FURP.ORG / PUBLIC DATA EXPLORER

VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-04-01
IRS object ID
202230919349300213
Schema version
2020v4.0
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)
Return2022-04-01T08:32:18-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSARAH E LANGPersonNm
Person TitleCEOPersonTitleTxt
Phone7063229599PhoneNum
Signature2022-03-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSARAHPersonFirstNm
Person LastLANGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE G ATKINSPreparerPersonNm
PTINP00861721PTIN
Phone2298837878PhoneNum
Preparation2022-03-30PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSARAH E LANGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP319032834ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,193,661GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressVALLEYHEALTHCOLUMBUS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee135TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,965,080PYContributionsGrantsAmt
CY Contributions Grants$3,966,096CYContributionsGrantsAmt
PY Program Service Revenue$4,460,580PYProgramServiceRevenueAmt
CY Program Service Revenue$5,014,038CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$184,483PYOtherRevenueAmt
CY Other Revenue$213,527CYOtherRevenueAmt
PY Total Revenue$9,610,143PYTotalRevenueAmt
CY Total Revenue$9,193,661CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,973,049PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,709,538CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,603,861PYOtherExpensesAmt
CY Other Expenses$3,545,172CYOtherExpensesAmt
PY Total Expenses$7,576,910PYTotalExpensesAmt
CY Total Expenses$8,254,710CYTotalExpensesAmt
PY Revenues Less Expenses$2,033,233PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$938,951CYRevenuesLessExpensesAmt
Total Assets BOY$11,139,636TotalAssetsBOYAmt
Total Assets EOY$11,919,920TotalAssetsEOYAmt
Total Liabilities BOY$3,971,300TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,812,633TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,168,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,107,287NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,464,790ExpenseAmt
Revenue$5,227,565RevenueAmt
DescTHE ORGANIZATION PROVIDES COMPREHENSIVE PRIMARY HEALTHCARE REGARDLESS OF ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. APPROXIMATELY 41,800 VISITS WERE PROVIDED DURING THE 2021 FISCAL YEAR.Desc
Total Program Service Expenses$5,464,790TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee135EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEOCHA EVANSPersonNm
Phone7063229599PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KAMESHA FAIR HARBISON MD
PHYSICIAN40.00Yes (X)$331,854$0$16,181
KIMBERLY BROWN-GULLATT MD
CMO40.00$195,176$0$14,385Yes (X)
JUDITH C BENNETT MD
PHYSICIAN40.00Yes (X)$183,020$0$14,126
CHARITY WAGENTI
PHARMACIST40.00Yes (X)$118,221$0$20,464
GIOVANNA GUERRA-TROCHE MD
PHYSICIAN40.00Yes (X)$122,586$0$10,207
CLIFTON JOHNSON DDS
DENTAL DIREC40.00Yes (X)$120,734$0$12,013
SARAH E LANG
CEO40.00$110,727$0$9,982Yes (X)
JEFF KIRKPATRICK
CFO (1/2019)40.00$100,009$0$2,910Yes (X)
BEATRICE CASIANO ALLEN
BOARD MEMBER1.00$0$0$0Yes (X)
KARON BUSH
BOARD MEMBER1.00$0$0$0Yes (X)
VIRGINIA DICKERSON
VICE CHAIRMA1.00$0$0$0Yes (X)Yes (X)
ASANTE HILTS
BOARD MEMBER1.00$0$0$0Yes (X)
CECILIO GILL JR
CHAIRMAN1.00$0$0$0Yes (X)Yes (X)
JOSEPH LEFCOURT
BD MBR-LEFT1.00$0$0$0Yes (X)
DAISY LYNTON
BOARD MEMBER1.00$0$0$0Yes (X)
DOROTHY MABRY
SECRETARY1.00$0$0$0Yes (X)Yes (X)
MIKE MAYHEW
TREASURER1.00$0$0$0Yes (X)Yes (X)
REV CHRISTOPHER MCCALL
BOARD MEMBER1.00$0$0$0Yes (X)
JOHN WINCHESTER
BD MBR-LEFT1.00$0$0$0Yes (X)
MATTIE WRIGHT
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,282,327TotalReportableCompFromOrgAmt
Total Other Compensation$100,268TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABCORP
P O BOX 12140BURLINGTONNC27216LAB$291,535
WEBB CONSTRUCTION
1920 LEE RD 427PHENIX CITYAL36867CONSTRUCTION$246,791
GA ASSOCIATION OF PRIMARY HLTHCARE
315 WEST PONCE DE LEON AVEDECATURGA30030BILLING & IT SV$183,514
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$3,898,718GovernmentGrantsAmt
All Other Contributions$67,378AllOtherContributionsAmt
Total Contributions$3,966,096TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$4,990,038$4,990,038
PHYSICIAN OVERSIGHT FEES621400$24,000$24,000
FieldValueIRS element (for citing)
Total Program Service Revenue$5,014,038TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM INCENTIVES621400$180,740$180,740
VISION REVENUE621400$13,688$13,688
MISCELLANEOUS REVENUE621400$10,234$10,234

