VALLEY HEALTHCARE SYSTEM INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTHCARE SYSTEM INC (EIN 58-1999205)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-02
IRS object ID
202110929349300536
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-04-02T20:09:02-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1Txt
CityALBANYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP317081309ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581999205EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSARAH E LANGPersonNm
Person TitleCEOPersonTitleTxt
Phone7063229599PhoneNum
Signature2021-04-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE G ATKINSPreparerPersonNm
PTINP00861721PTIN
Phone2298837878PhoneNum
Preparation2021-04-02PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSARAH E LANGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 FORT BENNING ROADAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP319032834ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,610,143GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressVALLEYHEALTHCOLUMBUS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee136TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,398,484PYContributionsGrantsAmt
CY Contributions Grants$4,965,080CYContributionsGrantsAmt
PY Program Service Revenue$3,827,518PYProgramServiceRevenueAmt
CY Program Service Revenue$4,460,580CYProgramServiceRevenueAmt
PY Investment Income-$221,162PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$138,166PYOtherRevenueAmt
CY Other Revenue$184,483CYOtherRevenueAmt
PY Total Revenue$7,143,006PYTotalRevenueAmt
CY Total Revenue$9,610,143CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,683,230PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,973,049CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,435,215PYOtherExpensesAmt
CY Other Expenses$2,603,861CYOtherExpensesAmt
PY Total Expenses$7,118,445PYTotalExpensesAmt
CY Total Expenses$7,576,910CYTotalExpensesAmt
PY Revenues Less Expenses$24,561PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,033,233CYRevenuesLessExpensesAmt
Total Assets BOY$8,466,302TotalAssetsBOYAmt
Total Assets EOY$11,139,636TotalAssetsEOYAmt
Total Liabilities BOY$3,331,199TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,971,300TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,135,103NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,168,336NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE, SELECTED SPECIALTIES AND REFERRAL SERVICES TO THE POPULATION OF THE CHATTAHOOCHEE VALLEY AREA REGARDLESS OF CIRCUMSTANCES. WE FOCUS ON BEING PATIENT CENTERED AND PROVIDING WHOLE PERSON, TEAM-BASED CARE. THROUGH THIS MISSION THE CENTER WILL: MINIMIZE BARRIERS OF ACCESS; INCREASE PATIENT AWARENESS AND TREATMENT COMPLIANCE; PROVIDE PREVENTION, EDUCATION, PATIENT SUPPORT AND RESEARCH PROGRAMS; EDUCATE THE PUBLIC ON HEALTH CARE ISSUES; ENSURE OPERATIONAL EFFECTIVENESS AND FINANCIAL VIABILITY; DEVELOP INTEGRATED SERVICES NETWORKS WITH OTHER PROVIDER ORGANIZATIONS; FACILITATE COMMUNITY PARTICIPATION IN THE HEALTH CARE PLANNING PROCESS AND; CONTRIBUTE DIRECTLY TO THE ECONOMIC GROWTH AND STABILITY OF THE LOCAL AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,076,176ExpenseAmt
Revenue$4,645,063RevenueAmt
DescTHE ORGANIZATION PROVIDES COMPREHENSIVE PRIMARY HEALTHCARE REGARDLESS OF ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. APPROXIMATELY 40,500 VISITS WERE PROVIDED DURING THE 2020 FISCAL YEAR.Desc
Total Program Service Expenses$5,076,176TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
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 Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee136EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonYMEOSHI BLUEPersonNm
Phone7063229599PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KAMESHA FAIR HARBISON MD
PHYSICIAN40.00Yes (X)$331,854$0$9,073
KIMBERLY BROWN-GULLATT MD
CMO40.00$195,176$0$9,015Yes (X)
JUDITH C BENNETT MD
PHYSICIAN40.00Yes (X)$183,020$0$9,033
CHARITY CALHOUN WAGENTI
PHARMACIST40.00Yes (X)$118,221$0$20,464
CLIFTON JOHNSON DDS
DENTAL DIREC40.00Yes (X)$120,734$0$7,771
SARAH E LANG
CEO40.00$110,727$0$7,059Yes (X)
JEFF KIRKPATRICK
CFO (1/2019)40.00$100,009$0$0Yes (X)
BEATRICE CASIANO ALLEN
BOARD MEMBER1.00$0$0$0Yes (X)
KARON BUSH
BOARD MEMBER1.00$0$0$0Yes (X)
VIRGINIA DICKERSON
VICE CHAIRMA1.00$0$0$0Yes (X)Yes (X)
CECILIO GILL
BOARD MEMBER1.00$0$0$0Yes (X)
ASANTE HILTS
BOARD MEMBER1.00$0$0$0Yes (X)
JOSEPH LEFCOURT
CHAIR1.00$0$0$0Yes (X)Yes (X)
DAISY LYNTON
BOARD MEMBER1.00$0$0$0Yes (X)
DOROTHY MABRY
SECRETARY1.00$0$0$0Yes (X)Yes (X)
MIKE MAYHEW
TREASURER1.00$0$0$0Yes (X)Yes (X)
JOHN WINCHESTER
BOARD MEMBER1.00$0$0$0Yes (X)
MATTIE WRIGHT
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,159,741TotalReportableCompFromOrgAmt
Total Other Compensation$62,415TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GRADDY CONSTRUCTION INC
1418 43RD STREETCOLUMBUSGA31904CONSTRUCTION$1,260,661
GA ASSOCIATION OF PRIMARY HLTHCARE
315 WEST PONCE DE LEON AVEDECATURGA30030BILLING & IT SV$204,375
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$4,879,916GovernmentGrantsAmt
All Other Contributions$85,164AllOtherContributionsAmt
Total Contributions$4,965,080TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$4,436,580$4,436,580
PHYSICIAN OVERSIGHT FEES621400$24,000$24,000
FieldValueIRS element (for citing)
Total Program Service Revenue$4,460,580TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM INCENTIVES621400$134,751$134,751
VISION REVENUE621400$27,691$27,691
MISCELLANEOUS REVENUE621400$12,195$12,195

