CAROLINA COMMUNITY CARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CAROLINA COMMUNITY CARE INC (EIN 57-0761549)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-06
- IRS object ID
- 202122799349301217
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-06T14:44:00-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570761549 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLINA COMMUNITY CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARO | BusinessNameControlTxt |
| Phone | 8033291500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 993 | AddressLine1Txt |
| City | ROCK HILL | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29730 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER GRAHAM | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8033291500 | PhoneNum |
| Signature | 2021-10-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | GRAHAM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Preparation | 2021-10-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE & COMMUNITY CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER GRAHAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 993 | AddressLine1Txt |
| City | ROCK HILL | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29730 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,608,246 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICECOMMUNITYCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE END OF LIFE CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 121 | TotalEmployeeCnt |
| Total Volunteers | 152 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $896,508 | PYContributionsGrantsAmt |
| CY Contributions Grants | $746,677 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,810,498 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,511,800 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,623 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,587 | CYInvestmentIncomeAmt |
| PY Other Revenue | $299,366 | PYOtherRevenueAmt |
| CY Other Revenue | $337,720 | CYOtherRevenueAmt |
| PY Total Revenue | $7,028,995 | PYTotalRevenueAmt |
| CY Total Revenue | $7,605,784 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,096,220 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,379,763 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,805 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,037,367 | PYOtherExpensesAmt |
| CY Other Expenses | $3,519,276 | CYOtherExpensesAmt |
| PY Total Expenses | $7,133,587 | PYTotalExpensesAmt |
| CY Total Expenses | $7,899,039 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$104,592 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$293,255 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,369,476 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,540,140 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,237,508 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,040,741 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,131,968 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,499,399 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO HELP TERMINALLY ILL PEOPLE LIVE THEIR FINAL MONTHS IN A COMFORTABLE, CARING ATMOSPHERE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,773,788 | ExpenseAmt |
| Revenue | $6,511,800 | RevenueAmt |
| Desc | HOSPICE & COMMUNITY CARE PROVIDES COMPREHENSIVE MANAGEMENT OF PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF PATIENTS. THE GOAL OF CARE IS TO ACHIEVE THE BEST POSSIBLE QUALITY OF LIFE THROUGH RELIEF OF SUFFERING, CONTROL OF SYMPTOMS AND RESTORATION OF FUNCTION CAPACITY. THROUGH AN INTERDISCIPLINARY, MEDICALLY DIRECTED TEAM OF PROFESSIONALS AND VOLUNTEERS, PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUPPORT IS PROVIDED TO PATIENTS AND THEIR FAMILIES. THE CARE IS EXPRESSLY TAILORED TO EACH PATIENT'S NEEDS AND WISHES AND IS FOCUSED ON TREATING THE PERSON, NOT THE DISEASE. TEAMS INCLUDE A PHYSICIAN, REGISTERED NURSES, SOCIAL WORKERS, CERTIFIED NURSING ASSISTANTS, GRIEF COUNSELORS, CLERGY AND VOLUNTEERS. HOSPICE & COMMUNITY CARE ALSO PROVIDES A BROAD RANGE OF (CONTINUED ON SCHEDULE O)PROGRAMS, EDUCATIONAL SEMINARS AND COUNSELING OPPORTUNITIES TO HELP HOSPICE FAMILIES AND THE COMMUNITY COPE WITH GRIEF AND LOSS. IN ADDITION TO HOME CARE SERVICES, HOSPICE & COMMUNITY CARE OPERATES A 16 BED HOSPICE HOUSE CALLED THE WAYNE T. PATRICK HOSPICE HOUSE. THE PATRICK HOUSE IS USED TO PROVIDE HOSPICE PATIENTS WITH EXPERT CARE FOR PAIN CONTROL AND SYMPTOM MANAGEMENT, TO OFFER CAREGIVERS A PLACE OF RESPITE, AND TO PROVIDE A PLACE FOR PATIENTS WHO MAY NEED THE SAFETY AND SECURITY OF SHORT TERM RESIDENCE.HOSPICE & COMMUNITY CARE PROVIDES ITS SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THE ORGANIZATION ESTIMATES THAT IT PROVIDED SERVICES AND SUPPLIES UNDER ITS CHARITY CARE POLICY OF APPROXIMATELY $138,346 DURING 2020. | Desc |
| Total Program Service Expenses | $6,773,788 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 121 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANE ARMSTRONG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8033291500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2275 INDIA HOOD RD | AddressLine1Txt |
| City | ROCK HILL | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29732 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KATHY WILSON | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JUDY MOBLEY | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANSON MERRICK | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HARVEY HEISE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ED BROCK | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANNIE MARION | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DOT KILLIAN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HAROLD PEEPLES | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETSY RABON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IRIS ROSE | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN WILLIAMSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE ARMSTRONG | |||||||
