GEORGIA REGIONAL ACADEMIC COMMUNITY HEALTH INFORMATION EXCHANGE INC: Form 990, tax year 2021
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- Organization
- GEORGIA REGIONAL ACADEMIC COMMUNITY HEALTH INFORMATION EXCHANGE INC (EIN 45-4091895)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202311359349306916
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T12:22:03-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383133790 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2311 EAST BELTLINE AVE SE STE 200 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49546 | 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 | 454091895 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGIA REGIONAL ACADEMIC COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH INFORMATION EXCHANGE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GEOR | BusinessNameControlTxt |
| Phone | 4785532498 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470 | AddressLine1Txt |
| City | SANDERSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31082 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE SCHULTZ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4785532498 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHANIE | PersonFirstNm |
| Person Last | SCHULTZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIC A RYAN | PreparerPersonNm |
| PTIN | P01388772 | PTIN |
| Phone | 6169426440 | PhoneNum |
| Preparation | 2023-05-15 | PreparationDt |
| 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 | STEPHANIE SCHULTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470 | AddressLine1Txt |
| City | SANDERSVILLE | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $578,833 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GRACHIE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE AN INTEGRATED HEALTH INFORMATION EXCHANGE FOR THE BENEFIT OF MEDICAL PATIENTS IN THE STATE OF GEORGIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $160,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $175,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $946,631 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $403,833 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,400 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,112,031 | PYTotalRevenueAmt |
| CY Total Revenue | $578,833 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $936,344 | PYOtherExpensesAmt |
| CY Other Expenses | $933,198 | CYOtherExpensesAmt |
| PY Total Expenses | $936,344 | PYTotalExpensesAmt |
| CY Total Expenses | $933,198 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $175,687 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$354,365 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $746,407 | TotalAssetsBOYAmt |
| Total Assets EOY | $832,358 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $270,363 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,119,835 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $476,044 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$287,477 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SUPPORT CARE COORDINATION THROUGH AN EFFICIENT AND MEANINGFUL SHARING OF HEALTH INFORMATION BY OPERATING AN INTEGRATED HEALTH INFORMATION EXCHANGE TO PROVIDE IMPROVED HEALTH CARE QUALITY, AFFORDABILITY, AND OUTCOMES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $668,106 | ExpenseAmt |
| Revenue | $403,833 | RevenueAmt |
| Desc | GEORGIA REGIONAL ACADEMIC COMMUNITY HEALTH INFORMATION EXCHANGE, INC. (GRACHIE) IS AN ELECTRONIC HEALTH INFORMATION EXCHANGE (HIE) THAT LINKS AU MEDICAL CENTER, INC., NAVICENT HEALTH, AFFILIATED PHYSICIANS, AND OTHER MEDICAL CARE PROVIDERS TO IMPROVE THE COORDINATION, TIMELINESS, AND SAFETY OF PATIENT CARE. | Desc |
| Total Program Service Expenses | $668,106 | 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 | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | Yes (true) | 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 | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE SCHULTZ | PersonNm |
| Phone | 6169156525 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 N WASHINGTON SQ STE 316 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48933 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| TARA CRAMER | |||||||
| EXECUTIVE DI | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $96,704 | $25,803 |
| ANGELA BASS | |||||||
| DIRECTOR | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| DR DAVID FALLAW | |||||||
| BOARD CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY PLETCHER | |||||||
| DIRECTOR | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| WAYNE SELLERS | |||||||
| DIRECTOR | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| HEATHER WALKER | |||||||
| DIRECTOR | 0.25 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARLEN WOODRUFF | |||||||
