GRACE COMMUNITY HEALTH CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GRACE COMMUNITY HEALTH CENTER INC (EIN 26-1779437)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-08-23
- IRS object ID
- 202142359349301124
- 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 | 2021-08-23T16:25:37-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273858252 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN DORTON ALLEN FORD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 W MAIN STREET STE 1400 | AddressLine1Txt |
| City | LEXINGTON | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40507 | 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 | 261779437 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRACE COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAC | BusinessNameControlTxt |
| Phone | 6065269005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 CUMBERLAND FALLS HWY NO B201 | AddressLine1Txt |
| City | CORBIN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHAD STEVENS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6065269005 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHAD | PersonFirstNm |
| Person Last | STEVENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALLISON C CARTER | PreparerPersonNm |
| PTIN | P01242412 | PTIN |
| Phone | 8592552341 | PhoneNum |
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 | GRACE HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL STANLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 CUMBERLAND FALLS HWY NO B201 | AddressLine1Txt |
| City | CORBIN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,482,465 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GRACEHEALTHKY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | SHOW LOVE AND SHARE THE TRUTH OF JESUS CHRIST TO SOUTHEASTERN KY THROUGH ACCESS TO PRIMARY HEALTHCARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 365 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,764,605 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,348,731 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,419,708 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,993,266 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,687 | PYInvestmentIncomeAmt |
| CY Investment Income | $55,527 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$21,576 | PYOtherRevenueAmt |
| CY Other Revenue | -$24,683 | CYOtherRevenueAmt |
| PY Total Revenue | $31,177,424 | PYTotalRevenueAmt |
| CY Total Revenue | $35,372,841 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,155 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $38,236 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,837,871 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,838,202 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,309,856 | PYOtherExpensesAmt |
| CY Other Expenses | $10,091,092 | CYOtherExpensesAmt |
| PY Total Expenses | $28,162,882 | PYTotalExpensesAmt |
| CY Total Expenses | $30,967,530 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,014,542 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,405,311 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,006,674 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,861,616 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,780,917 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,230,548 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,225,757 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,631,068 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO SHOW LOVE AND SHARE THE TRUTH OF JESUS CHRIST TO SOUTHEASTERN KENTUCKY THROUGH ACCESS TO COMPASSIONATE, HIGH QUALITY, PRIMARY HEALTHCARE FOR THE WHOLE PERSON | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,936,973 | ExpenseAmt |
| Grant | $38,236 | GrantAmt |
| Revenue | $26,993,265 | RevenueAmt |
| Desc | PROVIDED PRIMARY HEALTHCARE SERVICES TO 31,527 PATIENTS WITH 118,777 PATIENT VISITS. THE ORGANIZATION PROVIDED $961,108 IN CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2020 AND $1,064,659,000 IN CHARITY CARE AT COST FOR THE YEAR ENDED DECEMBER 31, 2019. | Desc |
| Total Program Service Expenses | $25,936,973 | 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 | 0 | 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 | Yes (1) | 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 | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 365 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | 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 | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6065269005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1019 CUMBERLAND FALLS HWY NO B201 | AddressLine1Txt |
| City | CORBIN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| TRAVIS GILBERT | |||||||
| PHYSICIAN/OB-GYN | 40.00 | Yes (X) | $555,127 | $0 | $17,987 | ||
| TRUMAN PERRY | |||||||
| PHYSICIAN/FAMILY PHYSICIAN | 40.00 | Yes (X) | $415,536 | $0 | $14,345 | ||
| KELVIN DALE PERRY | |||||||
| PHYSICIAN/FAMILY PHYSICIAN | 40.00 | Yes (X) | $395,759 | $0 | $13,620 | ||
| MISTY DANIELLE THOMPSON | |||||||
| PHYSICIAN/OB-GYN | 40.00 | Yes (X) | $379,974 | $0 | $18,600 | ||
| ENRICO ASCANI | |||||||
| PHYSICIAN/OB-GYN | 40.00 | Yes (X) | $364,662 | $0 | $16,350 | ||
| MICHAEL STANLEY | |||||||
| CEO | 40.00 | $324,656 | $0 | $16,350 | Yes (X) | ||
| KELLY EVANS | |||||||
| CMO | 40.00 | $297,967 | $0 | $18,600 | Yes (X) | ||
| CHAD STEVENS | |||||||
| CFO | 40.00 | $233,249 | $0 | $14,280 | Yes (X) | ||
| JEFFREY CAMPBELL | |||||||
| COO | 40.00 | $198,792 | $0 | $12,902 | Yes (X) | ||
| MELVIN SCARBERRY | |||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFF HAMLIN | |||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| HIRAM CORNETT | |||||||
| VICE-CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DAMON HUFF | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ANGIE SINGLEY | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KAREN HUBBS | |||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DENO GRAY | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| LORETTA LYTTLE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JAMES ED GARRISON | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ROGER WEST | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| AMY RUSSELL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,165,722 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $143,034 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALITY SYSTEMS INC | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | MEDICAL BILLING | $1,067,406 |
