RURAL HEALTH SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH SERVICES INC (EIN 23-7085643)
Tax period
2020-06-01 to 2021-05-31
Filed
2021-10-29
IRS object ID
202123029349300327
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-10-29T06:51:02-07:00ReturnTs
Tax Period End2021-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237085643EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RURAL HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRURABusinessNameControlTxt
Phone8035939283PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 CLYBURN PLACEAddressLine1Txt
CityAIKENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCarolyn Emanuel-McClainPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8035939283PhoneNum
Signature2021-10-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCarolynPersonFirstNm
Person LastEmanuel-McClainPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry Horne CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2021-10-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCarolyn Emanuel-McClainPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 277AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP298220277ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,424,655GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MJWCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTHIS 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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee186TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,121,366PYContributionsGrantsAmt
CY Contributions Grants$6,713,526CYContributionsGrantsAmt
PY Program Service Revenue$10,361,868PYProgramServiceRevenueAmt
CY Program Service Revenue$11,697,374CYProgramServiceRevenueAmt
PY Investment Income$13,720PYInvestmentIncomeAmt
CY Investment Income$13,755CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,496,954PYTotalRevenueAmt
CY Total Revenue$18,424,655CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,019,074PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,021,292CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,047,789PYOtherExpensesAmt
CY Other Expenses$5,579,982CYOtherExpensesAmt
PY Total Expenses$15,066,863PYTotalExpensesAmt
CY Total Expenses$16,601,274CYTotalExpensesAmt
PY Revenues Less Expenses-$1,569,909PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,823,381CYRevenuesLessExpensesAmt
Total Assets BOY$12,574,564TotalAssetsBOYAmt
Total Assets EOY$13,992,742TotalAssetsEOYAmt
Total Liabilities BOY$5,275,369TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,239,873TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,299,195NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,752,869NetAssetsOrFundBalancesEOYAmt
MissionTHIS 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,290,864ExpenseAmt
Grant$0GrantAmt
Revenue$11,697,374RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 53,200 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$13,290,864TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee186EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHIOW WEN TERRANOVA CFOPersonNm
Phone8035939283PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 277AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29822ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN STROTHER
BOARD CHAIR1.00Yes (X)$0$0$0
LIZ STEWART
VICE CHAIR1.00Yes (X)$0$0$0
NICHOLAS MCCARLEY
SECRETARY1.00Yes (X)$0$0$0
KRISTIN ALLEN
BOARD MEMBER1.00Yes (X)$0$0$0
JOSHUA BOOTH
BOARD MEMBER1.00Yes (X)$0$0$0
CORY MURPHY
BOARD MEMBER1.00Yes (X)$0$0$0
TRINITY MCCARLEY
BOARD MEMBER1.00Yes (X)$0$0$0
THAYER MCGAHEE
BOARD MEMBER1.00Yes (X)$0$0$0
REV SHIRLEY EDWARDS
BOARD MEMBER1.00Yes (X)$0$0$0
AARON MUNGIN
BOARD MEMBER1.00Yes (X)$0$0$0
GARY FARINA
BOARD MEMBER1.00Yes (X)$0$0$0
CYNTHIA GRIFFEN MITCHELL
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLYN EMANUEL-MCCLAIN
CHIEF EXECUTIVE OFFIER40.00$366,695$0$12,882Yes (X)
SHIOW WEN TERRANOVA
CHIEF FINANCIAL OFFICER40.00$111,400$0$21,854Yes (X)
GIGINA WALKER
CHIEF OPERATING OFFICER40.00$111,400$0$12,820Yes (X)
KENNETH JONES
CHIEF MEDICAL OFFICER40.00$242,613$0$8,612Yes (X)
PRINCESS DAVIS
CHIEF CLINICAL OPERATING OFFICER40.00$94,946$0$9,093Yes (X)
CHERISSE EDWARDS
DIRECTOR OF PHARMACY40.00$137,768$0$15,734Yes (X)
WANDA GIBSON
DIRECTOR OF DENTAL40.00$158,464$0$14,901Yes (X)
ISAIAH STEFFEN
PHYSICIAN40.00$210,116$0$29,182Yes (X)
LLOYD DANIELS
PHYSICIAN40.00$238,781$0$12,682Yes (X)
GARY FISCHBACH
PHYSICIAN40.00$223,204$0$22,520Yes (X)
CLAIR FELPEL
PHYSICIAN40.00$205,213$0$9,172Yes (X)
MARIA CRISTINA SOTO
PHYSICIAN40.00$228,720$0$16,381Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,329,320TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$185,833TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AIKEN OB-GYN ASSOCIATES
