ETHNE HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ETHNE HEALTH (EIN 82-3920554)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-01-24
IRS object ID: 202200249349301250
Schema version: 2020v4.1
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-01-24T14:24:20-06:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	842562320	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRUIS CPAS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	180 INTERSTATE N PKWY SE STE 205	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30339	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	823920554	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ETHNE HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ETHN	BusinessNameControlTxt
Phone	4707990044	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4122 E PONCE DE LEON AVE NO 5 NO	AddressLine1Txt
City	CLARKSTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30021	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAN MEGILL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4707990044	PhoneNum
Signature	2022-01-24	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAN	PersonFirstNm
Person Last	MEGILL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOSH ROPER CPA	PreparerPersonNm
PTIN	P00962518	PTIN
Phone	7709528544	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	DAN MEGILL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4122 E PONCE DE LEON AVE 5	AddressLine1Txt
City	CLARKSTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30021	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,678,254	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ETHNEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2017	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	ETHNE HEALTH DELIVERS COMPREHENSIVE, HIGH VALUE HEALTHCARE THROUGH A CULTURALLY SENSITIVE, NEIGHBOR-CENTERED MEDICAL HOME. WE OFFER PRIMARY CARE (FOR BOTH ADULTS AND KIDS), ACUTE CARE, PSYCHIATRY, EARLY OBSTETRICS, GYNECOLOGY, AND HIV CARE. WE SERVE EVERYONE, REGARDLESS OF INSURANCE OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$18,000	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$546,266	PYContributionsGrantsAmt
CY Contributions Grants	$429,574	CYContributionsGrantsAmt
PY Program Service Revenue	$455,075	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,228,773	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$1,907	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$18,000	CYOtherRevenueAmt
PY Total Revenue	$1,001,341	PYTotalRevenueAmt
CY Total Revenue	$1,678,254	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$135,458	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$529,495	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,154	CYTotalFundraisingExpenseAmt
PY Other Expenses	$450,074	PYOtherExpensesAmt
CY Other Expenses	$928,456	CYOtherExpensesAmt
PY Total Expenses	$585,532	PYTotalExpensesAmt
CY Total Expenses	$1,457,951	CYTotalExpensesAmt
PY Revenues Less Expenses	$415,809	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$220,303	CYRevenuesLessExpensesAmt
Total Assets BOY	$710,110	TotalAssetsBOYAmt
Total Assets EOY	$948,755	TotalAssetsEOYAmt
Total Liabilities BOY	$25,307	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$43,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$684,803	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$905,106	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ETHNE HEALTH DELIVERS COMPREHENSIVE, HIGH VALUE HEALTHCARE THROUGH A CULTURALLY SENSITIVE, NEIGHBOR-CENTERED MEDICAL HOME. WE OFFER PRIMARY CARE (FOR BOTH ADULTS AND KIDS), ACUTE CARE, PSYCHIATRY, EARLY OBSTETRICS, GYNECOLOGY, AND HIV CARE. WE SERVE EVERYONE, REGARDLESS OF INSURANCE OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,379,749	ExpenseAmt
Revenue	$1,230,680	RevenueAmt
Desc	ETHNE HEALTH ONLY HAS ONE PROGRAM, WHICH IS RUNNING THE CLINIC.	Desc
Total Program Service Expenses	$1,379,749	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	0	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	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
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	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
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	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAN MEGILL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4707990044	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4122 E PONCE DE LEON AVENUE SUITE 5	AddressLine1Txt
City	CLARKSTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30021	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
BILL MURRAY
CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
LAURIE BODEN
VICE CHAIRMAN	8.00	Yes (X)	Yes (X)	$13,035	$0	$0
ANDREW KIM
TREASURER	25.00	Yes (X)	Yes (X)	$32,899	$0	$0
KATE LINDSEY
DIRECTOR	10.00	Yes (X)		$0	$0	$0
RICK BODEN
DIRECTOR	2.00	Yes (X)		$0	$0	$0
ROBERT CAMPBELL
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SEAN LINDSEY
DIRECTOR	25.00	Yes (X)		$29,413	$0	$0
SARAH NEELY
DIRECTOR	8.00	Yes (X)		$6,693	$0	$0
DANIEL ZAGAMI
DIRECTOR	2.00	Yes (X)		$0	$0	$0
RONALD BAUM
DIRECTOR	2.00	Yes (X)		$0	$0	$0
DARARA GUBO
DIRECTOR	2.00	Yes (X)		$0	$0	$0
ABENA KORAM
DIRECTOR	2.00	Yes (X)		$0	$0	$0
