |
| City | RUSSELLVILLE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72802 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| BRIAN DAVIS | |||||||
| PRESIDENT/CEO | 1.0 | 53.0 | Yes (X) | $0 | $191,788 | $30,425 | |
| WILLIAM M SCHEERER | |||||||
| CFO | 2.0 | 50.0 | Yes (X) | $0 | $163,462 | $18,245 | |
| ANGELA LEE KOONE | |||||||
| VP OF CLINICAL OPERATIONS | 1.0 | 48.0 | Yes (X) | $0 | $119,899 | $23,564 | |
| BRIAN LUTZ | |||||||
| VP OF ACCOUNTING | 2.0 | 40.0 | Yes (X) | $0 | $123,168 | $17,326 | |
| HAYWARD E FINKS JR | |||||||
| VICE PRESIDENT | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARCIA A HARDING | |||||||
| TREASURER | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ROSE JONES | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| HERB WASHINGTON | |||||||
| SECRETARY | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARK HERBST | |||||||
| PRESIDENT | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ABBEY EDDY | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| ALICE HINES | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| BECKY HALL | |||||||
| DIRECTOR | 1.0 | 3.0 | $0 | $0 | $0 | Yes (X) | |
| BECKY HARTSFIELD | |||||||
| DIRECTOR | 1.0 | 3.0 | $0 | $0 | $0 | Yes (X) | |
| CEDRIC WILLIAMS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| CHARLIE CROSS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| CHRISTOPHER R THORNTON | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| CLYDE E NOEL | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| CONNIE GARDNER | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| DAVID MCBEE | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| DAVID WEST | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| DEWAYNE PHELAN | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| DONNIE DAVIS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| ELIZABETH KELLEY | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| ERIC SMITH | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| FARRIS DEBOARD | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| FRANK JOHNSON | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| GARY HEAD | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| HAROLD PYLE | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| HENRY TORRES | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JACKIE BRASHEARS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JAN ZIEGLER | |||||||
| DIRECTOR | 1.0 | 3.0 | $0 | $0 | $0 | Yes (X) | |
| JEANIE HILL | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JEANNIE TINDALL | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JERRI SKAGGS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JERROD SANDEFUR | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JESSICA WITHROW | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| JULIA FROST | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| KENNY WYATT | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| KEVIN HATFIELD | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| KEVIN MOLDER | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| LEIGH ANN WRIGHT | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| LORI ROSS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| LUCILLA GARRETT | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| LYNN RUSSELL | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| MARIBEL ROGERS | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| MARSHA JONES | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| MIKE MORGENTHALER | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| MIKE NEWMAN | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| PAIGE CATT | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| PAUL DIELMANN | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| REBECCA JONES | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| REGINA BURKETT | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| RHONDA HODGES | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| ROBERT YOUNG | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| RUTH PROVOST | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| SHARON SPURLIN | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| TERESA L VAUGHAN | |||||||
| DIRECTOR | 1.0 | 9.0 | $0 | $0 | $0 | Yes (X) | |
| VIXEN JAMES | |||||||
| DIRECTOR | 1.0 | 3.0 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $598,317 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $89,560 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,805,656 | GovernmentGrantsAmt |
| Total Contributions | $2,805,656 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621420 | BusinessCd |
| Total Revenue Column | $973,282 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $973,282 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $973,282 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,105 | TotalRevenueColumnAmt |
| Exclusion | $1,105 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,000 | TotalRevenueColumnAmt |
| Exclusion | $15,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $60,930 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $62,643 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,713 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,713 | TotalRevenueColumnAmt |
| Exclusion | -$1,713 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICAL RECORDS REVENUE | 621420 | $210 | $210 | |
| All Other Misc Revenue | $11,364 | $11,364 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,364 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,364 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,574 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,804,904 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $973,282 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,966 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000,000 | TotalAmt |
| Program Services | $2,000,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,233 | TotalAmt |
| Management And General | $505,233 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,721 | TotalAmt |
| Program Services | $996,790 | ProgramServicesAmt |
| Management And General | $16,931 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,854 | TotalAmt |
