JEFFERSON COMMUNITY HEALTH CARE CENTERS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- JEFFERSON COMMUNITY HEALTH CARE CENTERS INC (EIN 56-2439708)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-09-08
- IRS object ID
- 202342519349300149
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-09-08T16:09:41-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 923320348 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAG GULF COAST LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GALLERIA BLVD STE 2100 | AddressLine1Txt |
| City | METAIRIE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562439708 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON COMMUNITY HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CARE CENTERS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JEFF | BusinessNameControlTxt |
| Phone | 5047628931 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2490 | AddressLine1Txt |
| City | MARRERO | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70073 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR SHONDRA WILLIAMS | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 5047628931 | PhoneNum |
| Signature | 2023-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR | PersonFirstNm |
| Person Last | SHONDRA WILLIAMS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GINA RACHEL | PreparerPersonNm |
| PTIN | P01216293 | PTIN |
| Phone | 5048375990 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INCLUSIVCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR SHONDRA WILLIAMS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4028 US HIGHWAY 90 W | AddressLine1Txt |
| City | AVONDALE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70094 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,995,510 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://INCLUSIVCARE.COM/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | TO ASSURE THAT QUALITY HEALTHCARE IS ACCESSIBLE AND AFFORDABLE TO THE MEDICALLY UNDERSERVED, UNINSURED, UNDER-INSURED, AND LOW TO MODERATE INCOME RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 118 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,510,203 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,931,973 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,419,055 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,046,033 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,585 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,620 | CYInvestmentIncomeAmt |
| PY Other Revenue | $281,039 | PYOtherRevenueAmt |
| CY Other Revenue | $405,562 | CYOtherRevenueAmt |
| PY Total Revenue | $23,222,882 | PYTotalRevenueAmt |
| CY Total Revenue | $28,388,188 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,525 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,828 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,541,506 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,625,182 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,356,138 | PYOtherExpensesAmt |
| CY Other Expenses | $14,575,301 | CYOtherExpensesAmt |
| PY Total Expenses | $18,906,169 | PYTotalExpensesAmt |
| CY Total Expenses | $22,224,311 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,316,713 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,163,877 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,319,432 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,018,896 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,362,544 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,019,903 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,956,888 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,998,993 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ASSURE THAT QUALITY HEALTHCARE IS ACCESSIBLE AND AFFORDABLE TO THE MEDICALLY UNDERSERVED, UNINSURED, UNDER-INSURED, AND LOW TO MODERATE INCOME RESIDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,597,021 | ExpenseAmt |
| Grant | $23,828 | GrantAmt |
| Revenue | $19,241,503 | RevenueAmt |
| Desc | PROVIDED MEDICAL, DENTAL, MENTAL HEALTH, PODIATRY, AND OB-GYN SERVICES TO 7,369 UNIQUE PATIENTS; 18,807 MEDICAL VISITS, OF WHICH 15% WERE COMMERCIALLY INSURED/MANAGED CARE/OTHER, 65% HAD MEDICAID, 12% HAD MEDICARE, AND 8% WERE PRIVATE PAY; 4,418 DENTAL VISITS, OF WHICH 18% WERE COMMERCIALLY INSURED/MANAGED CARE/OTHER, 70% HAD MEDICAID AND 12% WERE PRIVATE PAY. | Desc |
| Total Program Service Expenses | $18,597,021 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 118 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | 0 | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LISA MORRISON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5047628931 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4028 US HIGHWAY 90 W | AddressLine1Txt |