| CEO | 40.00 | Yes (X) | $158,977 | $0 | $0 | ||
| JENNIFER GRAHAM | |||||||
| COO | 40.00 | Yes (X) | $126,751 | $0 | $0 | ||
| CHRISTY PETIT | |||||||
| NURSE PRACTITIONER | 40.00 | $108,990 | $0 | $0 | Yes (X) | ||
| RONALD SINCLAIR | |||||||
| PHYSICIAN | 20.00 | $152,282 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $547,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELEIOS COLLABORATIVE NETWORK | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 571 SOUTH ALLEN ROAD | AddressLine1Txt |
| City | FLAT ROCK | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28731 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | COACHING, BACK OFFICE | ServicesDesc |
| Compensation | $325,103 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $746,677 | AllOtherContributionsAmt |
| Total Contributions | $746,677 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621610 | $6,211,129 | $6,211,129 |
| PROVIDER RELIEF FDNG | 621610 | $300,340 | $300,340 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $331 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $331 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,511,800 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,587 | TotalRevenueColumnAmt |
| Exclusion | $9,587 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $340,182 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,462 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $337,720 | TotalRevenueColumnAmt |
| Exclusion | $337,720 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,605,784 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,511,800 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $347,307 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,436 | TotalAmt |
| Program Services | $156,436 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,494,498 | TotalAmt |
| Program Services | $2,798,912 | ProgramServicesAmt |
| Management And General | $695,586 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,282 | TotalAmt |
| Program Services | $461,282 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,547 | TotalAmt |
| Program Services | $267,547 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,392 | TotalAmt |
| Management And General | $206,392 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,880 | TotalAmt |
| Management And General | $29,880 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,226 | TotalAmt |
| Program Services | $156,226 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,105 | TotalAmt |
| Management And General | $13,820 | ManagementAndGeneralAmt |
| Fundraising | $14,285 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,788 | TotalAmt |
| Program Services | $219,024 | ProgramServicesAmt |
| Management And General | $18,764 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,525 | TotalAmt |
| Program Services | $92,556 | ProgramServicesAmt |
| Management And General | $9,969 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,298 | TotalAmt |
| Program Services | $233,864 | ProgramServicesAmt |
| Management And General | $23,434 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,705 | TotalAmt |
| Program Services | $84,447 | ProgramServicesAmt |
| Management And General | $258 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277 | TotalAmt |
| Program Services | $277 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,654 | TotalAmt |
| Program Services | $383,654 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,373 | TotalAmt |
| Program Services | $317,373 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,683 | TotalAmt |
| Program Services | $100,683 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT RELATED EXPENSE | Desc |
| Total | $1,466,778 | TotalAmt |
| Program Services | $1,466,778 | ProgramServicesAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,592 | TotalAmt |
| Program Services | $34,729 | ProgramServicesAmt |
| Management And General | $112,343 | ManagementAndGeneralAmt |
| Fundraising | $520 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,899,039 | TotalAmt |
| Program Services | $6,773,788 | ProgramServicesAmt |
| Management And General | $1,110,446 | ManagementAndGeneralAmt |
| Fundraising | $14,805 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,516,122 | BOYAmt |
| EOY | $2,515,051 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,928 | BOYAmt |
| EOY | $14,928 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,153,109 | BOYAmt |
| EOY | $567,962 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,204 | BOYAmt |
| EOY | $57,800 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,566,830 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,219,931 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,559,113 | BOYAmt |
| EOY | $7,346,899 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $37,500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,369,476 | BOYAmt |
| EOY | $10,540,140 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,194 | BOYAmt |
| EOY | $546,427 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,594 | BOYAmt |
| EOY | $1,600 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,616,009 | BOYAmt |
| EOY | $7,631,381 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,711 | BOYAmt |
| EOY | $861,333 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,237,508 | BOYAmt |
| EOY | $9,040,741 | 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 | $2,006,444 | BOYAmt |
| EOY | $1,499,399 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,524 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,131,968 | BOYAmt |
| EOY | $1,499,399 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,369,476 | BOYAmt |