| Program Services | $49,021 | ProgramServicesAmt |
| Management And General | $833 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,145 | TotalAmt |
| Program Services | $115,189 | ProgramServicesAmt |
| Management And General | $1,956 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,482 | TotalAmt |
| Program Services | $112,570 | ProgramServicesAmt |
| Management And General | $1,912 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,110 | TotalAmt |
| Management And General | $254,110 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,281 | TotalAmt |
| Program Services | $28,792 | ProgramServicesAmt |
| Management And General | $489 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,300 | TotalAmt |
| Program Services | $287,418 | ProgramServicesAmt |
| Management And General | $4,882 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,179 | TotalAmt |
| Program Services | $1,159 | ProgramServicesAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,908 | TotalAmt |
| Program Services | $242,784 | ProgramServicesAmt |
| Management And General | $4,124 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,820 | TotalAmt |
| Program Services | $90,286 | ProgramServicesAmt |
| Management And General | $1,534 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,146 | TotalAmt |
| Program Services | $207,620 | ProgramServicesAmt |
| Management And General | $3,526 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,780 | TotalAmt |
| Program Services | $23,383 | ProgramServicesAmt |
| Management And General | $397 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $492 | ProgramServicesAmt |
| Management And General | $8 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,767 | TotalAmt |
| Program Services | $1,737 | ProgramServicesAmt |
| Management And General | $30 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,020 | TotalAmt |
| Program Services | $166,197 | ProgramServicesAmt |
| Management And General | $2,823 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,590 | TotalAmt |
| Program Services | $25,163 | ProgramServicesAmt |
| Management And General | $427 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INDIGENT HOSPITALIZATIONS | $133,200 | $133,200 | |
| DUES AND SUBSCRIPTIONS | $16,637 | $16,359 | $278 |
| FOOD | $8,098 | $7,963 | $135 |
| BANK SERVICE CHARGES | $7,398 | $7,274 | $124 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,947 | TotalAmt |
| Program Services | $10,765 | ProgramServicesAmt |
| Management And General | $182 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,324,116 | TotalAmt |
| Program Services | $4,524,162 | ProgramServicesAmt |
| Management And General | $799,954 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,280,872 | BOYAmt |
| EOY | $1,000,758 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,934 | BOYAmt |
| EOY | $183,951 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,770 | BOYAmt |
| EOY | $167,421 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,592 | BOYAmt |
| EOY | $729 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,638,290 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,861,578 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,906,377 | BOYAmt |
| EOY | $2,776,712 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,007,671 | BOYAmt |
| EOY | $816,277 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,668,216 | BOYAmt |
| EOY | $4,945,848 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,324 | BOYAmt |
| EOY | $8,110 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,164 | BOYAmt |
| EOY | $29,222 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,488 | BOYAmt |
| EOY | $37,332 | 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 | $6,427,728 | BOYAmt |
| EOY | $4,908,516 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,427,728 | BOYAmt |
| EOY | $4,908,516 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,668,216 | BOYAmt |
| EOY | $4,945,848 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,519,212 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,799,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,495,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,708,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,740,761 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,805,656 | CurrentTaxYearAmt |
| Total | $13,549,807 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,799,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,495,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,708,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,740,761 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,805,656 | CurrentTaxYearAmt |
| Total | $13,549,807 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $13,549,807 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,859 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,203 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,057 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,106 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,105 | CurrentTaxYearAmt |
| Total | $151,330 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,401 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,150 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,481 | CurrentTaxYearAmt |
| Total | $60,168 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,761,305 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,331,305 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98463 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98446 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,250,719 | OtherCostOrOtherBasisAmt |
| Book Value | $1,250,719 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,431,963 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,150,641 | DepreciationAmt |
| Book Value | $1,281,322 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $209,236 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,588 | DepreciationAmt |
| Book Value | $79,648 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $746,372 | OtherCostOrOtherBasisAmt |
| Depreciation | $581,349 | DepreciationAmt |
| Book Value | $165,023 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $2,776,712 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATE | $812,324 |