| DIRECTOR | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| BHARAT GANDHI | |||||||
| CHIEF LEGAL | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE SCHULTZ | |||||||
| CFO | 2.00 | 38.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $96,704 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $25,803 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $175,000 | RelatedOrganizationsAmt |
| Total Contributions | $175,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HIE ACCESS FEES | 519100 | $354,533 | $354,533 |
| HIE SETUP FEES | 519100 | $49,300 | $49,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $403,833 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $578,833 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $403,833 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,435 | TotalAmt |
| Program Services | $78,669 | ProgramServicesAmt |
| Management And General | $79,766 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,736 | TotalAmt |
| Management And General | $9,736 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,340 | TotalAmt |
| Management And General | $16,340 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,193 | TotalAmt |
| Program Services | $127,552 | ProgramServicesAmt |
| Management And General | $138,641 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,038 | TotalAmt |
| Management And General | $6,038 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,282 | TotalAmt |
| Program Services | $430,282 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150 | TotalAmt |
| Management And General | $150 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790 | TotalAmt |
| Program Services | $1,790 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,281 | TotalAmt |
| Program Services | $29,813 | ProgramServicesAmt |
| Management And General | $1,468 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| DUES AND SUBSCRIPTIONS | $11,045 | $11,045 |
| MISCELLANEOUS EXPENSE | $1,908 | $1,908 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,198 | TotalAmt |
| Program Services | $668,106 | ProgramServicesAmt |
| Management And General | $265,092 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,332 | BOYAmt |
| EOY | $617,356 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,620 | BOYAmt |
| EOY | $75,308 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,455 | BOYAmt |
| EOY | $139,694 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,407 | BOYAmt |
| EOY | $832,358 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,269 | BOYAmt |
| EOY | $76,392 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,094 | BOYAmt |
| EOY | $1,043,443 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,363 | BOYAmt |
| EOY | $1,119,835 | 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 | $476,044 | BOYAmt |
| EOY | -$287,477 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,044 | BOYAmt |
| EOY | -$287,477 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,407 | BOYAmt |
| EOY | $832,358 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$354,365 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$409,156 | PriorPeriodAdjustmentsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $74,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $160,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $175,000 | CurrentTaxYearAmt |
| Total | $409,830 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $525,683 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $646,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $773,232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $946,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,833 | CurrentTaxYearAmt |
| Total | $3,295,456 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,400 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,400 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,400 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,400 | CurrentTaxYearMinus1YearAmt |
| Total | $21,600 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $531,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $726,307 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $778,632 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,112,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $578,833 | CurrentTaxYearAmt |
| Total | $3,726,886 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $160,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $175,000 | CurrentTaxYearAmt |
| Total | $335,000 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $59,693 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $219,396 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $299,974 | CurrentTaxYearAmt |
| Total | $579,063 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $59,693 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $379,396 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $474,974 | CurrentTaxYearAmt |
