PERRY COUNTY MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: PERRY COUNTY MEDICAL CENTER INC (EIN 62-1027042)
Tax period: 2021-04-01 to 2022-03-31
Filed: 2022-11-22
IRS object ID: 202243269349300014
Schema version: 2021v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-22T08:18:42-08:00	ReturnTs
Tax Period End	2022-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	621867889	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Terry Horne CPA Inc	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	732 West Main Street	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37087	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	621027042	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PERRY COUNTY MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PERR	BusinessNameControlTxt
Phone	9315892104	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 916	AddressLine1Txt
City	LINDEN	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37096	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PHILLIP TATUM	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	9315892104	PhoneNum
Signature	2022-11-22	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PHILLIP	PersonFirstNm
Person Last	TATUM	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Terry Horne CPA	PreparerPersonNm
PTIN	P00120946	PTIN
Phone	6154447293	PhoneNum
Preparation	2022-11-22	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	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	THREE RIVERS COMMUNITY HEALTH GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	PHILLIP TATUM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 916	AddressLine1Txt
City	LINDEN	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37096	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,651,178	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	48	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,335,289	PYContributionsGrantsAmt
CY Contributions Grants	$4,293,575	CYContributionsGrantsAmt
PY Program Service Revenue	$2,852,509	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,337,542	CYProgramServiceRevenueAmt
PY Investment Income	-$48,499	PYInvestmentIncomeAmt
CY Investment Income	$7,236	CYInvestmentIncomeAmt
CY Other Revenue	$12,825	CYOtherRevenueAmt
PY Total Revenue	$6,139,299	PYTotalRevenueAmt
CY Total Revenue	$7,651,178	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,366,399	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,282,200	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,081,924	PYOtherExpensesAmt
CY Other Expenses	$2,493,678	CYOtherExpensesAmt
PY Total Expenses	$5,448,323	PYTotalExpensesAmt
CY Total Expenses	$5,775,878	CYTotalExpensesAmt
PY Revenues Less Expenses	$690,976	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,875,300	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,865,663	TotalAssetsBOYAmt
Total Assets EOY	$7,794,365	TotalAssetsEOYAmt
Total Liabilities BOY	$1,243,475	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,074,150	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,622,188	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,720,215	NetAssetsOrFundBalancesEOYAmt
Mission	THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,862,501	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,337,542	RevenueAmt
Desc	THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 19,900 VISITS WERE PROVIDED DURING THE YEAR.	Desc
Total Program Service Expenses	$3,862,501	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	5	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	48	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LUKE CAGLE	PersonNm
Phone	9315892104	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	115 E BROOKLYN STREET	AddressLine1Txt
City	LINDEN	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37096	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DEAN HEADY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JESSIE RUTH TILLER
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
BRUCE COTTON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DAVID YOUNG
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
RITA AUSTIN
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
BETTY BARBER
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JW CATHEY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
LEAH CONDER
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
BETTY CULP
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
SHARON DOYLE
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JUDY MATHIS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MITCHELL RHODES
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DIANA RICHARDSON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
PHILLIP TATUM
CHIEF EXECUTIVE OFFICER	40.00		$125,292	$0	$19,722	Yes (X)
BLAKE DILL
FORMER CHIEF FINANCIAL OFFICER	40.00		$88,329	$0	$23,087	Yes (X)
JEFFREY SMITH
MEDICAL DIRECTOR	40.00		$197,556	$0	$25,059	Yes (X)
KRISTY KING
NURSE PRACTITIONER	40.00		$114,716	$0	$26,188		Yes (X)
SHERRY TIDWELL
NURSE PRACTITIONER	40.00		$107,287	$0	$17,948		Yes (X)
VIVIAN STOKES
NURSE PRACTITIONER	40.00		$98,456	$0	$17,956		Yes (X)
FRANK CARTWRIGHT
DENTIST	40.00		$166,026	$0	$21,403		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$897,662	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$151,363	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MENTAL HEALTH COOPERATIVE INC
275 CUMBERLAND BEND DRIVE	NASHVILLE	TN	37228	CONTRACT BEHAVIORAL HEALTH SERVICES	$102,667
OSIS INC
8790 GOVERNORS HILL DR	CINCINNATI	OH	45249	CONTRACT IT SERVICES	$194,034

