FURP.ORG / PUBLIC DATA EXPLORER

VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202311359349313946
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

FieldValueIRS element (for citing)
Return2023-05-15T16:23:04-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF KIRKPATRICKPersonNm
Person TitleCFOPersonTitleTxt
Phone7063229599PhoneNum
Signature2023-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFPersonFirstNm
Person LastKIRKPATRICKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWILLIAM EDWARD PHILLIPSPreparerPersonNm
PTINP00451499PTIN
Phone2298837878PhoneNum
Preparation2023-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF KIRKPATRICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP319032834ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,943,208GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressVALLEYHEALTHCOLUMBUS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee128TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,966,096PYContributionsGrantsAmt
CY Contributions Grants$4,819,787CYContributionsGrantsAmt
PY Program Service Revenue$5,014,038PYProgramServiceRevenueAmt
CY Program Service Revenue$5,813,532CYProgramServiceRevenueAmt
CY Investment Income$66CYInvestmentIncomeAmt
PY Other Revenue$213,527PYOtherRevenueAmt
CY Other Revenue$309,823CYOtherRevenueAmt
PY Total Revenue$9,193,661PYTotalRevenueAmt
CY Total Revenue$10,943,208CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,709,538PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,483,512CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,545,172PYOtherExpensesAmt
CY Other Expenses$4,495,027CYOtherExpensesAmt
PY Total Expenses$8,254,710PYTotalExpensesAmt
CY Total Expenses$9,978,539CYTotalExpensesAmt
PY Revenues Less Expenses$938,951PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$964,669CYRevenuesLessExpensesAmt
Total Assets BOY$11,919,920TotalAssetsBOYAmt
Total Assets EOY$12,630,165TotalAssetsEOYAmt
Total Liabilities BOY$3,812,633TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,685,293TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,107,287NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,944,872NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,328,230ExpenseAmt
Revenue$5,813,532RevenueAmt
DescTHE ORGANIZATION PROVIDES COMPREHENSIVE PRIMARY HEALTHCARE REGARDLESS OF ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. APPROXIMATELY 39,800 VISITS WERE PROVIDED DURING THE 2022 FISCAL YEAR.Desc
Total Program Service Expenses$6,328,230TotalProgramServiceExpensesAmt
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 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee128EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEOCHA EVANSPersonNm
Phone7063229599PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KAMESHA FAIR HARBISON MD
PHYSICIAN40.00Yes (X)$326,494$0$7,786
KIMBERLY BROWN-GULLATT MD
CMO40.00$192,179$0$2,427Yes (X)
JUDITH C BENNETT MD
PHYSICIAN40.00Yes (X)$170,193$0$2,647
CLIFTON JOHNSON DDS
DENTAL DIREC40.00Yes (X)$148,789$0$547
KENDRA HUNTER DDS
DENTIST40.00Yes (X)$128,711$0$6,884
GIOVANNA GUERRA-TROCHE MD
PHYSICIAN40.00Yes (X)$116,534$0$286
SARAH E LANG
CEO40.00$115,512$0$627Yes (X)
JEFF KIRKPATRICK
CFO40.00$102,559$0$0Yes (X)
BEATRICE CASIANO ALLEN
BOARD MEMBER1.00$0$0$0Yes (X)
DOROTHY HUMPHREY BASS
BOARD MEMBER$0$0$0Yes (X)
KARON BUSH
BOARD MEMBER1.00$0$0$0Yes (X)
VIRGINIA DICKERSON
VICE CHAIRMA1.00$0$0$0Yes (X)Yes (X)
ASANTE HILTS
BOARD MEMBER1.00$0$0$0Yes (X)
CECILIO GILL JR
CHAIRMAN1.00$0$0$0Yes (X)Yes (X)
DAISY LYNTON
BOARD MEMBER1.00$0$0$0Yes (X)
DOROTHY MABRY
SECRETARY1.00$0$0$0Yes (X)Yes (X)
MIKE MAYHEW
TREASURER1.00$0$0$0Yes (X)Yes (X)
REV CHRISTOPHER MCCALL
BOARD MEMBER1.00$0$0$0Yes (X)
JOHN WINCHESTER
BD MBR-LEFT1.00$0$0$0Yes (X)
MATTIE WRIGHT
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,300,971TotalReportableCompFromOrgAmt
Total Other Compensation$21,204TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GA ASSOCIATION OF PRIMARY HLTHCARE
315 WEST PONCE DE LEON AVEDECATURGA30030BILLING & IT SV$304,445
LABCORP
P O BOX 12140BURLINGTONNC27216LAB$170,669
RILEY HEATING & AIR
1019 KNOWLES RDPHENIX CITYAL36869MAINTENANCE$142,511
CHRONIC CARE STAFFING LLC
790 JOHNNIE DODDS BLVDMOUNT PLEASANTSC29464STAFFING$119,846
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$4,735,606GovernmentGrantsAmt
All Other Contributions$84,181AllOtherContributionsAmt
Total Contributions$4,819,787TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$5,789,334$5,789,334
PHYSICIAN OVERSIGHT FEES621400$24,198$24,198
FieldValueIRS element (for citing)
Total Program Service Revenue$5,813,532TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$66TotalRevenueColumnAmt
Exclusion$66ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM INCENTIVES621400$200,653$200,653
VISION REVENUE621400$55,584$55,584
MISCELLANEOUS REVENUE621400$45,244$45,244