| Total | $914,063 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,812,823 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $531,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $726,307 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $778,632 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,112,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $578,833 | CurrentTaxYearAmt |
| Total | $3,726,886 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.75470 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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) |
|---|---|---|
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | GRACHIE AND THE CONSOLIDATED ORGANIZATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTVITIES NOT DIRECTLY RELATED TO THE CONSOLIDATED ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). SINCE THE ORGANIZATION IS EXEMPT FROM FEDERAL ICOME TAXES AND NO ITEMS HAVE BEEN DETERMINED TO BE REPORTABLE AS UBI, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE FIANCIAL STATEMENTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | AS OF JANUARY 1, 2022, GRACHIE BECAME AN AFFILIATE OF VELATURA HIE CORPORATION, AND IS NOW A FULLY OWNED SUBSIDIARY. |
| FORM 990, PAGE 6, PART VI, LINE 2 | WAYNE SELLERS DR. DAVID FALLAW DIRECTOR BOARD CHAIR BUSINESS TIMOTHY PLETCHER ANGELA BASS DIRECTOR DIRECTOR BUSINESS TIMOTHY PLETCHER MARLEN WOODRUFF DIRECTOR DIRECTOR BUSINESS TIMOTHY PLETCHER TARA CRAMER DIRECTOR EXEC DIRECT BUSINESS ANGELA BASS MARLEN WOODRUFF DIRECTOR DIRECTOR BUSINESS ANGELA BASS TARA CRAMER DIRECTOR EXEC. DIRECT BUSINESS MARLEN WOODRUFF TARA CRAMER DIRECTOR EXEC. DIRECT BUSINESS |
| FORM 990, PAGE 6, PART VI, LINE 7A | TWO (2) MEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY AU HEALTH,INC., AND ONE (1) MEMBER OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY NAVICENT HEALTH. FOUR (4) MEMBERS OF THE BOARD SHALL BE APPOINTED BY VELATURA HIE CORP. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 RETURN WAS REVIEWED IN DETAIL BY THE EXECUTIVE DIRECTOR AS WELL AS THE FINANCE COMMITTEE PRIOR TO FILING. THE FORM 990 RETURN WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING FOR THEIR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IN ACCORDANCE WITH GRACHIE'S CONFLICT OF INTEREST POLICY, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL INCOME TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, AND E) DISCLOSES ANY KNOWN, OR POTENTIAL, CONFLICTS OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND POLICIES AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER ADMINISTRATIVE SERVICES 127,552 138,641 0 |
| FORM 990, PART XI | EXPLANATION OF PRIOR PERIOD ADJUSTMENT: DURING THE AFFILIATION, AN INTERNAL AUDIT WAS PERFORMED TO ENSURE THE ORGANIZATION RECOGNIZED THE CORRECT NET EFFECT OF THE AFFILIATION. DURING THAT AUDIT, IT WAS IDENTIFIED THAT DEFERRED REVENUE RELATED TO A SPECIFIC CUSTOMER WAS NOT PROPERLY RECOGNIZED. ALL REVENUE FOR THIS CUSTOMER WAS RECOGNIZED IMMEDIATELY. AN ADJUSTMENT OF THE AMOUNT OF 426,005 WAS MADE TO RETAINED EARNINGS AND DEFERRED REVENUE. ADDITIONALLY, THE ORGANIZATION NOTED THAT A PREPAID AMOUNT WAS NOT RECOGNIZED OVER THE CORRECT COVERAGE PERIOD, RESULTING IN AN ADJUSTMENT OF 16,849. TOTAL PRIOR PERIOD ADJUSTMENTS OF -409,156 WERE REPORTED ON PART XI RECONCILIATION OF NET ASSETS AS A RESULT OF THIS INTERNAL AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AU MEDICAL CENTER INC | |||||||||||
| 1120 15TH STREET | AUGUSTA | GA | 30912 | 582149127 | HLTH CARE | GA | 501C3 | PF | N/A | false | |
| NAVICENT HEALTH | |||||||||||
| 777 HEMLOCK STREET | MACON | GA | 31201 | 582144788 | HLTH CARE | GA | 501C3 | PF | N/A | false | |
| VELATURA HIE CORP | |||||||||||
| 120 N WASHINGTON SQ SUITE 316 | LANSING | MI | 48933 | 861398387 | HLTH INFO | DE | 501C3 | 10 | false | VPBC | |
| MICHIGAN HEALTH INFORMATION NETWORK | |||||||||||
| 120 N WASHINGTON SQ SUITE 316 | LANSING | MI | 48933 | 273871301 | HLTH INFO | MI | 501C3 | 10 | N/A | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| VELATURA SERVICES LLC | ||||||||||
| 120 N WASHINGTON SQ SUITE 316 | LANSING | MI | 48933 | 842221431 | HLTH INFO | DE | VPBC | C CORP | false | |
| VELATURA PUBLIC BENEFIT CORPORATION | ||||||||||
| 120 N WASHINGTON SQ SUITE 316 | LANSING | MI | 48933 | 842100239 | HLTH INFO | DE | C CORP | false | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | 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 | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | 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 |
|---|---|---|
| AU MEDICAL CENTER INC | ||
| C | $90,000 | CASH |
| NAVICENT HEALTH | ||
| C | $85,000 | CASH |
| NAVICENT HEALTH | ||
| P | $156,820 | CASH |
| VELATURA HIE CORP | ||
| P | $174,993 | CASH |
| VELATURE HIE CORP | ||
| O | $92,447 | CASH |
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