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,865TotalRevenueColumnAmt
Related Or Exempt Func Income$8,865RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$213,527OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,193,661TotalRevenueColumnAmt
Related Or Exempt Func Income$5,227,565RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$433,189TotalAmt
Program Services$209,561ProgramServicesAmt
Management And General$223,628ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,612,304TotalAmt
Program Services$2,686,533ProgramServicesAmt
Management And General$925,771ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$369,285TotalAmt
Program Services$237,146ProgramServicesAmt
Management And General$132,139ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$294,760TotalAmt
Program Services$208,808ProgramServicesAmt
Management And General$85,952ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,693TotalAmt
Management And General$32,693ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,005,787TotalAmt
Program Services$462,851ProgramServicesAmt
Management And General$542,936ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$86,686TotalAmt
Management And General$86,686ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$199,641TotalAmt
Program Services$55,514ProgramServicesAmt
Management And General$144,127ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$264,710TotalAmt
Program Services$5,891ProgramServicesAmt
Management And General$258,819ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$325,855TotalAmt
Program Services$258,436ProgramServicesAmt
Management And General$67,419ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,405TotalAmt
Program Services$320ProgramServicesAmt
Management And General$54,085ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$30,858TotalAmt
Program Services$30,713ProgramServicesAmt
Management And General$145ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,352TotalAmt
Management And General$4,352ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$437,588TotalAmt
Program Services$347,051ProgramServicesAmt
Management And General$90,537ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$102,001TotalAmt
Program Services$69,373ProgramServicesAmt
Management And General$32,628ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$863,059$863,059
REPAIRS & MAINTENANCE$73,818$18,242$55,576
DUES & SUBSCRIPTIONS$42,118$11,292$30,826
RECRUITMENT$21,601$21,601

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,254,710TotalAmt
Program Services$5,464,790ProgramServicesAmt
Management And General$2,789,920ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,380BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$917,604BOYAmt
EOY$957,865EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$302,470BOYAmt
EOY$383,772EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,175BOYAmt
EOY$66,950EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,366BOYAmt
EOY$10,526EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,128,532LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,445,848LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,226,393BOYAmt
EOY$9,682,684EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$627,248BOYAmt
EOY$818,123EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,139,636BOYAmt
EOY$11,919,920EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$528,588BOYAmt
EOY$694,926EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$12,179BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,272,817BOYAmt
EOY$3,117,707EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$157,716BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,971,300BOYAmt
EOY$3,812,633EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,168,336BOYAmt
EOY$8,107,287EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,168,336BOYAmt
EOY$8,107,287EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,139,636BOYAmt
EOY$11,919,920EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$938,951ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,178,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,067,438CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,398,484CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,965,080CurrentTaxYearMinus1YearAmt
Current Tax Year$3,966,096CurrentTaxYearAmt
Total$18,575,358TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,178,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,067,438CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,398,484CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,965,080CurrentTaxYearMinus1YearAmt
Current Tax Year$3,966,096CurrentTaxYearAmt
Total$18,575,358TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,575,358PublicSupportTotal170Amt
Total Support$18,575,358TotalSupportAmt
Gross Receipts Rltd Activities$21,753,150GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,957,436OtherCostOrOtherBasisAmt
Depreciation$2,563,527DepreciationAmt
Book Value$7,393,909BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,204,161OtherCostOrOtherBasisAmt
Depreciation$1,829,083DepreciationAmt
Book Value$1,375,078BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,534OtherCostOrOtherBasisAmt
Book Value$50,534BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,682,684TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
GRANT RECEIVABLE$751,182
OTHER RECEIVABLES$66,941
FieldValueIRS element (for citing)
Total Book Value Other Assets$818,123TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,193,661TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,193,661RevenueSubtotalAmt
Total Revenue Per Form990$9,193,661TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,254,710TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,254,710ExpensesSubtotalAmt
Total Expenses Per Form990$8,254,710TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KAMESHA FAIR HARBISON MD
PHYSICIAN$244,712$87,142$7,108$9,073$348,035
KIMBERLY BROWN-GULLATT MD
CMO$189,843$5,333$5,370$9,015$209,561
JUDITH C BENNETT MD
PHYSICIAN$169,877$13,143$5,093$9,033$197,146

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.
FORM 990, PAGE 1, PART I, LINE 6THE ORGANIZATION RECOGNIZES THAT THE BOARD MEMBERS VOLUNTARILY DEVOTE THEIR TIME AND ENERGY TO SERVE THEIR COMMUNITY BY PARTICIPATING IN THE GOVERNANCE OF THIS ORGANIZATION'S MISSION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO, CFO AND FINANCE COMMITTEE REVIEW THE FORM 990. AFTERWARDS THE RETURN IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES AND REVIEWED BY THE ENTIRE BOARD. INDIVIDUALS WITH CONFLICTS SHALL RECUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
FORM 990, PAGE 6, PART VI, LINE 15ASTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED. ALL BOARD DELIBERATIONS ARE WELL DOCUMENTED.
FORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES 451,032 533,280 0 PURCHASED FEES 11,819 9,656 0 TOTAL 462,851 542,936 0