LONGVIEW WELLNESS CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: LONGVIEW WELLNESS CENTER INC (EIN 75-2723993)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2022-06-09
IRS object ID: 202231609349300903
Schema version: 2020v4.2
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 J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-06-09T08:50:36-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	752570395	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DURBIN & COMPANY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2950 50TH STREET	AddressLine1Txt
City	LUBBOCK	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	79413	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	752723993	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LONGVIEW WELLNESS CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LONG	BusinessNameControlTxt
Phone	9037582610	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3647	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	756063647	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIMOTHY CHAD JONES	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9037582610	PhoneNum
Signature	2022-06-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TIMOTHY	PersonFirstNm
Person Last	CHAD JONES	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRENT FULLER	PreparerPersonNm
PTIN	P01974090	PTIN
Phone	8067911591	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

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	WELLNESS POINTE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TIMOTHY CHAD JONES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1107 EAST MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$24,395,799	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WELLNESSPOINTE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE ACCESS TO HIGH QUALITY MEDICAL, DENTAL AND SOCIAL SERVICES ACROSS THE PATIENT LIFECYCLE WITHOUT REGARD TO INSURANCE STATUS OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	315	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,598,141	PYContributionsGrantsAmt
CY Contributions Grants	$10,515,320	CYContributionsGrantsAmt
PY Program Service Revenue	$11,163,577	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,300,103	CYProgramServiceRevenueAmt
PY Investment Income	$30,186	PYInvestmentIncomeAmt
CY Investment Income	$16,397	CYInvestmentIncomeAmt
PY Other Revenue	$865,756	PYOtherRevenueAmt
CY Other Revenue	$2,563,979	CYOtherRevenueAmt
PY Total Revenue	$19,657,660	PYTotalRevenueAmt
CY Total Revenue	$24,395,799	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	$10,287,709	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$14,256,941	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,696,489	PYOtherExpensesAmt
CY Other Expenses	$8,247,580	CYOtherExpensesAmt
PY Total Expenses	$18,984,198	PYTotalExpensesAmt
CY Total Expenses	$22,504,521	CYTotalExpensesAmt
PY Revenues Less Expenses	$673,462	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,891,278	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,874,887	TotalAssetsBOYAmt
Total Assets EOY	$9,934,512	TotalAssetsEOYAmt
Total Liabilities BOY	$2,563,658	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,732,005	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,311,229	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,202,507	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE ACCESS TO HIGH QUALITY MEDICAL, DENTAL AND SOCIAL SERVICES ACROSS THE PATIENT LIFECYCLE WITHOUT REGARD TO INSURANCE STATUS OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$16,133,316	ExpenseAmt
Revenue	$13,864,082	RevenueAmt
Desc	PROVIDE MEDICAL CARE, OBSTETRIC & PEDIATRIC CARE, DENTAL SERVICES, PRENATAL AND NEWBORN HEALTHCARE, PSYCHIATRIC AND BEHAVIOR COUNSELING AND OPTOMETRY TO INDIGENT, UNINSURED AND UNDER-INSURED PATIENTS. THE ORGANIZATION SERVED 33,967 PATIENTS DURING THE TAX YEAR.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$792,381	ExpenseAmt
Desc	ADMINISTERED THE WOMEN'S, INFANTS AND CHILDREN'S ("WIC") PROGRAM TO PROVIDE NUTRITIONAL EDUCATION AND VOUCHERS FOR WIC APPROVED NUTRITIONAL FOODS. ALSO PROVIDED TRAINING AND SUPPORT FOR BREAST FEEDING FOR NEW MOTHERS. THE ORGANIZATION SERVED AN AVERAGE OF 3441 PARTICIPANTS PER MONTH DURING THE TAX YEAR.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,077,919	ExpenseAmt
Desc	PROVIDED HOME VISITING SERVICES DESIGNED TO SUPPORT AND STRENGTHEN THE PARENT-CHILD RELATIONSHIP TO IMPROVE THE HEALTH, DEVELOPMENT AND WELL-BEING FOR THE CHILD AND FAMILY TO 773 FAMILIES DURING THE TAX YEAR.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	PROVIDED ALCOHOL, DRUG AND ANGER MANAGEMENT COUNSELING TO 1937 PATIENTS DURING THE TAX YEAR.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$18,003,616	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	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	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	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	Yes (1)	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	30	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	315	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	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	0	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	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	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9037582610	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1107 EAST MARSHALL AVE	AddressLine1Txt