| INTERCO. INTEREST RECEIVABLE | $2,657 |
| SECURITY DEPOSIT | $1,296 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $816,277 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Capital Leases | Desc |
| Amt | $29,222 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,222 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,794,633 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $3,794,633 | RevenueSubtotalAmt |
| Other Revenues Not Included | $10,271 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,271 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,804,904 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,313,845 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $5,313,845 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,271 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,271 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,324,116 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE D, PART X, LINE 2 | MANAGEMENT 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. |
| FORM 990, SCHEDULE D, PART XI, LINE 4B | REVENUE INCLUDED IN EXPENSES PER AUDIT $10,271 |
| FORM 990, SCHEDULE D, PART XII, LINE 4B | REVENUE INCLUDED IN EXPENSES PER AUDIT $10,271 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARISA HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22400 S 48TH STREET | AddressLine1Txt |
| City | SPRINGDALE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72762 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 844286440 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $2,000,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | NONE | NonCashAssistanceDesc |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROFESSIONAL COUNSELING ASSOCIATES PROVIDED A GRANT TO ARISA HEALTH, A RELATED ORGANIZATION. THE GRANT WAS APPROVED BY THE BOARD AND DOCUMENTED VIA BOARD MINUTES. PROFESSIONAL COUNSELING ASSOCIATES' BOARD OF DIRECTORS ARE COMPRISED WITH THE MAJORITY OF MEMBERS FROM ARISA'S BOARD OF DIRECTORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN DAVIS | ||||||||||||||
| PRESIDENT/CEO | $0 | $185,788 | $0 | $6,000 | $0 | $0 | $0 | $11,507 | $0 | $18,918 | $0 | $222,213 | $0 | $0 |
| WILLIAM M SCHEERER | ||||||||||||||
| CFO | $0 | $158,462 | $0 | $5,000 | $0 | $0 | $0 | $7,662 | $0 | $10,583 | $0 | $181,707 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | ARISA HEALTH, A RELATED ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE PROFESSIONAL COUNSELING ASSOCIATES' CEO THROUGH THE APPROVAL OF THE BOARD/COMPENSATION COMMITTEE AND A WRITTEN EMPLOYMENT CONTRACT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ARISA HEALTH, A RELATED ORGANIZATION, IS THE SOLE MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ARISA HEALTH, THE SOLE MEMBER, HAS THE POWERS WITH RESPECT TO THE APPOINTMENT, ELECTION OR REMOVAL OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING GOVERNANCE DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL BY ARISA HEALTH, THE SOLE MEMBER. - ALL POWERS WITH RESPECT TO THE APPOINTMENT, ELECTION OR REMOVAL OF THE BOARD OF DIRECTORS - ALL POWERS WITH RESPECT TO THE EMPLOYMENT OF SENIOR MANAGEMENT & OFFICERS - REQUISITE APPROVAL OF THE CORPORATION'S ANNUAL BUDGET - REQUISITE APPROVAL OF ANY ACTION TO ALTER, AMEND OR MODIFY THE CORPORATION'S TAX-EXEMPT CHARACTERIZATION OR STATUS - REQUISITE APPROVAL OF ANY ACTION TO MERGE, COMBINE, DIVIDE OR DISSOLVE THE CORPORATION - REQUISITE APPROVAL OF ANY ACTION TO SEEK BANKRUPTCY PROTECTION - REQUISITE APPROVAL OF THE BORROWING OF MONEY - REQUISITE APPROVAL OF CAUSING THE CORPORATION TO ENTER INTO, MODIFY, TERMINATE OR ALLOW TO EXPIRE ANY ARMS' LENGTH AGREEMENTS THAT ARE NECESSARY OR APPROPRIATE FOR THE PROPER OPERATION OF THE BUSINESS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | ACCOUNTING MANAGEMENT REVIEWS THE 990 IN DETAIL BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | WHEN POTENTIAL CONFLICTS OF INTEREST ARE DISCOVERED, THE CEO AND THE BOARD PRESIDENT DISCUSS AND INVESTIGATE SUCH MATTERS. ANY ALLEGATION FOUND TO BE TRUE WILL BE BROUGHT BEFORE THE BOARD OF DIRECTORS FOR APPROPRIATE ACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OAK TREE APARTMENTS INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 581762622 | HOUSING | AR | 501(C)(3) | 10 | OGCI | Yes (true) |
| THE HEMINGWAY INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 710714702 | HOUSING | AR | 501(C)(3) | 10 | OGCI | Yes (true) |
| WATSON STREET APARTMENTS INC | ||||||||||
| PO BOX 643 | SPRINGDALE | AR | 72766 | 710559838 | HOUSING | AR | 501(C)(3) | 10 | OGCI | Yes (true) |
| OZARK GUIDANCE CENTER INC | ||||||||||
| PO BOX 6430 | SPRINGDALE | AR | 72766 | 710416869 | MENTAL HEALTH | AR | 501(C)(3) | 7 | ARISA | Yes (true) |
| CONWAY APARTMENTS INC | ||||||||||
| 855 S SALEM ROAD | CONWAY | AR | 72034 | 582014294 | HOUSING | AR | 501(C)(3) | 10 | CAI | Yes (true) |
| HOUSING SERVICES INC | ||||||||||
| 715 E G STREET | RUSSELLVILLE | AR | 72801 | 710613882 | HOUSING | AR | 501(C)(3) | 10 | CAI | Yes (true) |
| COUNSELING ASSOCIATES INC | ||||||||||
| 110 SKYLINE DRIVE | RUSSELLVILLE | AR | 72801 | 237198398 | MENTAL HEALTH | AR | 501(C)(3) | 7 | ARISA | Yes (true) |
| NE ARKANSAS COMM MENTAL HLTH CNTR INC | ||||||||||
| 2707 BROWNS LANE | JONESBORO | AR | 72401 | 710774925 | MENTAL HEALTH | AR | 501(C)(3) | 7 | ARISA | Yes (true) |
| MID-SOUTH SHELTERED WORKSHOP INC | ||||||||||
| 2707 BROWNS LANE | JONESBORO | AR | 72401 | 621697391 | HANDICAP SVCS | AR | 501(C)(3) | 10 | NEACHMHC | Yes (true) |
| ARISA HEALTH INC | ||||||||||
| 2400 S 48TH STREET | SPRINGDALE | AR | 72762 | 844286440 | MENTAL HEALTH | AR | 501(C)(3) | 7 | NA | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-SOUTH BEHAV HEALTH & WELLNESS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 BROWNS LANE | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621713113 | EIN |
| Primary Activities | SOCIAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | AR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ARISA HEALTH INC | ||
| B | $2,000,000 | FMV |
| ARISA HEALTH INC | ||
| D | $814,981 | FV |
| ARISA HEALTH INC | ||
| M | $2,061,099 | FMV |
| ARISA HEALTH INC | ||
| P | $2,257,286 | FMV |
| ARISA HEALTH INC | ||
| Q | $358,870 | FMV |
Comments