410 UNIVERSITY PARKWAY SUITE 1550AIKENSC29801CONTRACTED MEDICAL SERVICES$150,150
AFFORDABLE CLEANING
1157 HERDON DAIRY RDAIKENSC29803CONTRACTED CLEANING SERVICES$179,671
CONTINENTAL CONSTRUCTION CO
PO BOX 204198AUGUSTAGA30917CONTRACTED REPAIR SERVICES$658,354
CORSICA TECHNOLOGIES
PO BOX 1926AUGUSTAGA30903CONTRACTED IT CONSULTING SERVICES$119,159
MICHAEL FULFORD
109 E WISE STTRENTONSC29847CONTRACTED OPTOMETRY SERVICES$115,900
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$6,413,611GovernmentGrantsAmt
All Other Contributions$299,915AllOtherContributionsAmt
Noncash Contributions$118,800NoncashContributionsAmt
Total Contributions$6,713,526TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$11,697,374TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,697,374TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,755TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,755ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,424,655TotalRevenueColumnAmt
Related Or Exempt Func Income$11,697,374RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,755ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$927,054TotalAmt
Program Services$850,420ProgramServicesAmt
Management And General$76,634ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,267,987TotalAmt
Program Services$7,161,330ProgramServicesAmt
Management And General$1,106,657ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$103,356TotalAmt
Program Services$89,920ProgramServicesAmt
Management And General$13,436ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,097,144TotalAmt
Program Services$956,911ProgramServicesAmt
Management And General$140,233ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$625,751TotalAmt
Program Services$544,403ProgramServicesAmt
Management And General$81,348ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$26,940TotalAmt
Program Services$17,511ProgramServicesAmt
Management And General$9,429ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,345TotalAmt
Program Services$26,224ProgramServicesAmt
Management And General$14,121ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,323,373TotalAmt
Program Services$789,959ProgramServicesAmt
Management And General$533,414ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$58,739TotalAmt
Program Services$38,180ProgramServicesAmt
Management And General$20,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$573,970TotalAmt
Program Services$120,508ProgramServicesAmt
Management And General$453,462ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$764,602TotalAmt
Program Services$431,773ProgramServicesAmt
Management And General$332,829ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$312,530TotalAmt
Program Services$142,451ProgramServicesAmt
Management And General$170,079ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,907TotalAmt
Program Services$22,175ProgramServicesAmt
Management And General$32,732ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,362TotalAmt
Program Services$2,254ProgramServicesAmt
Management And General$13,108ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$485,751TotalAmt
Program Services$182,572ProgramServicesAmt
Management And General$303,179ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,557TotalAmt
Program Services$8,367ProgramServicesAmt
Management And General$9,190ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340B ADMIN AND DISPENSING FEES$184,666$184,666$0$0
DRUGS AND MEDICAL SUPPLIES$1,721,240$1,721,240$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,601,274TotalAmt
Program Services$13,290,864ProgramServicesAmt
Management And General$3,310,410ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,352,317BOYAmt
EOY$1,539,490EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,069,371BOYAmt
EOY$2,388,574EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$100,739BOYAmt
EOY$20,381EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$717,111BOYAmt
EOY$806,429EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$90,633BOYAmt
EOY$121,917EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$147,519BOYAmt
EOY$43,839EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,225,506LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,167,044LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,083,224BOYAmt
EOY$9,058,462EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,650BOYAmt
EOY$13,650EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,574,564BOYAmt
EOY$13,992,742EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,007,084BOYAmt
EOY$974,875EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,268,285BOYAmt