| KERSEY & KERSEY ARCHITECTS | |||||
| 839 EAST GRAY STREET | LOUISVILLE | KY | 40204 | ARCHITECTS | $876,569 |
| CUSTOM CLEANING AND MAINTENANCE SERVICES | |||||
| 96 HOWINGTON LANE | CORBIN | KY | 40701 | CLEANING & MAINTENANCE | $610,213 |
| BAPTIST HEALTH MEDICAL GROUP INC | |||||
| PO BOX 950248 | LOUISVILLE | KY | 402950248 | RADIOLOGY READS | $129,844 |
| FK PERKINS & COMPANY | |||||
| 1019 CUMBERLAND FALLS HWY STE B210 | CORBIN | KY | 40701 | CAPITAL PROJECT MANAGER FEES | $118,797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,320,771 | GovernmentGrantsAmt |
| All Other Contributions | $27,960 | AllOtherContributionsAmt |
| Total Contributions | $8,348,731 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $26,121,875 | $26,121,875 |
| OTHER MEDICAL REVENUE | 621110 | $477,578 | $477,578 |
| QUALITY REVENUE | 621110 | $371,000 | $371,000 |
| PMPM REVENUE | 621110 | $22,813 | $22,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,993,266 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,907 | TotalRevenueColumnAmt |
| Exclusion | $102,907 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,561 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $62,244 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$24,683 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$24,683 | TotalRevenueColumnAmt |
| Exclusion | -$24,683 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,380 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$47,380 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,380 | TotalRevenueColumnAmt |
| Exclusion | -$47,380 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,372,841 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,993,266 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $30,844 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,236 | TotalAmt |
| Program Services | $38,236 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,116,796 | TotalAmt |
| Program Services | $915,079 | ProgramServicesAmt |
| Management And General | $201,717 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,572,813 | TotalAmt |
| Program Services | $13,579,639 | ProgramServicesAmt |
| Management And General | $2,993,174 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,060 | TotalAmt |
| Program Services | $355,876 | ProgramServicesAmt |
| Management And General | $96,184 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,389 | TotalAmt |
| Program Services | $1,285,708 | ProgramServicesAmt |
| Management And General | $265,681 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,144 | TotalAmt |
| Program Services | $938,079 | ProgramServicesAmt |
| Management And General | $207,065 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,865 | TotalAmt |
| Management And General | $54,865 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,780 | TotalAmt |
| Management And General | $49,780 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,986,949 | TotalAmt |
| Program Services | $1,677,623 | ProgramServicesAmt |
| Management And General | $309,326 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,882 | TotalAmt |
| Program Services | $20,587 | ProgramServicesAmt |
| Management And General | $15,295 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,761 | TotalAmt |
| Program Services | $209,072 | ProgramServicesAmt |
| Management And General | $30,689 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,913 | TotalAmt |
| Program Services | $129,901 | ProgramServicesAmt |
| Management And General | $13,012 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,434,094 | TotalAmt |
| Program Services | $1,336,654 | ProgramServicesAmt |
| Management And General | $97,440 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,057 | TotalAmt |
| Program Services | $34,047 | ProgramServicesAmt |
| Management And General | $13,010 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,612 | TotalAmt |
| Management And General | $9,612 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,461 | TotalAmt |
| Program Services | $112,607 | ProgramServicesAmt |
| Management And General | $7,854 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,059,731 | TotalAmt |
| Program Services | $1,010,795 | ProgramServicesAmt |
| Management And General | $48,936 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,673 | TotalAmt |
| Program Services | $80,129 | ProgramServicesAmt |
| Management And General | $20,544 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $2,707,265 | $2,670,612 | $36,653 |
| COVID EXPENSES | $884,095 | $633,430 | $250,665 |
| TAXES AND LICENSES | $297,396 | $239,428 | $57,968 |
| SMALL EQUIPMENT PURCHAS | $221,029 | $145,349 | $75,680 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,529 | TotalAmt |
| Program Services | $524,122 | ProgramServicesAmt |
| Management And General | $175,407 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,967,530 | TotalAmt |
| Program Services | $25,936,973 | ProgramServicesAmt |
| Management And General | $5,030,557 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,761,763 | BOYAmt |
| EOY | $3,934,162 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,439,194 | BOYAmt |
| EOY | $12,513,255 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,266,807 | BOYAmt |
| EOY | $2,050,504 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,718 | BOYAmt |
| EOY | $141,281 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,224 | BOYAmt |
| EOY | $191,586 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,578,568 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,205,360 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,003,371 | BOYAmt |
| EOY | $12,373,208 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $948,755 | BOYAmt |
| EOY | $862,072 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,842 | BOYAmt |
