JEFFERSON COMPREHENSIVE CARE SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
JEFFERSON COMPREHENSIVE CARE SYSTEM INC (EIN 71-0433902)
Tax period
2020-06-01 to 2021-05-31
Filed
2022-04-15
IRS object ID
202241059349300439
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-04-15T15:41:21-05:00ReturnTs
Tax Period End2021-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710433902EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON COMPREHENSIVE CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JEFF COMP CARE SYSTEM INCInCareOfNm
Business Name ControlJEFFBusinessNameControlTxt
Phone8705432380PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 TENNESSEE STREETAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHANDA EVANS-MCFIELDPersonNm
Person TitleCFOPersonTitleTxt
Phone8705432380PhoneNum
Signature2022-04-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHANDAPersonFirstNm
Person LastEVANS-MCFIELDPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN DENTONPreparerPersonNm
PTINP01571860PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSANDRA BROWNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 TENNESSEE STREETAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,074,387GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JCCSI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionTHE JEFFERSON COMPREHENSIVE CARE SYSTEM, INC. PROVIDES PRIMARY HEALTH CARE AND RELATED HEALTH EDUCATION AND SOCIAL SERVICES TO PERSONS IN DESIGNATED SERVICE AREAS WITHIN AR.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee102TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,298,585PYContributionsGrantsAmt
CY Contributions Grants$5,445,708CYContributionsGrantsAmt
PY Program Service Revenue$6,677,026PYProgramServiceRevenueAmt
CY Program Service Revenue$5,626,598CYProgramServiceRevenueAmt
PY Investment Income$2,180PYInvestmentIncomeAmt
CY Investment Income$2,068CYInvestmentIncomeAmt
PY Other Revenue$1,129PYOtherRevenueAmt
CY Other Revenue$13CYOtherRevenueAmt
PY Total Revenue$11,978,920PYTotalRevenueAmt
CY Total Revenue$11,074,387CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,970,877PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,454,131CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,035,910PYOtherExpensesAmt
CY Other Expenses$4,968,612CYOtherExpensesAmt
PY Total Expenses$11,006,787PYTotalExpensesAmt
CY Total Expenses$10,422,743CYTotalExpensesAmt
PY Revenues Less Expenses$972,133PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$651,644CYRevenuesLessExpensesAmt
Total Assets BOY$11,556,910TotalAssetsBOYAmt
Total Assets EOY$11,955,661TotalAssetsEOYAmt
Total Liabilities BOY$986,852TotalLiabilitiesBOYAmt
Total Liabilities EOY$733,959TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,570,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,221,702NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE JEFFERSON COMPREHENSIVE CARE SYSTEM, INC. PROVIDES PRIMARY HEALTH CARE AND RELATED HEALTH EDUCATION AND SOCIAL SERVICES TO PERSONS IN DESIGNATED SERVICE AREAS WITHIN ARKANSAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,519,319ExpenseAmt
Grant$0GrantAmt
Revenue$4,377,663RevenueAmt
DescCOMPREHENSIVE HEALTH SERVICES-MEDICAL & DENTAL CARE FOR THE COMMUNITY. THIS PROGRAM SERVICE ACTIVITY SERVED 7,831 PEOPLE DURING THE FISCAL YEAR ENDED MAY 31, 2021.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,134,932ExpenseAmt
Grant$0GrantAmt
Revenue$1,032,579RevenueAmt
DescAIDS IN COMMUNITY HEALTH FACILITIES PROGRAM-PROVIDES MEDICAL SERVICES AND CONDUCTS RESEARCH FOR AIDS INFECTED INDIVIDUALS. THIS PROGRAM SERVICE ACTIVITY SERVED 226 PEOPLE DURING THE FISCAL YEAR ENDED MAY 31, 2021.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$297,540ExpenseAmt
Grant$0GrantAmt
Revenue$216,356RevenueAmt