| City | AVONDALE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70094 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| AUDREY GREEN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CYNTHIA BUTLER MCINTYRE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| OLGA ANDERSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CATHERINE UDOFIA | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHELLY STANFORD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ASHLEY HAWKINS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHONE WEBB | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRANDON BOYD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL GLYNN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES MUTZ | |||||||||
| BOARD MEMBER (THRU 10/2022) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GWYN MEREDITH | |||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MARSHALL SMITH | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LLOYD J CLARK | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BRIAN DAVIS | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SHONDRA WILLIAMS | |||||||||
| PRESIDENT & CEO | 40.00 | $248,928 | $0 | $36,472 | Yes (X) | 40.00 | |||
| LISA MORRISON | |||||||||
| DIRECTOR OF FINANCE | 40.00 | $98,226 | $0 | $3,946 | Yes (X) | 40.00 | |||
| JEREMY DUMAS | |||||||||
| CHIEF MEDICAL DIRECTOR | 40.00 | $272,751 | $0 | $28,243 | Yes (X) | ||||
| KIMBERLY RAYFORD | |||||||||
| CHIEF DENTAL OFFICER | 40.00 | $183,099 | $0 | $27,913 | Yes (X) | ||||
| RENETTA ALLEN | |||||||||
| DEPUTY MEDICAL DIRECTOR | 40.00 | $160,792 | $0 | $15,346 | Yes (X) | ||||
| GENELLE PRICE | |||||||||
| PHYSICIAN | 40.00 | $255,037 | $0 | $18,944 | Yes (X) | ||||
| MARITZA HEAUAY | |||||||||
| FNP | 40.00 | $157,045 | $0 | $37,207 | Yes (X) | ||||
| JOHNNIE BREAUX | |||||||||
| DENTIST | 40.00 | $166,056 | $0 | $19,637 | Yes (X) | ||||
| LISA JUDGE | |||||||||
| DENTIST | 40.00 | $156,735 | $0 | $20,708 | Yes (X) | ||||
| MABEL BLACHE | |||||||||
| DENTIST | 40.00 | $143,675 | $0 | $16,308 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,842,344 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $224,724 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DIGESTIVE HEALTH GROUP | |||||
| 840 TCHOUPITOULAS STREET UNIT 319 | NEW ORLEANS | LA | 70130 | CONTRACTED - PROVIDERS | $4,654,010 |
| REGAL CONSTRUCTION | |||||
| 1707 CHANTILLY DRIVE | LAPLACE | LA | 70068 | CONTRACTED - CONSTRUCTION | $1,233,334 |
| LSUHSC - NEW ORLEANS | |||||
| 433 BOLIVAR STREET | NEW ORLEANS | LA | 70112 | CONTRACTED - PROVIDERS | $395,706 |
| VERGESROME ARCHITECTS | |||||
| 320 N CARROLLTON AVE SUITE 100 | NEW ORLEANS | LA | 70119 | CONTRACTED - ARCHITECTS | $357,689 |
| GUARANTEE RESTORATION SERVICES | |||||
| 16248 PERKINS ROAD | BATON ROUGE | LA | 70810 | CONTRACTED - CONSTRUCTION | $136,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $48,643 | FundraisingAmt |
| Related Organizations | $2,871,394 | RelatedOrganizationsAmt |
| Government Grants | $5,902,366 | GovernmentGrantsAmt |
| All Other Contributions | $109,570 | AllOtherContributionsAmt |
| Total Contributions | $8,931,973 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B DRUG PRICING PROGRAM | 621110 | $12,985,173 | $12,985,173 |
| PATIENT SERVICE REVENUE | 621110 | $6,046,605 | $6,046,605 |
| MEDICAL RECORDS INCOME | 621110 | $8,486 | $8,486 |
| EXTENDED HOURS INCOME | 621110 | $5,475 | $5,475 |
| OTHER PROGRAM SERVICE REVENUE | 621110 | $294 | $294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,046,033 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,928 | TotalRevenueColumnAmt |
| Exclusion | $31,928 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $557,731 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $585,039 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$27,308 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,308 | TotalRevenueColumnAmt |
| Exclusion | -$27,308 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $30,840 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $48,643 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $21,849 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,991 | TotalRevenueColumnAmt |
| Exclusion | $8,991 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $1,436 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $434 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,002 | TotalRevenueColumnAmt |
| Exclusion | $1,002 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| INSURANCE PROCEEDS | 621110 | $200,099 | $200,099 | |
| INCENTIVE PAYMENTS | 621110 | $174,560 | $174,560 | |
| REFUNDS/REIMBURSEMENTS | 621110 | $20,910 | $20,910 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $395,569 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,388,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,241,503 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $214,712 | 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 | $23,828 | TotalAmt |
| Program Services | $23,828 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,075,716 | TotalAmt |
| Program Services | $688,144 | ProgramServicesAmt |
| Management And General | $387,572 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,618,341 | TotalAmt |
| Program Services | $4,462,842 | ProgramServicesAmt |
| Management And General | $1,155,499 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,436 | TotalAmt |
| Program Services | $98,387 | ProgramServicesAmt |
| Management And General | $29,049 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,830 | TotalAmt |
| Program Services | $275,975 | ProgramServicesAmt |
| Management And General | $62,855 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,859 | TotalAmt |
| Program Services | $358,473 | ProgramServicesAmt |
| Management And General | $106,386 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,002 | TotalAmt |
| Program Services | $10,998 | ProgramServicesAmt |
| Management And General | $10,004 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,887 | TotalAmt |
| Program Services | $73,777 | ProgramServicesAmt |
| Management And General | $67,110 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,500 | TotalAmt |
| Management And General | $3,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,541,855 | TotalAmt |
| Program Services | $5,244,899 | ProgramServicesAmt |
| Management And General | $296,956 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,904 | TotalAmt |
| Program Services | $13,014 | ProgramServicesAmt |
| Management And General | $467,890 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,989 | TotalAmt |
| Program Services | $191,372 | ProgramServicesAmt |
| Management And General | $34,617 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,548 | TotalAmt |
| Program Services | $110,896 | ProgramServicesAmt |
| Management And General | $129,652 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,679 | TotalAmt |
| Program Services | $737,568 | ProgramServicesAmt |
| Management And General | $261,111 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,941 | TotalAmt |
| Program Services | $21,169 | ProgramServicesAmt |
| Management And General | $86,772 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,741 | TotalAmt |
| Program Services | $15,271 | ProgramServicesAmt |
| Management And General | $84,470 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,417 | TotalAmt |
| Program Services | $19 | ProgramServicesAmt |
| Management And General | $208,398 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,080 | TotalAmt |
| Program Services | $632,080 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,309 | TotalAmt |
| Program Services | $117,488 | ProgramServicesAmt |
| Management And General | $21,821 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL/DENTAL/PHARMACY | $5,295,286 | $5,215,915 | $79,371 |
| BAD DEBT EXPENSE | $171,335 | $171,335 | |
| DUES AND LICENSES | $90,964 | $37,894 | $53,070 |
| SERVICE CHARGES AND FEE | $89,523 | $34,346 | $55,177 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,341 | TotalAmt |
| Program Services | $61,331 | ProgramServicesAmt |
| Management And General | $26,010 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,224,311 | TotalAmt |
| Program Services | $18,597,021 | ProgramServicesAmt |
| Management And General | $3,627,290 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,519,493 | BOYAmt |
| EOY | $5,448,921 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,165,103 | BOYAmt |
| EOY | $2,464,716 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,118,176 | BOYAmt |
| EOY | $358,560 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,849 | BOYAmt |
| EOY | $772,480 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,628,800 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,495 | BOYAmt |
| EOY | $58,868 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,168 | BOYAmt |
| EOY | $205,641 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,290,528 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,756,128 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,538,067 | BOYAmt |
| EOY | $11,534,400 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,564,371 | BOYAmt |
| EOY | $1,443,459 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,710 | BOYAmt |
| EOY | $103,051 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,319,432 | BOYAmt |
| EOY | $28,018,896 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,062,652 | BOYAmt |
| EOY | $1,773,136 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,248 | BOYAmt |
| EOY | $14,652 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,288,644 | BOYAmt |
| EOY | $7,049,709 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $98,065 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $84,341 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,362,544 | BOYAmt |
| EOY | $9,019,903 | 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 | $12,956,888 | BOYAmt |
| EOY | $18,998,993 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,956,888 | BOYAmt |
| EOY | $18,998,993 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,319,432 | BOYAmt |
