COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC (EIN 72-1526129)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2021-11-12
- IRS object ID
- 202123169349310842
- Schema version
- 2020v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T16:14:51-06:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 631158335 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TUCKER SCOTT & WATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1130 | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 356021130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721526129 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY FREE CLINIC OF DECATUR | BusinessNameLine1Txt |
| Business Name Line2 | MORGAN COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2563095617 | PhoneNum |
| Signature | 2021-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JESSICA | PersonFirstNm |
| Person Last | PAYNE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRELL W WATES CPA CGMA | PreparerPersonNm |
| PTIN | P00360808 | PTIN |
| Phone | 2563551828 | PhoneNum |
| Preparation | 2021-11-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JESSICA PAYNE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,373,439 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FREE, QUALITY HEALTHCARE TO LOW INCOME, MEDICALLY UNINSURED ADULT RESIDENTS OF DECATUR AND MORGAN COUNTY, THROUGH VOLUNTEERS SERVING THE COMMUNITY IN A MANNER THAT RESPECTS THE DIGNITY OF ALL PERSONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 6 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,572,412 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,056,832 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76,535 | PYInvestmentIncomeAmt |
| CY Investment Income | $308,039 | CYInvestmentIncomeAmt |
| PY Other Revenue | $23,325 | PYOtherRevenueAmt |
| CY Other Revenue | $5,816 | CYOtherRevenueAmt |
| PY Total Revenue | $1,672,272 | PYTotalRevenueAmt |
| CY Total Revenue | $2,370,687 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $247,603 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $241,996 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,162 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,518,394 | PYOtherExpensesAmt |
| CY Other Expenses | $1,797,541 | CYOtherExpensesAmt |
| PY Total Expenses | $1,765,997 | PYTotalExpensesAmt |
| CY Total Expenses | $2,039,537 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$93,725 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $331,150 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,796,002 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,074,420 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $68,558 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,824 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,727,444 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,058,596 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,010,603 | ExpenseAmt |
| Desc | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | Desc |
| Total Program Service Expenses | $2,010,603 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 6 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| AMY ANDERSON | ||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR RUSSELL BARR | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CRYSTAL BROWN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ANNIE CORNELL | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DANNY CROWE | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| VENESSA EDMONDS | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| REVERAND EVAN GARNER | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TRUDY GRISHAM | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANGIE HARRIS | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR SCOTT HARRIS | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PAM HOWELL | ||||||
| IMMEDIATE PA | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEANETTE JACKSON | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID LANGSTON | ||||||
| EX-OFFICIO M | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ANNE LEDBETTER | ||||||
| SECRETARY | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NOEL LOVELACE | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DALE TRAMMELL MD | ||||||
| DIRECTOR AT | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT ALLEN MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR PAUL MCCAIN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR ALICIA NAILS | ||||||
| DENTAL DIREC | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HON ARTHUR ORR | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR DYRC SIBRANS | ||||||
| MEDICAL DIRE | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $111,832 | GovernmentGrantsAmt |
| All Other Contributions | $1,945,000 | AllOtherContributionsAmt |
| Total Contributions | $2,056,832 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $308,039 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $308,039 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $8,568 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $2,752 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,816 | TotalRevenueColumnAmt |
| Exclusion | $5,816 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,370,687 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $308,039 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,816 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,786 | TotalAmt |
| Program Services | $208,342 | ProgramServicesAmt |
| Management And General | $6,444 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,800 | TotalAmt |
| Program Services | $10,476 | ProgramServicesAmt |
| Management And General | $324 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,410 | TotalAmt |
| Program Services | $15,918 | ProgramServicesAmt |
| Management And General | $492 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,810 | TotalAmt |
| Program Services | $3,486 | ProgramServicesAmt |
| Management And General | $1,162 | ManagementAndGeneralAmt |
| Fundraising | $1,162 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,672,339 | TotalAmt |
| Program Services | $1,669,664 | ProgramServicesAmt |