DescPART D PROGRAM SERVICES PROVIDE FAMILY-CENTERED PRIMARY MEDICAL CARE TO WOMEN, INFANTS, CHILDREN, AND YOUTH (WICY) LIVING WITH HIV/AIDS WHEN PAYMENTS FOR SUCH SERVICES ARE UNAVAILABLE FROM OTHER SOURCES DURING THE FISCAL YEAR ENDED MAY 31,2021.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$50,459$0$0SUD
$34,931$0$0OTHER PROGRAM SERVICES
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$85,390TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$8,037,181TotalProgramServiceExpensesAmt
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 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 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 Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee102EmployeeCnt
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF COMP CARE SYSTEM INCPersonNm
Phone8705432315PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 TENNESSEEAddressLine1Txt
CityPINE BLUFFCityNm
State AbbreviationARStateAbbreviationCd
ZIP71601ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MANUEL KELLEY
PHYSICIAN40.00.0Yes (X)$238,833$0$33,488
SHERRI DIAMOND
PHYSICIAN40.00.0Yes (X)$229,023$0$16,022
JESUS MORENO MUNOZ
PHYSICIAN40.00.0Yes (X)$212,604$0$19,475
MARCUS CROUTHER
PHYSICIAN40.00.0Yes (X)$210,885$0$15,478
SANDRA BROWN
CEO40.00.0$174,777$0$22,910Yes (X)
ROSETTA SHELBY-CALVIN
PHYSICIAN40.00.0Yes (X)$176,625$0$8,920
CHANDA EVANS-MCFIELD
CFO40.00.0$110,341$0$12,525Yes (X)
PATRICIA WASHINGTON
DIRECTOR OF OPERATIONS40.00.0$93,111$0$14,896Yes (X)
IVAN HUDSON
TREASURER1.00.0$0$0$0Yes (X)Yes (X)
EDDIE OCHOA
VICE CHAIR1.00.0$0$0$0Yes (X)Yes (X)
CHERYL BROUGHTON
BOARD MEMBER1.00.0$0$0$0Yes (X)
EARNESTINE DANIELS
BOARD MEMBER1.00.0$0$0$0Yes (X)
ZACKERY TALIAFERRO
BOARD MEMBER1.00.0$0$0$0Yes (X)
AL LOWERY
BOARD MEMBER1.00.0$0$0$0Yes (X)
WILLIAM BURNEY
SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
CLARETTA BURNS
BOARD MEMBER1.00.0$0$0$0Yes (X)
BONITA CORBIN
BOARD MEMBER1.00.0$0$0$0Yes (X)
EDDIE DAVIS
BOARD MEMBER1.00.0$0$0$0Yes (X)
BELINDA JONES
BOARD MEMBER1.00.0$0$0$0Yes (X)
MARIE LINDQUIST
BOARD MEMBER1.00.0$0$0$0Yes (X)
LILLIE REEVES
BOARD MEMBER1.00.0$0$0$0Yes (X)
MONICA WILLIAMS
BOARD MEMBER1.00.0$0$0$0Yes (X)
JERRY MALONE
CHAIR1.00.0$0$0$0Yes (X)Yes (X)
LINZIE ANDERSON
BOARD MEMBER1.00.0$0$0$0Yes (X)
RONELL DAVIS
BOARD MEMBER1.00.0$0$0$0Yes (X)
DORCAS VANGILST
BOARD MEMBER1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,446,199TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$143,714TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON MEDICAL SUPPLIES
PO BOX 933027ATLANTAGA311933027MEDICAL SUPPLY$223,326
EDAFIO TECHNOLOGY
5400 NORTHSHORE DRIVENORTH LITTLE ROCKAR72118IT SERVICES$236,556
LAUREN DAVID DDS
5217 J STREET APT DLITTLE ROCKAR72205DENTAL$180,850
LAB CORPORATION OF AMERICA HOLDINGS
PO BOX 12140LITTLE ROCKAR72205LABORATORY SERVICES$402,419
QUALCHOICE
PO BOX 677272DALLASTX75267HEALTH INSURANCE$616,326
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$5,440,698GovernmentGrantsAmt
All Other Contributions$5,010AllOtherContributionsAmt
Total Contributions$5,445,708TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICES621110$3,940,585$3,940,585
340B PHARMACY621110$1,686,013$1,686,013
FieldValueIRS element (for citing)
Total Program Service Revenue$5,626,598TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,068TotalRevenueColumnAmt
Exclusion$2,068ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescAll Other Misc RevenueDesc
Total Revenue Column$13TotalRevenueColumnAmt
Exclusion$13ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13TotalRevenueColumnAmt
Exclusion$13ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$13OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,074,387TotalRevenueColumnAmt
Related Or Exempt Func Income$5,626,598RelatedOrExemptFuncIncomeAmt
Exclusion$2,081ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$348,959TotalAmt
Management And General$348,959ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,433,771TotalAmt
Program Services$3,363,856ProgramServicesAmt
Management And General$1,069,915ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$106,000TotalAmt
