RURAL HEALTH SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH SERVICES INC (EIN 23-7085643)
Tax period
2022-06-01 to 2023-05-31
Filed
2023-10-02
IRS object ID
202302759349302150
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-10-02T13:10:37-07:00ReturnTs
Tax Period End2023-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621867889PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237085643EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RURAL HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRURABusinessNameControlTxt
Phone8035939283PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 CLYBURN PLACEAddressLine1Txt
CityAIKENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCarolyn Emanuel-McClainPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8035939283PhoneNum
Signature2023-09-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCarolynPersonFirstNm
Person LastEmanuel-McClainPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY HORNE CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2023-10-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCarolyn Emanuel-McClainPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 CLYBURN PLACEAddressLine1Txt
CityAIKENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,526,135GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RURALHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTHIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee223TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,462,729PYContributionsGrantsAmt
CY Contributions Grants$9,466,254CYContributionsGrantsAmt
PY Program Service Revenue$13,513,624PYProgramServiceRevenueAmt
CY Program Service Revenue$16,056,614CYProgramServiceRevenueAmt
PY Investment Income$2,640PYInvestmentIncomeAmt
CY Investment Income$3,267CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$20,978,993PYTotalRevenueAmt
CY Total Revenue$25,526,135CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,694,345PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,546,523CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,487,185PYOtherExpensesAmt
CY Other Expenses$7,199,942CYOtherExpensesAmt
PY Total Expenses$19,181,530PYTotalExpensesAmt
CY Total Expenses$20,746,465CYTotalExpensesAmt
PY Revenues Less Expenses$1,797,463PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,779,670CYRevenuesLessExpensesAmt
Total Assets BOY$14,192,157TotalAssetsBOYAmt
Total Assets EOY$18,826,535TotalAssetsEOYAmt
Total Liabilities BOY$3,747,848TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,629,859TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,444,309NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,196,676NetAssetsOrFundBalancesEOYAmt
MissionTHIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,279,184ExpenseAmt
Grant$0GrantAmt
Revenue$16,056,614RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 60,900 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$16,279,184TotalProgramServiceExpensesAmt
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 SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee223EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHIOW WEN TERRANOVA CFOPersonNm
Phone8035939283PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 277AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29822ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LIZ STEWART
BOARD CHAIR1.00Yes (X)$0$0$0
DEBORAH EBLEN
BOARD MEMBER1.00Yes (X)$0$0$0
KRISTIN ALLEN
BOARD MEMBER1.00Yes (X)$0$0$0
JOSHUA BOOTH
BOARD MEMBER1.00Yes (X)$0$0$0
CORY MURPHY
BOARD MEMBER1.00Yes (X)$0$0$0
JOSH CARIAS
BOARD MEMBER1.00Yes (X)$0$0$0
THAYER MCGAHEE
BOARD MEMBER1.00Yes (X)$0$0$0
KELLEY MOBLEY
BOARD MEMBER1.00Yes (X)$0$0$0
GENEVA JACKSON
BOARD MEMBER1.00Yes (X)$0$0$0
GARY FARINA
BOARD MEMBER1.00Yes (X)$0$0$0
CYNTHIA GRIFFEN MITCHELL
BOARD MEMBER1.00Yes (X)$0$0$0
ERIC STAGGS
BOARD MEMBER1.00Yes (X)$0$0$0
MARISOL FUENTES
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLYN EMANUEL-MCCLAIN
CHIEF EXECUTIVE OFFICER40.00$404,789$0$14,866Yes (X)
SHIOW WEN TERRANOVA
(FORMER) CHIEF FINANCIAL OFFICER40.00$130,443$0$20,025Yes (X)
GIGINA WALKER
CHIEF OPERATING OFFICER40.00$112,164$0$25,272Yes (X)
KENNETH JONES
CHIEF MEDICAL OFFICER40.00$233,409$0$8,593Yes (X)
CHARITY WILLIAMS
(FORMER) CHIEF CLINICAL OPERATING OFFICER40.00$103,106$0$12,039Yes (X)
CEDRICK HAIR
DIRECTOR OF PHARMACY40.00$138,442$0$20,978Yes (X)
CARSON KIGHT
DIRECTOR OF DENTAL40.00$74,231$0$0Yes (X)
ISAIAH STEFFEN
PHYSICIAN40.00$191,687$0$17,818Yes (X)
LLOYD DANIELS
PHYSICIAN40.00$222,623$0$11,667Yes (X)
CURTIS ELAM
OB/GYN40.00$448,104$0$17,317Yes (X)
HALEY MURRAY
OB/GYN40.00$225,517$0$18,265Yes (X)
ALLEN MITCHELL
PHYSICIAN40.00$205,169$0$7,849Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,489,684TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$174,689TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