City	LONGVIEW	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALLEN LIZZA
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
BARBARA SMITH
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CASEY ROBERTSON
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
DONNA BLALOCK HABINC
DIRECTOR	1.00	Yes (X)		$0	$0	$0
GABRIELA SOLIZ
VICE-CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN GREEN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JOYCELYNE FADOJUTIMI
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KENT PHILLIPS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MARY ANN MILLER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MATT TOOKER
CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
RIC BRACK
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ANNETTE OKPEKI
CMO	40.00		Yes (X)	$275,985	$0	$0
SUSAN WARFORD
CFO	40.00		Yes (X)	$105,067	$0	$0
TIMOTHY CHAD JONES
CEO	40.00		Yes (X)	$294,283	$0	$0
CHRISTOPHER MASON
PHYSICIAN	40.00			$460,387	$0	$0	Yes (X)
JACLYN GILLIAM
PHYSICIAN	40.00			$167,638	$0	$0	Yes (X)
JEFFEREY SEWELL
PHYSICIAN	40.00			$178,794	$0	$0	Yes (X)
JOHN SHUM
PHYSICIAN	40.00			$410,616	$0	$0	Yes (X)
MELISSA SLOVAK-TUCKER
PHYSICIAN	40.00			$439,982	$0	$0	Yes (X)
PHILLIP S HUNTER
PHYSICIAN	40.00			$226,925	$0	$0	Yes (X)
RAMON VILLAFRIA
PHYSICIAN	40.00			$256,641	$0	$0	Yes (X)
RICHARD JOOS
PHYSICIAN	40.00			$200,505	$0	$0	Yes (X)
VANESSA NEIMAN
PHYSICIAN	40.00			$163,220	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,180,043	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$8,037,098	GovernmentGrantsAmt
All Other Contributions	$2,478,222	AllOtherContributionsAmt
Total Contributions	$10,515,320	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE	Desc
Business	621110	BusinessCd
Total Revenue Column	$11,300,103	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,300,103	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,300,103	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,897	TotalRevenueColumnAmt
Exclusion	$15,897	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$500	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$500	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$500	TotalRevenueColumnAmt
Related Or Exempt Func Income	$500	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GAIN ON DEBT EXTINGUIS	624100	$1,723,700	$1,723,700
OTHER REVENUE	624100	$840,279	$840,279

Field	Value	IRS element (for citing)
Other Revenue Total	$2,563,979	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,395,799	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,864,582	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$15,897	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,661,991	TotalAmt
Program Services	$3,729,593	ProgramServicesAmt
Management And General	$932,398	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,239,886	TotalAmt
Program Services	$6,591,909	ProgramServicesAmt
Management And General	$1,647,977	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,355,064	TotalAmt
Program Services	$1,084,051	ProgramServicesAmt
Management And General	$271,013	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,354,677	TotalAmt
Program Services	$1,083,742	ProgramServicesAmt
Management And General	$270,935	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$84,055	TotalAmt
Program Services	$67,245	ProgramServicesAmt
Management And General	$16,810	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$57,336	TotalAmt
Program Services	$45,869	ProgramServicesAmt
Management And General	$11,467	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$369,236	TotalAmt
Program Services	$295,389	ProgramServicesAmt
Management And General	$73,847	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$63,455	TotalAmt
Program Services	$50,764	ProgramServicesAmt
Management And General	$12,691	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$3,267,395	$2,613,915	$653,480
MAINTENANCE & REPAIRS	$1,029,853	$823,882	$205,971
RENTAL EXPENSE	$886,186	$708,949	$177,237
OTHER OPERATING EXPENSE	$691,421	$553,137	$138,284

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$443,966	TotalAmt
Program Services	$355,171	ProgramServicesAmt
Management And General	$88,795	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,504,521	TotalAmt
Program Services	$18,003,616	ProgramServicesAmt
Management And General	$4,500,905	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,835,077	BOYAmt
EOY	$5,186,392	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$100,386	BOYAmt
EOY	$639,819	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$511,071	BOYAmt
EOY	$1,111,024	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$82,969	BOYAmt
EOY	$98,878	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,725	BOYAmt
EOY	$52,740	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,988,458	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,839,588	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,300,620	BOYAmt
EOY	$2,148,870	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,006,039	BOYAmt
EOY	$696,789	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,874,887	BOYAmt
EOY	$9,934,512	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,223,793	BOYAmt
EOY	$2,149,230	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$216,909	BOYAmt
EOY	$96,832	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,107,898	BOYAmt
EOY	$1,485,943	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$15,058	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,563,658	BOYAmt