Program Services$80,421ProgramServicesAmt
Management And General$25,579ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$235,517TotalAmt
Program Services$178,684ProgramServicesAmt
Management And General$56,833ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$329,884TotalAmt
Program Services$250,280ProgramServicesAmt
Management And General$79,604ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,152TotalAmt
Program Services$874ProgramServicesAmt
Management And General$278ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$92,680TotalAmt
Program Services$70,315ProgramServicesAmt
Management And General$22,365ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,406,994TotalAmt
Program Services$1,067,472ProgramServicesAmt
Management And General$339,522ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,042TotalAmt
Program Services$15,206ProgramServicesAmt
Management And General$4,836ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$370,637TotalAmt
Program Services$281,198ProgramServicesAmt
Management And General$89,439ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$88,163TotalAmt
Program Services$66,888ProgramServicesAmt
Management And General$21,275ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$296,406TotalAmt
Program Services$224,880ProgramServicesAmt
Management And General$71,526ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$30,655TotalAmt
Program Services$23,258ProgramServicesAmt
Management And General$7,397ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$177,684TotalAmt
Program Services$134,807ProgramServicesAmt
Management And General$42,877ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$526,176TotalAmt
Program Services$399,204ProgramServicesAmt
Management And General$126,972ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
340B PHARMACY EXPENSE$1,104,571$1,104,571$0$0
SUPPLIES EXPENSE$529,450$529,450$0$0
REPAIRS & MAINTENANCE$90,704$68,816$21,888
DUES & SUBSCRIPTIONS$86,476$65,608$20,868

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$146,822TotalAmt
Program Services$111,393ProgramServicesAmt
Management And General$35,429ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,422,743TotalAmt
Program Services$8,037,181ProgramServicesAmt
Management And General$2,385,562ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,396,077BOYAmt
EOY$4,345,698EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,701,705BOYAmt
EOY$1,673,033EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$485,654BOYAmt
EOY$340,869EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,958,184BOYAmt
EOY$3,565,550EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$112,769BOYAmt
EOY$89,457EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,214,805LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,282,092LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,894,180BOYAmt
EOY$1,932,713EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,341BOYAmt
EOY$8,341EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,556,910BOYAmt
EOY$11,955,661EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$797,754BOYAmt
EOY$733,959EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$189,098BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$986,852BOYAmt
EOY$733,959EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,570,058BOYAmt
EOY$11,221,702EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,570,058BOYAmt
EOY$11,221,702EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,556,910BOYAmt
EOY$11,955,661EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$651,644ReconcilationRevenueExpnssAmt
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 CommitteefalseAuditCommitteeInd
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$3,792,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,136,951CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,319,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,298,585CurrentTaxYearMinus1YearAmt