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,342TotalRevenueColumnAmt
Related Or Exempt Func Income$8,342RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$309,823OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,943,208TotalRevenueColumnAmt
Related Or Exempt Func Income$6,123,355RelatedOrExemptFuncIncomeAmt
Exclusion$66ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$469,632TotalAmt
Program Services$189,751ProgramServicesAmt
Management And General$279,881ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,215,322TotalAmt
Program Services$2,884,277ProgramServicesAmt
Management And General$1,331,045ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$453,623TotalAmt
Program Services$259,626ProgramServicesAmt
Management And General$193,997ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$344,935TotalAmt
Program Services$244,352ProgramServicesAmt
Management And General$100,583ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,801TotalAmt
Management And General$30,801ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,140,255TotalAmt
Program Services$534,002ProgramServicesAmt
Management And General$606,253ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$221,222TotalAmt
Management And General$221,222ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$208,026TotalAmt
Program Services$45,224ProgramServicesAmt
Management And General$162,802ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$308,074TotalAmt
Program Services$7,579ProgramServicesAmt
Management And General$300,495ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$326,813TotalAmt
Program Services$259,195ProgramServicesAmt
Management And General$67,618ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$53,638TotalAmt
Program Services$3,755ProgramServicesAmt
Management And General$49,883ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,920TotalAmt
Program Services$44,920ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$520,439TotalAmt
Program Services$412,760ProgramServicesAmt
Management And General$107,679ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$75,122TotalAmt
Management And General$75,122ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,401,198$1,401,198
REPAIRS & MAINTENANCE$73,170$25,959$47,211
DUES & SUBSCRIPTIONS$58,549$15,632$42,917
RECRUITMENT$32,020$32,020

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$780TotalAmt
Management And General$780ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,978,539TotalAmt
Program Services$6,328,230ProgramServicesAmt
Management And General$3,650,309ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$4,423EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$957,865BOYAmt
EOY$288,885EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$383,772BOYAmt
EOY$951,791EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$66,950BOYAmt
EOY$97,294EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,526BOYAmt
EOY$24,057EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,630,310LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,019,525LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,682,684BOYAmt
EOY$9,610,785EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,252,916EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$818,123BOYAmt
EOY$400,014EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,919,920BOYAmt
EOY$12,630,165EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$694,926BOYAmt
EOY$762,455EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,117,707BOYAmt
EOY$2,922,838EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,812,633BOYAmt
EOY$3,685,293EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,107,287BOYAmt
EOY$8,944,872EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,107,287BOYAmt
EOY$8,944,872EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,919,920BOYAmt
EOY$12,630,165EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$964,669ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$127,084NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,067,438CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,398,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,965,080CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,966,096CurrentTaxYearMinus1YearAmt
Current Tax Year$4,819,787CurrentTaxYearAmt
Total$20,216,885TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,067,438CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,398,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,965,080CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,966,096CurrentTaxYearMinus1YearAmt
Current Tax Year$4,819,787CurrentTaxYearAmt
Total$20,216,885TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$20,216,885PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$66CurrentTaxYearAmt
Total$66TotalAmt
FieldValueIRS element (for citing)
Total Support$20,216,951TotalSupportAmt
Gross Receipts Rltd Activities$24,238,940GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,010,674OtherCostOrOtherBasisAmt
Depreciation$2,031,578DepreciationAmt
Book Value$7,979,096BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,238OtherCostOrOtherBasisAmt
Depreciation$53,238DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,657,042OtherCostOrOtherBasisAmt
Depreciation$2,934,709DepreciationAmt
Book Value$722,333BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,193OtherCostOrOtherBasisAmt
Book Value$46,193BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,610,785TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,816,124TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$127,084NetUnrealizedGainsInvstAmt
Revenue Not Reported-$127,084RevenueNotReportedAmt
Revenue Subtotal$10,943,208RevenueSubtotalAmt
Total Revenue Per Form990$10,943,208TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,978,539TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,978,539ExpensesSubtotalAmt
Total Expenses Per Form990$9,978,539TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2022 AND 2021 OR FOR THE YEARS THEN ENDED. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KAMESHA FAIR HARBISON MD
PHYSICIAN$245,730$80,764$7,786$334,280
KIMBERLY BROWN-GULLATT MD
CMO$185,186$6,993$2,427$194,606
JUDITH C BENNETT MD
PHYSICIAN$169,777$416$2,647$172,840

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.
FORM 990, PAGE 1, PART I, LINE 6THE ORGANIZATION RECOGNIZES THAT THE BOARD MEMBERS VOLUNTARILY DEVOTE THEIR TIME AND ENERGY TO SERVE THEIR COMMUNITY BY PARTICIPATING IN THE GOVERNANCE OF THIS ORGANIZATION'S MISSION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO, CFO AND FINANCE COMMITTEE REVIEW THE FORM 990. AFTERWARDS THE RETURN IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES AND REVIEWED BY THE ENTIRE BOARD. INDIVIDUALS WITH CONFLICTS SHALL RECUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
FORM 990, PAGE 6, PART VI, LINE 15ASTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED. ALL BOARD DELIBERATIONS ARE WELL DOCUMENTED.
FORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES 516,433 596,172 0 PURCHASED FEES 17,569 10,081 0 TOTAL 534,002 606,253 0