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,846TotalRevenueColumnAmt
Related Or Exempt Func Income$9,846RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$184,483OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,610,143TotalRevenueColumnAmt
Related Or Exempt Func Income$4,645,063RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$421,986TotalAmt
Program Services$204,191ProgramServicesAmt
Management And General$217,795ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,676,772TotalAmt
Program Services$2,741,013ProgramServicesAmt
Management And General$935,759ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$543,819TotalAmt
Program Services$346,370ProgramServicesAmt
Management And General$197,449ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$330,472TotalAmt
Program Services$232,289ProgramServicesAmt
Management And General$98,183ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,902TotalAmt
Management And General$3,902ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$606,411TotalAmt
Program Services$241,855ProgramServicesAmt
Management And General$364,556ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,495TotalAmt
Management And General$27,495ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$134,090TotalAmt
Program Services$25,426ProgramServicesAmt
Management And General$108,664ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$209,676TotalAmt
Program Services$8,707ProgramServicesAmt
Management And General$200,969ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$317,335TotalAmt
Program Services$250,377ProgramServicesAmt
Management And General$66,958ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,112TotalAmt
Program Services$1,443ProgramServicesAmt
Management And General$56,669ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,399TotalAmt
Program Services$24,359ProgramServicesAmt
Management And General$40ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$355,433TotalAmt
Program Services$280,437ProgramServicesAmt
Management And General$74,996ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$44,024TotalAmt
Management And General$44,024ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$694,450$694,450
REPAIRS & MAINTENANCE$73,834$17,606$56,228
DUES & SUBSCRIPTIONS$41,619$7,653$33,966
RECRUITMENT$9,331$9,331

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,750TotalAmt
Management And General$3,750ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,576,910TotalAmt
Program Services$5,076,176ProgramServicesAmt
Management And General$2,500,734ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,480BOYAmt
EOY$2,380EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$109,951BOYAmt
EOY$917,604EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$289,167BOYAmt
EOY$302,470EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,261BOYAmt
EOY$44,175EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,112BOYAmt
EOY$19,366EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,234,658LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,008,265LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,857,782BOYAmt
EOY$9,226,393EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$158,549BOYAmt
EOY$627,248EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,466,302BOYAmt
EOY$11,139,636EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$848,738BOYAmt
EOY$528,588EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$20,170BOYAmt
EOY$12,179EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,462,291BOYAmt
EOY$3,272,817EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$157,716EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,331,199BOYAmt
EOY$3,971,300EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,135,103BOYAmt
EOY$7,168,336EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,135,103BOYAmt
EOY$7,168,336EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,466,302BOYAmt
EOY$11,139,636EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,033,233ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,034,445CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,178,260CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,067,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,398,484CurrentTaxYearMinus1YearAmt
Current Tax Year$4,965,080CurrentTaxYearAmt
Total$17,643,707TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,034,445CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,178,260CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,067,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,398,484CurrentTaxYearMinus1YearAmt
Current Tax Year$4,965,080CurrentTaxYearAmt
Total$17,643,707TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,643,707PublicSupportTotal170Amt
Total Support$17,643,707TotalSupportAmt
Gross Receipts Rltd Activities$20,031,406GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,439,438OtherCostOrOtherBasisAmt
Depreciation$1,755,024DepreciationAmt
Book Value$7,684,414BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$405,358OtherCostOrOtherBasisAmt
Depreciation$276,554DepreciationAmt
Book Value$128,804BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,498,324OtherCostOrOtherBasisAmt
Depreciation$1,976,687DepreciationAmt
Book Value$521,637BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,375OtherCostOrOtherBasisAmt
Book Value$28,375BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,226,393TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
GRANT RECEIVABLE$568,246
OTHER RECEIVABLES$59,002
FieldValueIRS element (for citing)
Total Book Value Other Assets$627,248TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ADVANCEDesc
Amt$157,716Amt
FieldValueIRS element (for citing)
Total Liability$157,716TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,048,473TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,048,473RevenueSubtotalAmt
Other Revenues Not Included$561,670OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$561,670RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,610,143TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,576,910TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,576,910ExpensesSubtotalAmt
Total Expenses Per Form990$7,576,910TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2020 AND 2019 OR FOR THE YEARS THEN ENDED. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.
SCHEDULE D, PAGE 4, PART XI, LINE 4BCAPITAL CONTRIBUTIONS 561,670

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
KAMESHA FAIR HARBISON MD
PHYSICIAN$230,199$101,655$9,073$340,927
KIMBERLY BROWN-GULLATT MD
CMO$176,016$19,160$9,015$204,191
JUDITH C BENNETT MD
PHYSICIAN$174,737$8,283$9,033$192,053

Supplemental Information Detail SupplementalInformationDetail

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonSARAH E LANGPersonNm
Relationship With OrgOFFICERRelationshipWithOrgTxt
Loan PurposeOPERATING LOANLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$26,000OriginalPrincipalAmt
Balance Due$12,179BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$12,179TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

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

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