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
PARAGON INC OF SOUTH CAROLINA
2874 COLUMBIA RDORANGEBURGSC29118CONTRACTED CONSTRUCTION SERVICES$1,827,012
AFFORDABLE CLEANING
1157 HERDON DAIRY RDAIKENSC29803CONTRACTED CLEANING SERVICES$216,719
CORSICA TECHNOLOGIES LLC
PO BOX 748655ATLANTAGA30374CONTRACTED IT SERVICES$144,414
HUGHES BEATTIE O'NEAL LAW & ASSOCIATES
1075 BROOKHAVEN DRAIKENSC29803CONTRACTED LEGAL SERVICES$133,170
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$8,744,865GovernmentGrantsAmt
All Other Contributions$721,389AllOtherContributionsAmt
Noncash Contributions$88,260NoncashContributionsAmt
Total Contributions$9,466,254TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$16,056,614TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,056,614TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,267TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,267ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,526,135TotalRevenueColumnAmt
Related Or Exempt Func Income$16,056,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,267ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$881,467TotalAmt
Program Services$762,415ProgramServicesAmt
Management And General$119,052ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,590,245TotalAmt
Program Services$9,159,920ProgramServicesAmt
Management And General$1,430,325ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$116,896TotalAmt
Program Services$101,108ProgramServicesAmt
Management And General$15,788ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,163,525TotalAmt
Program Services$1,006,379ProgramServicesAmt
Management And General$157,146ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$794,390TotalAmt
Program Services$687,099ProgramServicesAmt
Management And General$107,291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$104,782TotalAmt
Program Services$0ProgramServicesAmt
Management And General$104,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,095TotalAmt
Program Services$0ProgramServicesAmt
Management And General$71,095ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$925,819TotalAmt
Program Services$434,535ProgramServicesAmt
Management And General$491,284ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$211,152TotalAmt
Program Services$1,303ProgramServicesAmt
Management And General$209,849ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$645,615TotalAmt
Program Services$197,762ProgramServicesAmt
Management And General$447,853ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,094,441TotalAmt
Program Services$551,895ProgramServicesAmt
Management And General$542,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$417,609TotalAmt
Program Services$141,790ProgramServicesAmt
Management And General$275,819ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$161,684TotalAmt
Program Services$40,008ProgramServicesAmt
Management And General$121,676ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$550,220TotalAmt
Program Services$205,052ProgramServicesAmt
Management And General$345,168ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$35,254TotalAmt
Program Services$7,647ProgramServicesAmt
Management And General$27,607ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340B ADMIN AND DISPENSING FEES$321,682$321,682$0$0
DRUGS AND MEDICAL SUPPLIES$2,660,589$2,660,589$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,746,465TotalAmt
Program Services$16,279,184ProgramServicesAmt
Management And General$4,467,281ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$771,075BOYAmt
EOY$1,136,484EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,667BOYAmt
EOY$62,086EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$221,949BOYAmt
EOY$169,078EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,342,866BOYAmt
EOY$1,594,269EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$193,843BOYAmt
EOY$183,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,540BOYAmt
EOY$50,058EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,644,504LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,270,662LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,330,081BOYAmt
EOY$14,373,842EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$63,493BOYAmt
EOY$62,459EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,038,246BOYAmt
EOY$1,040,073EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$114,747BOYAmt
EOY$141,036EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,650BOYAmt
EOY$13,650EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,192,157BOYAmt
EOY$18,826,535EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,322,451BOYAmt
EOY$864,294EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,425,397BOYAmt
EOY$2,765,565EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,747,848BOYAmt