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,113,317	GovernmentGrantsAmt
All Other Contributions	$180,258	AllOtherContributionsAmt
Noncash Contributions	$180,258	NoncashContributionsAmt
Total Contributions	$4,293,575	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT FEES	Desc
Business	621111	BusinessCd
Total Revenue Column	$3,337,542	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,337,542	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,236	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,236	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,825	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,825	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,825	TotalRevenueColumnAmt
Exclusion	$12,825	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,651,178	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,337,542	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$20,061	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$425,725	TotalAmt
Program Services	$282,236	ProgramServicesAmt
Management And General	$143,489	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,078,173	TotalAmt
Program Services	$1,386,172	ProgramServicesAmt
Management And General	$692,001	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$139,703	TotalAmt
Program Services	$93,601	ProgramServicesAmt
Management And General	$46,102	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$451,918	TotalAmt
Program Services	$166,759	ProgramServicesAmt
Management And General	$285,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$186,681	TotalAmt
Program Services	$125,076	ProgramServicesAmt
Management And General	$61,605	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$19,962	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$19,962	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$98,934	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$98,934	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$294,305	TotalAmt
Program Services	$75,584	ProgramServicesAmt
Management And General	$218,721	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$221,475	TotalAmt
Program Services	$75,788	ProgramServicesAmt
Management And General	$145,687	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$101,681	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$101,681	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$66,177	TotalAmt
Program Services	$52,941	ProgramServicesAmt
Management And General	$13,236	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$20,483	TotalAmt
Program Services	$9,948	ProgramServicesAmt
Management And General	$10,535	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,775	TotalAmt
Program Services	$4,620	ProgramServicesAmt
Management And General	$1,155	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$230,495	TotalAmt
Program Services	$184,396	ProgramServicesAmt
Management And General	$46,099	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$34,856	TotalAmt
Program Services	$5,845	ProgramServicesAmt
Management And General	$29,011	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONTRACT 340B FEES	$405,176	$405,176	$0	$0
EHR FEES	$243,207	$243,207	$0	$0
CONTRACT BEHAVIORAL HEALTH SERVICES	$90,015	$90,015	$0	$0
MEDICAL SUPPLIES AND PHARMACEUTICALS	$661,137	$661,137	$0	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,775,878	TotalAmt
Program Services	$3,862,501	ProgramServicesAmt
Management And General	$1,913,377	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50,491	BOYAmt
EOY	$97,843	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,485,995	BOYAmt
EOY	$3,140,028	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$68,733	BOYAmt
EOY	$299,198	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$597,952	BOYAmt
EOY	$535,748	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$53,142	BOYAmt
EOY	$44,188	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,528,808	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,851,448	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,609,350	BOYAmt
EOY	$3,677,360	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,865,663	BOYAmt
EOY	$7,794,365	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$259,158	BOYAmt
EOY	$296,877	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$434,317	BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$550,000	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$777,273	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,243,475	BOYAmt
EOY	$1,074,150	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	$5,599,688	BOYAmt
EOY	$6,697,715	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,500	BOYAmt
EOY	$22,500	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,622,188	BOYAmt
EOY	$6,720,215	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,865,663	BOYAmt
EOY	$7,794,365	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,875,300	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$777,273	PriorPeriodAdjustmentsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,274,081	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,392,666	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,457,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,335,289	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,293,575	CurrentTaxYearAmt
Total	$14,752,708	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,274,081	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,392,666	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,457,097	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,335,289	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,293,575	CurrentTaxYearAmt
Total	$14,752,708	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$14,752,708	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,263	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,689	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,312	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,958	CurrentTaxYearMinus1YearAmt
Current Tax Year	$20,061	CurrentTaxYearAmt
Total	$36,283	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$14,788,991	TotalSupportAmt
Gross Receipts Rltd Activities	$14,319,226	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99750	PublicSupportCY170Pct
Public Support PY170	0.99850	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509	$0	PublicSupportTotal509Amt
Public Support CY509	0	PublicSupportCY509Pct
Investment Income CY	0	InvestmentIncomeCYPct

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)
Investment Cost Or Other Basis	$293,576	InvestmentCostOrOtherBasisAmt
Book Value	$293,576	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$3,917,052	InvestmentCostOrOtherBasisAmt
Depreciation	$1,156,180	DepreciationAmt
Book Value	$2,760,872	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,233,099	InvestmentCostOrOtherBasisAmt
Depreciation	$1,695,268	DepreciationAmt
Book Value	$537,831	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$85,081	InvestmentCostOrOtherBasisAmt
Book Value	$85,081	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,677,360	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	MEDICAID CLAIMS PAYABLE	Desc
Amt	$777,273	Amt

Field	Value	IRS element (for citing)
Total Liability	$777,273	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$7,651,178	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$7,651,178	RevenueSubtotalAmt
Total Revenue Per Form990	$7,651,178	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$5,775,878	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$5,775,878	ExpensesSubtotalAmt
Total Expenses Per Form990	$5,775,878	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

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
JEFFREY SMITH
$197,556	$0	$0	$0	$0	$0	$12,498	$0	$12,561	$0	$222,615	$0	$0	$0
FRANK CARTWRIGHT
$166,026	$0	$0	$0	$0	$0	$9,826	$0	$11,577	$0	$187,429	$0	$0	$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	12017	ContributionCnt
Noncash Contributions Rpt F990	$180,258	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2c	THE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI, Line 11b	THE AUDITOR COMPILES DATA AND TRANSMITS.
Pt VI, Line 12c	ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI, Line 15a	STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15b	FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED.