ACCESS FAMILY HEALTH SERVICES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ACCESS FAMILY HEALTH SERVICES INC (EIN 64-0612902)
- Tax period
- 2020-02-01 to 2021-01-31
- Filed
- 2021-12-15
- IRS object ID
- 202133499349301733
- 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 | 2021-12-15T17:17:31-06:00 | ReturnTs |
| Tax Period End | 2021-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 640736635 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANKS FRANKS WILEMON & HAGOOD PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 731 | AddressLine1Txt |
| City | TUPELO | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640612902 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCESS FAMILY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ACCE | BusinessNameControlTxt |
| Phone | 6626514686 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 179 | AddressLine1Txt |
| City | SMITHVILLE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38870 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANA RAMEY | PersonNm |
| Person Title | FINANCIAL DIRECTOR | PersonTitleTxt |
| Signature | 2021-12-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DANA | PersonFirstNm |
| Person Last | RAMEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JONATHAN HAGOOD | PreparerPersonNm |
| PTIN | P00736953 | PTIN |
| Phone | 6628445226 | PhoneNum |
| Preparation | 2021-12-15 | 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 | MARILYN SUMERFORD | PrincipalOfficerNm |
| Gross Receipts | $11,686,964 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACCESSFAMILYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF ACCESS FAMILY HEALTH SERVICES, INC. IS TO PROVIDE AFFORDABLE, COMPREHENSIVE HEALTHCARE AND EDUCATION TO OUR COMMUNITIES WITH SUPERIOR SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 99 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,871,534 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,354,566 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,384,109 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,484,904 | CYProgramServiceRevenueAmt |
| PY Investment Income | $47,453 | PYInvestmentIncomeAmt |
| CY Investment Income | -$4,956 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,120 | PYOtherRevenueAmt |
| CY Other Revenue | $814,446 | CYOtherRevenueAmt |
| PY Total Revenue | $7,313,216 | PYTotalRevenueAmt |
| CY Total Revenue | $11,648,960 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,840,014 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,641,376 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,190,131 | PYOtherExpensesAmt |
| CY Other Expenses | $3,170,906 | CYOtherExpensesAmt |
| PY Total Expenses | $7,030,145 | PYTotalExpensesAmt |
| CY Total Expenses | $8,812,282 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $283,071 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,836,678 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,882,976 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,524,746 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $624,979 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,430,071 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,257,997 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,094,675 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF ACCESS FAMILY HEALTH SERVICES, INC. IS TO PROVIDE AFFORDABLE, COMPREHENSIVE HEALTHCARE AND EDUCATION TO OUR COMMUNITIES WITH SUPERIOR SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,514,516 | ExpenseAmt |
| Revenue | $5,484,904 | RevenueAmt |
| Desc | PROVIDES RURAL HEALTHCARE SERVICES INCLUDING DOCTORS, NURSES AND PHARMACY FOR SMALL COMMUNITIES IN MISSISSIPPI. THESE SERVICES ARE PROVIDED REGARDLESS OF THE ABILITY TO PAY. PATIENT ENCOUNTERS TOTALED OVER 23,000 DURING THE YEAR. | Desc |
| Total Program Service Expenses | $6,514,516 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | 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 | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 99 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCESS FAMILY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6626514686 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 179 | AddressLine1Txt |
| City | SMITHVILLE | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38870 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| JAMES MONROE | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $230,623 | $0 | $29,517 | ||
| KEVIN KOEHLER | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $223,125 | $0 | $30,858 | ||
| NEIL WANEE | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $222,304 | $0 | $19,268 | ||
| MARILYN SUMERFORD | |||||||
| EXECUTIVE DI | 40.00 | $113,477 | $0 | $19,479 | Yes (X) | Yes (X) | |
| DAVID SUMERFORD | |||||||
| NURSE PRACTI | 40.00 | Yes (X) | $117,839 | $0 | $12,883 | ||
| CARISSA SEARCY | |||||||
| NURSE PRACTI | 40.00 | Yes (X) | $118,515 | $0 | $7,196 | ||
| DANA RAMEY | |||||||
| FINANCIAL DI | 40.00 | $89,814 | $0 | $11,551 | Yes (X) | Yes (X) | |
| JEANNIE BALL | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| AUTUMN BANKHEAD | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ALAN BARNETT | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| RAY COUNCE | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| SANDY EVANS | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JERRY HALL | |||||||
| VICE-CHARIMA | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| HOWARD HILL | |||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| RUBY HOLLIN | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| INITA MCMULLAN | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BRANDON PRESLEY | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DAWN ROGERS | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ANN SEALES | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BRAD STEVENS | |||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MARLON SUMMERFORD | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,115,697 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $130,752 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD HILL DDS | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 35 | AddressLine1Txt |
| City | CARROLLTON | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 38917 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation | $101,150 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,295,027 | GovernmentGrantsAmt |
| All Other Contributions | $59,539 | AllOtherContributionsAmt |
| Total Contributions | $5,354,566 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Total Revenue Column | $5,484,904 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,484,904 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,484,904 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,548 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,548 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,500 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,197 | SecuritiesAmt |
| Other | $24,807 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$5,697 | SecuritiesAmt |
| Other | -$24,807 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$30,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$30,504 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PPP FORGIVENESS | $780,100 | $780,100 |
| OTHER INCOME | $34,346 | $34,346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $814,446 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,648,960 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,294,394 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,714,484 | TotalAmt |