EOY$3,629,859EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,230,260BOYAmt
EOY$15,035,185EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$214,049BOYAmt
EOY$161,491EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,444,309BOYAmt
EOY$15,196,676EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,192,157BOYAmt
EOY$18,826,535EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,779,670ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$25,255NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$52,558OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,899,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,121,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,713,526CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,462,729CurrentTaxYearMinus1YearAmt
Current Tax Year$9,466,254CurrentTaxYearAmt
Total$29,663,825TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,899,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,121,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,713,526CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,462,729CurrentTaxYearMinus1YearAmt
Current Tax Year$9,466,254CurrentTaxYearAmt
Total$29,663,825TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$29,663,825PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,640CurrentTaxYearMinus1YearAmt
Current Tax Year$3,267CurrentTaxYearAmt
Total$43,920TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$29,707,745TotalSupportAmt
Gross Receipts Rltd Activities$63,224,965GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99850PublicSupportCY170Pct
Public Support PY1700.99810PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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)
Investment Cost Or Other Basis$947,460InvestmentCostOrOtherBasisAmt
Book Value$947,460BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$9,945,582InvestmentCostOrOtherBasisAmt
Depreciation$2,765,883DepreciationAmt
Book Value$7,179,699BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,965,066InvestmentCostOrOtherBasisAmt
Depreciation$2,504,779DepreciationAmt
Book Value$1,460,287BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,786,396InvestmentCostOrOtherBasisAmt
Book Value$4,786,396BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,373,842TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATE OF DEPOSITDesc
Book Value$1,040,073BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,040,073TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$25,551,390TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$25,255NetUnrealizedGainsInvstAmt
Revenue Not Reported$25,255RevenueNotReportedAmt
Revenue Subtotal$25,526,135RevenueSubtotalAmt
Total Revenue Per Form990$25,526,135TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,746,465TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$20,746,465ExpensesSubtotalAmt
Total Expenses Per Form990$20,746,465TotalExpensesPerForm990Amt

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 (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CAROLYN EMANUEL-MCCLAIN
$404,789$0$0$0$0$0$3,934$0$10,932$0$419,655$0$0$0
SHIOW WEN TERRANOVA
$130,443$0$0$0$0$0$4,114$0$15,910$0$150,467$0$0$0
KENNETH JONES
$233,409$0$0$0$0$0$0$0$8,593$0$242,002$0$0$0
CEDRICK HAIR
$138,442$0$0$0$0$0$2,543$0$18,435$0$159,420$0$0$0
ISAIAH STEFFEN
$191,687$0$0$0$0$0$4,000$0$13,818$0$209,505$0$0$0
LLOYD DANIELS
$222,623$0$0$0$0$0$345$0$11,322$0$234,290$0$0$0
CURTIS ELAM
$448,104$0$0$0$0$0$0$0$17,317$0$465,421$0$0$0
HALEY MURRAY
$225,517$0$0$0$0$0$862$0$17,403$0$243,782$0$0$0
ALLEN MITCHELL
$205,169$0$0$0$0$0$7,849$0$0$0$213,018$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5884ContributionCnt
Noncash Contributions Rpt F990$88,260NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bMANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE
Pt VI, Line 11bIT IS FILED WITH THE IRS.
Pt VI, Line 12cANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST
Pt VI, Line 12cSTATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY.
Pt VI, Line 15aTHE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY
Pt VI, Line 15bHEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED
Pt VI, Line 15bCOMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION
Pt VI, Line 15bOF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION
Pt VI, Line 15bEVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED
Pt VI, Line 15bCOMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY
Pt VI, Line 15bCOMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY
Pt VI, Line 15bAVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT
Pt VI, Line 15bTHROUGH HRSA.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT
Pt VI, Line 19OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XILINE 9 REPRESENTS THE NET CHANGE IN NET ASSETS WITH
Pt XIDONOR RESTRICTIONS FOR THE YEAR.

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