ROBBIE CONTINO
CEO	25.00	Yes (X)	Yes (X)	$30,728	$0	$0
KACIE MCDONNELL
DIRECTOR	2.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$112,768	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,000	RelatedOrganizationsAmt
Government Grants	$20,000	GovernmentGrantsAmt
All Other Contributions	$394,574	AllOtherContributionsAmt
Total Contributions	$429,574	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	MEDICAL SERVICE FEES	Desc
Business	621300	BusinessCd
Total Revenue Column	$1,228,773	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,228,773	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,228,773	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,907	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,907	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	FORGIVENESS OF PAYROLL	Desc
Business	900099	BusinessCd
Total Revenue Column	$18,000	TotalRevenueColumnAmt
Unrelated Business Revenue	$18,000	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,000	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,678,254	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,230,680	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,000	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$491,180	TotalAmt
Program Services	$491,180	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,954	TotalAmt
Program Services	$6,954	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,361	TotalAmt
Program Services	$31,361	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,602	TotalAmt
Management And General	$4,602	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$682,507	TotalAmt
Program Services	$682,383	ProgramServicesAmt
Management And General	$124	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,588	TotalAmt
Management And General	$434	ManagementAndGeneralAmt
Fundraising	$3,154	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,264	TotalAmt
Management And General	$6,264	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$44,362	TotalAmt
Management And General	$44,362	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$36,036	TotalAmt
Program Services	$36,036	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,053	TotalAmt
Program Services	$2,053	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,533	TotalAmt
Management And General	$4,533	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$42,039	TotalAmt
Program Services	$39,786	ProgramServicesAmt
Management And General	$2,253	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
LAB FEES	$32,695	$32,695
SUPPLIES	$29,148	$29,148
VACCINES	$15,167	$15,167
TAXES AND LICENSES	$12,476		$12,476

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,986	TotalAmt
Program Services	$12,986	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,457,951	TotalAmt
Program Services	$1,379,749	ProgramServicesAmt
Management And General	$75,048	ManagementAndGeneralAmt
Fundraising	$3,154	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$609,533	BOYAmt
EOY	$712,245	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,879	BOYAmt
EOY	$203,839	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,272	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,601	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,698	BOYAmt
EOY	$29,671	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,000	BOYAmt
EOY	$3,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$710,110	BOYAmt
EOY	$948,755	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,410	BOYAmt
EOY	$8,824	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,000	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,897	BOYAmt
EOY	$34,825	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,307	BOYAmt
EOY	$43,649	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	$574,803	BOYAmt
EOY	$905,106	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,000	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$684,803	BOYAmt
EOY	$905,106	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$710,110	BOYAmt
EOY	$948,755	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$220,303	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$39,272	InvestmentCostOrOtherBasisAmt
Depreciation	$9,601	DepreciationAmt
Book Value	$29,671	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,671	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ACCRUED EXPENSES	Desc
Amt	$34,825	Amt

Field	Value	IRS element (for citing)
Total Liability	$34,825	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	NO UNCERTAIN TAX POSITIONS NOTED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	NONE NOTED.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABLE AT REQUEST.
AMENDED RETURN - FORM 990, PART VII, SECTION A	THE RETURN IS BEING AMENDED BECAUSE THE REPORTABLE COMPENSATION FOR THE OFFICERS AND DIRECTORS WAS ACCIDENTALLY OMITTED IN THE RETURN AS ORIGINALLY FILED.
FORM 990, PART IX, LINE 11G	MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 675,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 675,111. OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 124. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124. TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 7,272. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,272.