| Program Services | $3,455,270 | ProgramServicesAmt |
| Management And General | $1,259,214 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,009 | TotalAmt |
| Program Services | $154,528 | ProgramServicesAmt |
| Management And General | $58,481 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,675 | TotalAmt |
| Program Services | $298,905 | ProgramServicesAmt |
| Management And General | $131,770 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,208 | TotalAmt |
| Program Services | $195,949 | ProgramServicesAmt |
| Management And General | $87,259 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955 | TotalAmt |
| Management And General | $955 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,974 | TotalAmt |
| Management And General | $20,974 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,783 | TotalAmt |
| Program Services | $5,749 | ProgramServicesAmt |
| Management And General | $1,034 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,071 | TotalAmt |
| Program Services | $30,597 | ProgramServicesAmt |
| Management And General | $25,474 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,744 | TotalAmt |
| Program Services | $141,344 | ProgramServicesAmt |
| Management And General | $49,400 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,234 | TotalAmt |
| Program Services | $10,018 | ProgramServicesAmt |
| Management And General | $11,216 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,027 | TotalAmt |
| Program Services | $184,954 | ProgramServicesAmt |
| Management And General | $60,073 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,392 | TotalAmt |
| Program Services | $15,947 | ProgramServicesAmt |
| Management And General | $11,445 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL SERVICES | $1,147,465 | $776,846 | $370,619 |
| SUPPLIES | $959,540 | $922,643 | $36,897 |
| MISCELLANEOUS | $181,583 | $77,041 | $104,542 |
| UNCAPITALIZED EQUIPMENT | $117,231 | $117,136 | $95 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,907 | TotalAmt |
| Program Services | $127,589 | ProgramServicesAmt |
| Management And General | $68,318 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,812,282 | TotalAmt |
| Program Services | $6,514,516 | ProgramServicesAmt |
| Management And General | $2,297,766 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $495,628 | BOYAmt |
| EOY | $2,225,327 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,528,989 | BOYAmt |
| EOY | $4,055,698 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,565 | BOYAmt |
| EOY | $514,705 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,448 | BOYAmt |
| EOY | $279,315 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,581 | BOYAmt |
| EOY | $14,548 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,889 | BOYAmt |
| EOY | $147,392 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,540,857 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,263,396 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,337,676 | BOYAmt |
| EOY | $3,277,461 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,200 | BOYAmt |
| EOY | $10,300 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,882,976 | BOYAmt |
| EOY | $10,524,746 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $624,979 | BOYAmt |
| EOY | $739,879 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $690,192 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $624,979 | BOYAmt |
| EOY | $1,430,071 | 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 | $6,257,997 | BOYAmt |
| EOY | $9,094,675 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,257,997 | BOYAmt |
| EOY | $9,094,675 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,882,976 | BOYAmt |
| EOY | $10,524,746 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,836,678 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,448,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,422,912 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,535,144 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,871,534 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,354,566 | CurrentTaxYearAmt |
| Total | $15,633,128 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,448,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,422,912 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,535,144 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,871,534 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,354,566 | CurrentTaxYearAmt |
| Total | $15,633,128 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $15,633,128 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,562 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,548 | CurrentTaxYearAmt |
| Total | $116,573 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,749,701 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,768,080 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99260 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99240 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $167,886 | OtherCostOrOtherBasisAmt |
| Book Value | $167,886 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,288,083 | OtherCostOrOtherBasisAmt |
| Depreciation | $975,166 | DepreciationAmt |
| Book Value | $2,312,917 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $698,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $275,898 | DepreciationAmt |
| Book Value | $422,234 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,266,051 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,012,332 | DepreciationAmt |
| Book Value | $253,719 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,705 | OtherCostOrOtherBasisAmt |
| Book Value | $120,705 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,277,461 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $11,648,960 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $11,648,960 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $11,648,960 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,812,282 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $8,812,282 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $8,812,282 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| JAMES MONROE | |||
| PHYSICIAN | $230,623 | $29,517 | $260,140 |
| KEVIN KOEHLER | |||
| PHYSICIAN | $223,125 | $30,858 | $253,983 |
| NEIL WANEE | |||
| PHYSICIAN | $222,304 | $19,268 | $241,572 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENNETH SUMERFORD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF ED | RelationshipDescriptionTxt |
| Transaction | $7,200 | TransactionAmt |
| Transaction | OFFICE RENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | KENNETH SUMERFORD IS THE SPOUSE OF THE EXECUTIVE DIRECTOR. THE ORGANIZATION RENTS OFFICE SPACE FROM MR SUMERFORD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DIRECTOR OF FINANCE AND EXECUTIVE DIRECTOR REVIEW THE 990 AND PRESENT THE RESULTS TO THE BOARD OF DIRECTORS FOR REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY AT THE ANNUAL MEETING IN JUNE. WHEN A CONFLICT OF INTEREST IS DISCLOSED, THE BOARD MEMBER MUST RESIGN IF IT IS IN CONFLICT WITH THE BOARD'S BYLAWS. THE ORGANIZATION ALSO HAS A COMPLIANCE OFFICER THAT MONITORS COMPLIANCE WITH THE VARIOUS PROGRAMS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION OF TOP MANAGEEMNT POSITIONS IS SET BY THE BOARD AND REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION OF OTHER OFFICERS AND KEY POSITIONS IS SET BY THE BOARD AND REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE PUBLIC DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | EQUIPMENT, FA 0 ACCUMULATED D/P 0 |
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