| Management And General | $2,675 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590 | TotalAmt |
| Program Services | $537 | ProgramServicesAmt |
| Management And General | $53 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,463 | TotalAmt |
| Program Services | $2,445 | ProgramServicesAmt |
| Management And General | $2,018 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,205 | TotalAmt |
| Program Services | $74,133 | ProgramServicesAmt |
| Management And General | $12,072 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,065 | TotalAmt |
| Program Services | $969 | ProgramServicesAmt |
| Management And General | $96 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,432 | TotalAmt |
| Program Services | $21,323 | ProgramServicesAmt |
| Management And General | $2,109 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,637 | TotalAmt |
| Program Services | $3,310 | ProgramServicesAmt |
| Management And General | $327 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,039,537 | TotalAmt |
| Program Services | $2,010,603 | ProgramServicesAmt |
| Management And General | $27,772 | ManagementAndGeneralAmt |
| Fundraising | $1,162 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,092 | BOYAmt |
| EOY | $68,165 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,372 | BOYAmt |
| EOY | $258,812 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,775 | BOYAmt |
| EOY | $2,775 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $803,245 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $390,135 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,981 | BOYAmt |
| EOY | $413,110 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,069,782 | BOYAmt |
| EOY | $2,331,558 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,796,002 | BOYAmt |
| EOY | $3,074,420 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,023 | BOYAmt |
| EOY | $4,833 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,535 | BOYAmt |
| EOY | $10,991 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,558 | BOYAmt |
| EOY | $15,824 | 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 | $2,691,176 | BOYAmt |
| EOY | $3,029,382 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,268 | BOYAmt |
| EOY | $29,214 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,727,444 | BOYAmt |
| EOY | $3,058,596 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,796,002 | BOYAmt |
| EOY | $3,074,420 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $331,150 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
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 | $1,849,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,888,606 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,807,241 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,572,412 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,056,832 | CurrentTaxYearAmt |
| Total | $9,174,432 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $96,868 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,790 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $114,968 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,535 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $308,039 | CurrentTaxYearAmt |
| Total | $673,200 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,946,209 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,965,396 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,922,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,648,947 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,364,871 | CurrentTaxYearAmt |
| Total | $9,847,632 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $9,847,632 | PublicSupportTotal509Amt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,181 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,146 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,325 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,816 | CurrentTaxYearAmt |
| Total | $102,347 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,970,390 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,991,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,947,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,671,272 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,369,687 | CurrentTaxYearAmt |
| Total | $9,949,979 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98970 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98750 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $643,036 | OtherCostOrOtherBasisAmt |
| Depreciation | $267,500 | DepreciationAmt |
| Book Value | $375,536 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $110,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,158 | DepreciationAmt |
| Book Value | $10,674 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,477 | DepreciationAmt |
| Book Value | $26,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $413,110 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ACCOUNT - SANDLIN | Desc |
| Book Value | $2,331,558 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,331,558 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED PAYROLL | Desc |
| Amt | $10,991 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,991 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,370,687 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $2,370,687 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,370,687 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,039,537 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,039,537 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,039,537 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | PRESENTED TO THE BOARD BY INDEPENDENT CPA |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE PROVIDED UPON REQUEST |
| FORM 990, PART IX, LINE 11G | DONATED SERVICES 747,582 0 0 UTILITIES 10,013 990 0 TELEPHONE 3,513 347 0 PHARMACY SUPPLIES 3,680 0 0 REPAIRS & MAINTENANCE 13,481 1,333 0 CLINIC SUPPLIES 1,049 0 0 DENTAL SUPPLIES 2,383 0 0 SECURITY 439 0 0 PATIENT ASSISTANCE PROGRAM 887,519 0 0 MISCELLANEOUS 5 5 0 TOTAL 1,669,664 2,675 0 |
| FORM 990, PART XI, LINE 9 | ROUNDING 2 |
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