| EOY | $795,548 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,006,674 | BOYAmt |
| EOY | $32,861,616 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,054,539 | BOYAmt |
| EOY | $1,943,896 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,726,378 | BOYAmt |
| EOY | $4,288,152 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,998,500 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,780,917 | BOYAmt |
| EOY | $9,230,548 | 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 | $19,220,514 | BOYAmt |
| EOY | $23,628,760 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,243 | BOYAmt |
| EOY | $2,308 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,225,757 | BOYAmt |
| EOY | $23,631,068 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,006,674 | BOYAmt |
| EOY | $32,861,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,405,311 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $1,176,476 | OtherCostOrOtherBasisAmt |
| Book Value | $1,176,476 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,399,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $632,664 | DepreciationAmt |
| Book Value | $4,767,235 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,087,730 | OtherCostOrOtherBasisAmt |
| Depreciation | $385,799 | DepreciationAmt |
| Book Value | $2,701,931 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,947,572 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,640,211 | DepreciationAmt |
| Book Value | $2,307,361 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,966,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $546,686 | DepreciationAmt |
| Book Value | $1,420,205 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,373,208 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FORGIVEABLE LOAN | Desc |
| Amt | $2,998,500 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,998,500 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $35,274,980 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $62,244 | OtherRevenueAmt |
| Revenue Not Reported | $62,244 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,212,736 | RevenueSubtotalAmt |
| Other Revenues Not Included | $160,105 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $160,105 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,372,841 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,869,669 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $62,244 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $62,244 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,807,425 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $160,105 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $160,105 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,967,530 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 62,244. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 160,105. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 62,244. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 160,105. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 6 | $18,000 |
| COVID EMPLOYEE AND PATIENT ASSISTANCE | 269 | $20,236 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | A LETTER OF ACCEPTANCE IS REQUIRED BEFORE THE SCHOLARSHIP CHECK IS AWARDED TO THE RECIPIENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRAVIS GILBERT | ||||||||||||||
| PHYSICIAN/OB-GYN | $555,127 | $0 | $0 | $0 | $0 | $0 | $10,787 | $0 | $7,200 | $0 | $573,114 | $0 | $0 | $0 |
| TRUMAN PERRY | ||||||||||||||
| PHYSICIAN/FAMILY PHYSICIAN | $415,536 | $0 | $0 | $0 | $0 | $0 | $9,395 | $0 | $4,950 | $0 | $429,881 | $0 | $0 | $0 |
| KELVIN DALE PERRY | ||||||||||||||
| PHYSICIAN/FAMILY PHYSICIAN | $395,759 | $0 | $0 | $0 | $0 | $0 | $6,420 | $0 | $7,200 | $0 | $409,379 | $0 | $0 | $0 |
| MISTY DANIELLE THOMPSON | ||||||||||||||
| PHYSICIAN/OB-GYN | $379,974 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $7,200 | $0 | $398,574 | $0 | $0 | $0 |
| ENRICO ASCANI | ||||||||||||||
| PHYSICIAN/OB-GYN | $364,662 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $4,950 | $0 | $381,012 | $0 | $0 | $0 |
| MICHAEL STANLEY | ||||||||||||||
| CEO | $324,656 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $4,950 | $0 | $341,006 | $0 | $0 | $0 |
| KELLY EVANS | ||||||||||||||
| CMO | $297,967 | $0 | $0 | $0 | $0 | $0 | $11,400 | $0 | $7,200 | $0 | $316,567 | $0 | $0 | $0 |
| CHAD STEVENS | ||||||||||||||
| CFO | $233,249 | $0 | $0 | $0 | $0 | $0 | $9,330 | $0 | $4,950 | $0 | $247,529 | $0 | $0 | $0 |
| JEFFREY CAMPBELL | ||||||||||||||
| COO | $198,792 | $0 | $0 | $0 | $0 | $0 | $7,952 | $0 | $4,950 | $0 | $211,694 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL WAS PROVIDED FOR CONTINUING EDUCATION WITH PRE-APPROVED AMOUNTS INCLUDED IN EMPLOYEE CONTRACTS OR IN BUDGETED EMPLOYEE JOB DESCRIPTIONS. |
| PART I, LINE 3 | THE ORGANIZATION USES THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' HEALTH CENTER SALARY AND BENEFITS REPORT TO ESTABLISH THE CEO AND OFFICERS' COMPENSATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE GOVERNING BODY DELEGATES AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS TO MAKE DECISIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE CEO AND CFO AND THEN PRESENTED TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REVIEWS THE CONFLICT OF INTERESTS BEFORE THE BOARD OF DIRECTORS VOTES ON MATTERS WHERE A CONFLICT IS ADDRESSED. THE INTERESTED PERSON IS RECUSED FROM VOTING ON THE MATTER INVOLVING THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' HEALTH CENTER SALARY AND BENEFITS REPORT TO ESTABLISH THE CEO AND OFFICERS' COMPENSATION. THE DELIBERATIONS ARE DOCUMENTED AND APPROVED BY INDEPENDENT PERSONS PRIOR TO ESTABLISHING THE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE DISCRETION OF THE BOARD OF DIRECTORS AND MANAGEMENT. |
| FORM 990, PART XII, LINE 2C | THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990 | GRACE COMMUNITY HEALTH CENTER, INC. (GCHC), A SECTION 501(C)(3) ORGANIZATION, IS A LICENSED FEDERALLY QUALIFIED HEALTH CENTER THAT OFFERS PRIMARY HEALTHCARE TO THE UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY. GCHC IS NOT A LICENSED HOSPITAL IN THE STATE OF KENTUCKY. |