| EOY | $10,540,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$293,255 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$339,314 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $539,238 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $579,602 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $690,090 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $579,656 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $746,677 | CurrentTaxYearAmt |
| Total | $3,135,263 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,574,506 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,190,257 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,640,981 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,810,498 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,211,129 | CurrentTaxYearAmt |
| Total | $30,427,371 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,113,744 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,769,859 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,331,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,390,154 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,957,806 | CurrentTaxYearAmt |
| Total | $33,562,634 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $4,595 | CurrentTaxYearMinus3YearsAmt |
| Total | $4,595 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $124,949 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $306,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $254,719 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $123,918 | CurrentTaxYearAmt |
| Total | $866,131 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $124,949 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,640 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $306,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $254,719 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $123,918 | CurrentTaxYearAmt |
| Total | $870,726 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $32,691,908 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,796 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,014 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,623 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,587 | CurrentTaxYearAmt |
| Total | $67,539 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,796 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,014 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,623 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,587 | CurrentTaxYearAmt |
| Total | $67,539 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $382,517 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $419,359 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $492,116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $305,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $640,853 | CurrentTaxYearAmt |
| Total | $2,240,163 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,505,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,197,737 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,841,201 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,718,095 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,608,246 | CurrentTaxYearAmt |
| Total | $35,870,336 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.91140 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92140 | PublicSupportPY509Pct |
| Investment Income CY | 0.00190 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00190 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $396,648 | OtherCostOrOtherBasisAmt |
| Book Value | $396,648 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,242,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,822,138 | DepreciationAmt |
| Book Value | $6,420,596 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $497,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $213,550 | DepreciationAmt |
| Book Value | $284,339 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $429,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,243 | DepreciationAmt |
| Book Value | $245,316 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,346,899 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| BBVA SWAP LIABILITY | $310,501 |
| REFUNDABLE ADVANCE- PAYCHECK PROTECTION PROGRAM | $550,832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $861,333 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,596,197 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,596,197 | RevenueSubtotalAmt |
| Other Revenues Not Included | $9,587 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $9,587 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,605,784 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,899,039 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,899,039 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,899,039 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") WITH EXEMPTION FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE TAX-EXEMPT STATUS OF THE ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INTEREST INCOME 9,587. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANE ARMSTRONG | ||||||||||||||
| CEO | $158,977 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $158,977 | $0 | $0 | $0 |
| RONALD SINCLAIR | ||||||||||||||
| PHYSICIAN | $152,282 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $152,282 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO AND CFO OF THE ORGANIZATION REVIEW THE FORM 990 FOR ACCURACY. AFTER THEIR REVIEW, THE ORGANIZATION PROVIDES A DRAFT OF FORM 990 TO EVERY MEMBER OF THE GOVERNING BODY BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS AN ANNUAL REVIEW OF ANY CONFLICT OF INTEREST ISSUES. |
| FORM 990, PART VI, SECTION B, LINE 15 | BOARD EVALUATES CEO ANNUALLY AND DETERMINES IF INCREASE IS MERITED. THE BOARD USES A SALARY SURVEY THAT IS INDUSTRY AND LOCATION SPECIFIC TO DETERMINE THE SALARY FOR THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION DOES PROVIDE DIRECT DELIVERY OF ITS FINANCIAL STATEMENTS TO CERTAIN UNITED WAY ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF SWAP AGREEMENT -213,790. NET ASSETS RELEASED FROM RESTRICTIONS -125,524. |
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