| EOY | $28,018,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,163,877 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$121,772 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $6,807,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,146,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,209,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,510,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,931,973 | CurrentTaxYearAmt |
| Total | $31,606,100 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,807,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,146,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,209,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,510,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,931,973 | CurrentTaxYearAmt |
| Total | $31,606,100 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,206,661 | SubstantialContributorsTotAmt |
| Public Support Total170 | $29,399,439 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,928 | CurrentTaxYearAmt |
| Total | $156,061 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $563,596 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $544,151 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $156,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $210,092 | CurrentTaxYearAmt |
| Total | $1,474,481 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $33,236,642 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $71,061,933 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.88450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94840 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2018 AMOUNT: $ 523,479. SPECIAL EVENTS - 2018 AMOUNT: $ 40,117. 2019 AMOUNT: $ 5,171. 2022 AMOUNT: $ 8,991. RAFFLE - 2022 AMOUNT: $ 1,002. DEEPWATER HORIZON SETTLEMENT - 2019 AMOUNT: $ 538,980. INSURANCE PROCEEDS - 2021 AMOUNT: $ 156,642. 2022 AMOUNT: $ 200,099. | ExplanationTxt |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $840,469 | OtherCostOrOtherBasisAmt |
| Book Value | $840,469 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,065,865 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,004,247 | DepreciationAmt |
| Book Value | $8,061,618 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $579,489 | OtherCostOrOtherBasisAmt |
| Depreciation | $576,979 | DepreciationAmt |
| Book Value | $2,510 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,975,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,817,150 | DepreciationAmt |
| Book Value | $1,158,787 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,828,768 | OtherCostOrOtherBasisAmt |
| Depreciation | $357,752 | DepreciationAmt |
| Book Value | $1,471,016 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,534,400 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE LIABILITY | Desc |
| Amt | $84,341 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $84,341 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $28,113,864 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$121,772 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $22,283 | OtherRevenueAmt |
| Revenue Not Reported | -$99,489 | RevenueNotReportedAmt |
| Revenue Subtotal | $28,213,353 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $3,500 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $171,335 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $174,835 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $28,388,188 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,071,759 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $22,283 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $22,283 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,049,476 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $3,500 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $171,335 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $174,835 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,224,311 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF LOUISIANA. IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS ALSO EXEMPT FROM LOUISIANA INCOME TAX UNDER THE AUTHORITY OF R.S.47:121(5). THE ORGANIZATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS OR LIABILITIES THAT HAVE A GREATER THAN 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS A RESULT OF IMPLEMENTING THIS APPROACH, THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING, OR RETROACTIVE TAX POSITIONS WITH MORE THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES 22,283. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 171,335. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES 22,283. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 171,335. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FALL FOODIES & FESTIVITIES | Event1Nm |
| Gross Receipts Event1 | $79,483 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $48,643 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $30,840 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $16,209 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,240 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,400 | EntertainmentEvent1Amt |