EOY	$3,732,005	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	$4,311,229	BOYAmt
EOY	$6,202,507	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,311,229	BOYAmt
EOY	$6,202,507	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,874,887	BOYAmt
EOY	$9,934,512	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,891,278	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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	$6,104,411	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,587,346	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,015,280	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,598,141	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,515,320	CurrentTaxYearAmt
Total	$37,820,498	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,104,411	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,587,346	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,015,280	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,598,141	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,515,320	CurrentTaxYearAmt
Total	$37,820,498	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$37,820,498	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,281	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,986	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,600	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$30,186	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,397	CurrentTaxYearAmt
Total	$68,450	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$37,888,948	TotalSupportAmt
Gross Receipts Rltd Activities	$57,474,957	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99820	PublicSupportCY170Pct
Public Support PY170	0.99820	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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	$121,225	OtherCostOrOtherBasisAmt
Book Value	$121,225	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,989,883	OtherCostOrOtherBasisAmt
Depreciation	$2,394,231	DepreciationAmt
Book Value	$1,595,652	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,450	OtherCostOrOtherBasisAmt
Depreciation	$74,450	DepreciationAmt
Book Value	$55,000	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,747,900	OtherCostOrOtherBasisAmt
Depreciation	$3,370,907	DepreciationAmt
Book Value	$376,993	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,148,870	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$636,807
GOODWILL	$59,982

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$696,789	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$24,395,799	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$24,395,799	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$24,395,799	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$22,504,521	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$22,504,521	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$22,504,521	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3). IT EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACS 740, INCOME TAXES (FORMERLY FASB INTERPRETATIONS 48 (FIN 48)) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ACS 450, CONTINGENCIES. AS A RESULT, MANAGMENT DOES NOT BELIEVE ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS FILED ALL APPLICABLE TAX RETURNS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
CHRISTOPHER MASON
PHYSICIAN	$460,387	$0	$0	$0	$0	$0	$0	$0	$0	$0	$460,387	$0	$0	$0
MELISSA SLOVAK-TUCKER
PHYSICIAN	$439,982	$0	$0	$0	$0	$0	$0	$0	$0	$0	$439,982	$0	$0	$0
JOHN SHUM
PHYSICIAN	$410,616	$0	$0	$0	$0	$0	$0	$0	$0	$0	$410,616	$0	$0	$0
TIMOTHY CHAD JONES
CEO	$294,283	$0	$0	$0	$0	$0	$0	$0	$0	$0	$294,283	$0	$0	$0
ANNETTE OKPEKI
CMO	$275,985	$0	$0	$0	$0	$0	$0	$0	$0	$0	$275,985	$0	$0	$0
RAMON VILLAFRIA
PHYSICIAN	$256,641	$0	$0	$0	$0	$0	$0	$0	$0	$0	$256,641	$0	$0	$0
PHILLIP S HUNTER
PHYSICIAN	$226,925	$0	$0	$0	$0	$0	$0	$0	$0	$0	$226,925	$0	$0	$0
RICHARD JOOS
PHYSICIAN	$200,505	$0	$0	$0	$0	$0	$0	$0	$0	$0	$200,505	$0	$0	$0
JEFFEREY SEWELL
PHYSICIAN	$178,794	$0	$0	$0	$0	$0	$0	$0	$0	$0	$178,794	$0	$0	$0
JACLYN GILLIAM
PHYSICIAN	$167,638	$0	$0	$0	$0	$0	$0	$0	$0	$0	$167,638	$0	$0	$0
VANESSA NEIMAN
PHYSICIAN	$163,220	$0	$0	$0	$0	$0	$0	$0	$0	$0	$163,220	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CASEY ROBERTSON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$75,795	TransactionAmt
Transaction	OPERATING LEASE	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	CASEY ROBERTSON, A BOARD MEMBER, IS THE CHIEF EXECUTIVE OFFICER FOR A LOCAL HOSPITAL WHERE THE ORGANIZATION HAS CURRENT OPERATING LEASE AGREEMENTS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM PREPARES THE ORGANIZATION'S FORM 990. THE ORGANIZATION'S CEO, CFO AND BOARD CHAIR REVIEW THE RETURN BEFORE PROVIDING THE RETURN TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REMINDS ALL SENIOR MANAGEMENT AND MANAGERS TO BE VIGILANT IN RECOGNIZING CONFLICTS OF INTEREST AS THEY ARISE. THE ORGANIZATION, ITS EMPLOYEES AND BOARD MEMBERS ARE LOCATED IN A RELATIVELY SMALL TOWN WHERE BUSINESS INTERESTS AND RELATIONS ARE WELL KNOWN TO THE PUBLIC.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S SENIOR MANAGEMENT AND BOARD UTILIZE COMPENSATION COMPARABILITY DATA PROVIDED ANNUALLY BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO ESTABLISH COMPENSATION FOR SENIOR OFFICIALS AND MANAGERS.
FORM 990, PART VI, SECTION C, LINE 19	EXCEPT AS PROVIDED FOR IN THE ORGANIZATION'S FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.