Current Tax Year$5,440,698CurrentTaxYearAmt
Total$25,988,409TotalAmt

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$3,792,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,136,951CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,319,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,298,585CurrentTaxYearMinus1YearAmt
Current Tax Year$5,440,698CurrentTaxYearAmt
Total$25,988,409TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$25,988,409PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,347CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,180CurrentTaxYearMinus1YearAmt
Current Tax Year$2,068CurrentTaxYearAmt
Total$10,908TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,129CurrentTaxYearMinus1YearAmt
Current Tax Year$13CurrentTaxYearAmt
Total$1,142TotalAmt
FieldValueIRS element (for citing)
Total Support$26,000,459TotalSupportAmt
Gross Receipts Rltd Activities$26,168,346GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99954PublicSupportCY170Pct
Public Support PY1700.99938PublicSupportPY170Pct
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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$660,276OtherCostOrOtherBasisAmt
Depreciation$582,669DepreciationAmt
Book Value$77,607BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,671,999OtherCostOrOtherBasisAmt
Depreciation$568,924DepreciationAmt
Book Value$1,103,075BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,882,530OtherCostOrOtherBasisAmt
Depreciation$1,130,499DepreciationAmt
Book Value$752,031BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$1,932,713TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,219,143TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$144,756DonatedServicesAndUseFcltsAmt
Revenue Not Reported$144,756RevenueNotReportedAmt
Revenue Subtotal$11,074,387RevenueSubtotalAmt
Total Revenue Per Form990$11,074,387TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,567,499TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$144,756DonatedServicesUseFcltsAmt
Expenses Not Reported$144,756ExpensesNotReportedAmt
Expenses Subtotal$10,422,743ExpensesSubtotalAmt
Total Expenses Per Form990$10,422,743TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 entries)

TitleTitleTxtBase 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
MANUEL KELLEY
PHYSICIAN$238,471$0$362$0$0$0$24,652$0$8,836$0$272,321$0$0$0
SHERRI DIAMOND
PHYSICIAN$228,661$0$362$0$0$0$6,848$0$9,174$0$245,045$0$0$0
ROSETTA SHELBY-CALVIN
PHYSICIAN$176,268$0$357$0$0$0$0$0$8,920$0$185,545$0$0$0
MARCUS CROUTHER
PHYSICIAN$210,528$0$357$0$0$0$6,304$0$9,174$0$226,363$0$0$0
JESUS MORENO MUNOZ
PHYSICIAN$212,248$0$356$0$0$0$10,301$0$9,174$0$232,079$0$0$0
SANDRA BROWN
CEO$174,362$0$415$0$0$0$13,930$0$8,980$0$197,687$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11BTHE CEO AND CFO REVIEW FORM 990 FOR ACCURACY BEFORE PRESENTING IT TO THE BOARD FOR REVIEW.
FORM 990, PART VI, LINE 12CTHE BOARD OF DIRECTORS ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST AT EACH MONTHLY BOARD MEETING. EMPLOYEES SIGN A DISCLOSURE ANNUALLY AGREEING TO COMPLY WITH THE POLICY. A CORPORATE COMPLIANCE PROGRAM IS MAINTAINED TO MONITOR COMPLIANCE.
FORM 990, PART VI, LINES 15A & 15BCOMPENSATION OF THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS AND IS REQUIRED TO REMAIN WITHIN BUDGET RESTRICTIONS. ADJUSTMENTS TO COMPENSATION ARE MADE BY THE BOARD OF DIRECTORS. OFFICER COMPENSATION ADJUSTMENTS ARE RECOMMENDED BY SUPERVISORS. THE CEO AND BOARD OF DIRECTORS DETERMINE AND ADJUST THE RECOMMENDATIONS.
FORM 990, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2CALTHOUGH NO FORMAL COMMITTEE HAS BEEN ESTABLISHED, THE FINANCE COMMITTEE HAS OVERSIGHT AND SELECTION FUNCTIONS REGARDING THE SELECTION OF AN INDEPENDENT ACCOUNTANT AS WELL AS AUDIT OVERSIGHT. SELECTION FUNCTIONS MUST BE APPROVED BY THE BOARD OF DIRECTORS.

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