| Gross Receipts Total | $79,483 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $48,643 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $30,840 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $16,209 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,240 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,400 | EntertainmentTotalEventsAmt |
| Direct Expense Summary Events | $21,849 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $8,991 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ELFRID PAYTON FOUNDATION INC | ||||||||
| 2431 ALOMA AVENUE SUITE 102 | WINTER PARK | FL | 32792 | 473277642 | 501(C)(3) | $7,500 | $0 | COMMUNITY PARTNERSHIP GRANT - SPONSORSHIP FOR COMMUNITY EVENTS IMPACTING KIDS IN THE NEW ORLEANS AREA. |
| JEFFERSON CHAMBER OF COMMERCE | ||||||||
| 3421 N CAUSEWAY BLVD SUITE 203 | METAIRIE | LA | 70002 | 721366389 | 501(C)(6) | $7,500 | $0 | COMMUNITY PARTNERSHIP - COMMUNITY PROJECTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ANY PAYMENTS ARE UNRESTRICTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEREMY DUMAS | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | $259,757 | $0 | $12,994 | $0 | $0 | $0 | $0 | $0 | $28,243 | $0 | $300,994 | $0 | $0 | $0 |
| SHONDRA WILLIAMS | ||||||||||||||
| PRESIDENT & CEO | $223,428 | $0 | $25,500 | $0 | $0 | $0 | $0 | $0 | $36,472 | $0 | $285,400 | $0 | $0 | $0 |
| GENELLE PRICE | ||||||||||||||
| PHYSICIAN | $245,937 | $0 | $9,100 | $0 | $0 | $0 | $7,439 | $0 | $11,505 | $0 | $273,981 | $0 | $0 | $0 |
| KIMBERLY RAYFORD | ||||||||||||||
| CHIEF DENTAL OFFICER | $172,396 | $0 | $10,703 | $0 | $0 | $0 | $7,866 | $0 | $20,047 | $0 | $211,012 | $0 | $0 | $0 |
| MARITZA HEAUAY | ||||||||||||||
| FNP | $151,238 | $0 | $5,807 | $0 | $0 | $0 | $7,236 | $0 | $29,971 | $0 | $194,252 | $0 | $0 | $0 |
| JOHNNIE BREAUX | ||||||||||||||
| DENTIST | $160,489 | $0 | $5,567 | $0 | $0 | $0 | $0 | $0 | $19,637 | $0 | $185,693 | $0 | $0 | $0 |
| LISA JUDGE | ||||||||||||||
| DENTIST | $151,447 | $0 | $5,288 | $0 | $0 | $0 | $6,578 | $0 | $14,130 | $0 | $177,443 | $0 | $0 | $0 |
| RENETTA ALLEN | ||||||||||||||
| DEPUTY MEDICAL DIRECTOR | $149,145 | $0 | $11,647 | $0 | $0 | $0 | $4,924 | $0 | $10,422 | $0 | $176,138 | $0 | $0 | $0 |
| MABEL BLACHE | ||||||||||||||
| DENTIST | $141,266 | $0 | $2,409 | $0 | $0 | $0 | $5,886 | $0 | $10,422 | $0 | $159,983 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | STAFF HAVE BEEN PROVIDED WITH YEAR-END BONUSES FOR THEIR YEARS OF SERVICE. EACH YEAR WE INTEND TO INCENTIVIZE PRODUCTION, HOWEVER, THE VALUE OFTEN OUTWEIGHS THE QUANTITY. PROVIDER RETENTION IS ON AVERAGE EIGHT YEARS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | UPON COMPLETION, FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE WHO THEN MAKES RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD REVIEWS THE COMMITTEE REPORT AND ACCEPTS FORM 990 FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL DISCLOSURE STATEMENTS ARE COMPLETED. AT THE ANNUAL MEETING, ANY EVENT WHERE A CONFLICT MAY BE SUSPECTED IS IMMEDIATELY ADDRESSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | OUTSIDE DATA IS COMPILED WITH SALARY COMPARISONS, ALONG WITH REVIEWS OF OTHER ENTITIES' FORM 990 AND COMPARISON WITH LIKE-SIZED AND FUNDED COMMUNITY HEALTH CENTERS FOR THE BOARD'S CONSIDERATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DENTAL/MEDICAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,869,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,869,364. CONSULTING: PROGRAM SERVICE EXPENSES 92,275. MANAGEMENT AND GENERAL EXPENSES 83,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,211. LAB FEES: PROGRAM SERVICE EXPENSES 44,737. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,737. OPERATIONS: PROGRAM SERVICE EXPENSES 217,588. MANAGEMENT AND GENERAL EXPENSES 197,924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,512. UNIFORMS/LINEN: PROGRAM SERVICE EXPENSES 4,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,338. INTERPRETATIONS: PROGRAM SERVICE EXPENSES 9,533. MANAGEMENT AND GENERAL EXPENSES 8,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,204. HR SCREENING: PROGRAM SERVICE EXPENSES 7,064. MANAGEMENT AND GENERAL EXPENSES 6,425. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,489. |
| FORM 990, PART XII, LINE 2C: | THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR IN THE OVERSIGHT OR SELECTION PROCESSES FOR THE AUDIT THAT THE ORGANIZATION'S COMMITTEE USES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INCLUSIVCARE COMMUNITY INVESTMENT INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4028 HIGHWAY 90 W | AddressLine1Txt |
| City | AVONDALE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70094 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920545375 | EIN |
| Primary Activities | SUPPORT OF JEFFERSON COMMUNITY HEALTH CARE CENTERS INC | PrimaryActivitiesTxt |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON COMMUNITY HEALTH CARE CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INCLUSIVCARE COMMUNITY INVESTMENT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $2,871,393 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
Comments