EOY$2,499,584EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$1,765,414EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,275,369BOYAmt
EOY$5,239,873EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,819,075BOYAmt
EOY$8,642,456EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$480,120BOYAmt
EOY$110,413EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,299,195BOYAmt
EOY$8,752,869EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,574,564BOYAmt
EOY$13,992,742EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,823,381ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$369,707OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,910,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,919,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,899,950CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,121,366CurrentTaxYearMinus1YearAmt
Current Tax Year$6,713,526CurrentTaxYearAmt
Total$18,565,741TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,910,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,919,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,899,950CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,121,366CurrentTaxYearMinus1YearAmt
Current Tax Year$6,713,526CurrentTaxYearAmt
Total$18,565,741TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$18,565,741PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,576CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,720CurrentTaxYearMinus1YearAmt
Current Tax Year$13,755CurrentTaxYearAmt
Total$41,863TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$18,607,604TotalSupportAmt
Gross Receipts Rltd Activities$52,571,772GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99780PublicSupportCY170Pct
Public Support PY1700.99790PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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)
Investment Cost Or Other Basis$397,460InvestmentCostOrOtherBasisAmt
Book Value$397,460BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$9,276,660InvestmentCostOrOtherBasisAmt
Depreciation$2,106,963DepreciationAmt
Book Value$7,169,697BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,066,684InvestmentCostOrOtherBasisAmt
Depreciation$2,060,081DepreciationAmt
Book Value$1,006,603BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$484,702InvestmentCostOrOtherBasisAmt
Book Value$484,702BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,058,462TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$18,424,655TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$18,424,655RevenueSubtotalAmt
Total Revenue Per Form990$18,424,655TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,601,274TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$16,601,274ExpensesSubtotalAmt
Total Expenses Per Form990$16,601,274TotalExpensesPerForm990Amt

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 (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CAROLYN EMANUEL-MCCLAIN
$366,695$0$0$0$0$0$4,000$0$8,882$0$379,577$0$0$0
KENNETH JONES
$242,613$0$0$0$0$0$0$0$8,612$0$251,225$0$0$0
CHERISSE EDWARDS
$137,768$0$0$0$0$0$1,117$0$14,617$0$153,502$0$0$0
WANDA GIBSON
$158,464$0$0$0$0$0$6,219$0$8,682$0$173,365$0$0$0
ISAIAH STEFFEN
$210,116$0$0$0$0$0$7,300$0$21,882$0$239,298$0$0$0
LLOYD DANIELS
$238,781$0$0$0$0$0$4,000$0$8,682$0$251,463$0$0$0
GARY FISCHBACH
$223,204$0$0$0$0$0$0$0$22,520$0$245,724$0$0$0
CLAIR FELPEL
$205,213$0$0$0$0$0$6,831$0$2,341$0$214,385$0$0$0
MARIA CRISTINA SOTO
$228,720$0$0$0$0$0$4,000$0$12,381$0$245,101$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7920ContributionCnt
Noncash Contributions Rpt F990$118,800NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bMANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE
Pt VI, Line 11bIT IS FILED WITH THE IRS.
Pt VI, Line 12cANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST
Pt VI, Line 12cSTATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY.
Pt VI, Line 15aTHE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY
Pt VI, Line 15bHEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED
Pt VI, Line 15bCOMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION
Pt VI, Line 15bOF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION
Pt VI, Line 15bEVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED
Pt VI, Line 15bCOMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY
Pt VI, Line 15bCOMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY
Pt VI, Line 15bAVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT
Pt VI, Line 15bTHROUGH HRSA.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT
Pt VI, Line 19OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XILINE 9 REPRESENTS THE NET CHANGE IN NET ASSETS WITH
Pt XIDONOR RESTRICTIONS FOR THE YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.