CLARK COMMUNITY MENTAL HEALTH CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CLARK COMMUNITY MENTAL HEALTH CENTER (EIN 23-7218344)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-12-16
- IRS object ID
- 202023519349301502
- Schema version
- 2019v5.0
- 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 | 2020-12-16T17:04:16-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 431797482 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CPA GROUP PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 4TH ST | AddressLine1Txt |
| City | MONETT | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237218344 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK COMMUNITY MENTAL HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 4174761000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 100 | AddressLine1Txt |
| City | PIERCE CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65723 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRADLEY RIDENOUR | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4174761000 | PhoneNum |
| Signature | 2020-12-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAWNATA E HOPKINS | PreparerPersonNm |
| PTIN | P00296677 | PTIN |
| Phone | 4172353650 | PhoneNum |
| Preparation | 2020-12-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRADLEY RIDENOUR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 PIER LANE | AddressLine1Txt |
| City | MONETT | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,417,175 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLARKMENTALHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | COMMUNITY BEHAVIORAL HEALTHCARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 155 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,311,066 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,992,672 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $917,355 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,384,581 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,632 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,892 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $10,254,053 | PYTotalRevenueAmt |
| CY Total Revenue | $10,402,145 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,173,933 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,654,042 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,965,673 | PYOtherExpensesAmt |
| CY Other Expenses | $2,015,297 | CYOtherExpensesAmt |
| PY Total Expenses | $10,139,606 | PYTotalExpensesAmt |
| CY Total Expenses | $9,669,339 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $114,447 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $732,806 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,504,175 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,916,072 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $874,984 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $554,075 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,629,191 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,361,997 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMMUNITY BEHAVIORAL HEALTHCARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,945,051 | ExpenseAmt |
| Desc | MEDICAL PSYCHOTHERAPY, PSYCHIATRIC MEDICATION SERVICES, PSYCHOLOGICAL EVALUATIONS, INFORMATION AND EDUCATION, INDIVIDUAL PSYCHOTHERAPY, SUBSTANCE ABUSE | Desc |
| Total Program Service Expenses | $7,945,051 | 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 | 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 | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 155 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELIA LAYTON | PersonNm |
| Phone | 4174761035 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 100 | AddressLine1Txt |
| City | PIERCE CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65723 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| CHARLES L GRAVES | |||||||
| MEDICAL DIRE | 40.00 | Yes (X) | $316,250 | $0 | $38,681 | ||
| BRADLEY RIDENOUR | |||||||
| CEO | 40.00 | Yes (X) | $197,739 | $0 | $0 | ||
| CHRISTY HENLEY | |||||||
| CLINIC DIREC | 40.00 | $154,161 | $0 | $20,527 | Yes (X) | ||
| JAMIE L RANDALL | |||||||
| NURSE PRACTI | 40.00 | $132,411 | $0 | $17,337 | Yes (X) | ||
| KIMBERLY L BLACK | |||||||
| NURSE PRACTI | 40.00 | $131,271 | $0 | $17,367 | Yes (X) | ||
| AMY S PERRY | |||||||
| TELEPSYCH NP | 40.00 | $131,102 | $0 | $6,720 | Yes (X) | ||
| SHELIA LAYTON | |||||||
| CFO | 40.00 | $128,717 | $0 | $0 | Yes (X) | ||
| AJ BAHL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| LAURIE BOWLING | |||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFF CARR | |||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JIM INGLE | |||||||
| VICE PRESIDE | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| RUSS MORELAND | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MARK NELSON | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,191,651 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $100,632 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $8,842,672 | GovernmentGrantsAmt |
| All Other Contributions | $150,000 | AllOtherContributionsAmt |
| Total Contributions | $8,992,672 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MENTAL HEATH SERVICES | Desc |
| Total Revenue Column | $1,384,581 | TotalRevenueColumnAmt |
| Exclusion | $1,384,581 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,384,581 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,041 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,041 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,881 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,030 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$15,030 | SecuritiesAmt |
| Other | $13,881 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,149 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,149 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,402,145 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,892 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,384,581 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,028,752 | TotalAmt |
| Program Services | $5,009,759 | ProgramServicesAmt |
| Management And General | $1,018,993 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,115 | TotalAmt |
| Program Services | $83,139 | ProgramServicesAmt |
| Management And General | $86,976 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,981 | TotalAmt |
| Program Services | $732,192 | ProgramServicesAmt |
| Management And General | $137,789 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $585,194 | TotalAmt |
| Program Services | $479,988 | ProgramServicesAmt |
| Management And General | $105,206 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281 | TotalAmt |
| Management And General | $281 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,983 | TotalAmt |
| Management And General | $17,983 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,266 | TotalAmt |
| Program Services | $185,980 | ProgramServicesAmt |
| Management And General | $3,286 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,378 | TotalAmt |
| Program Services | $2,136 | ProgramServicesAmt |
| Management And General | $19,242 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,678 | TotalAmt |
| Program Services | $168,415 | ProgramServicesAmt |
| Management And General | $27,263 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,489 | TotalAmt |
| Program Services | $175,777 | ProgramServicesAmt |
| Management And General | $51,712 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,926 | TotalAmt |
| Program Services | $72,923 | ProgramServicesAmt |
| Management And General | $57,003 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,626 | TotalAmt |
| Program Services | $473,502 | ProgramServicesAmt |
| Management And General | $35,124 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,580 | TotalAmt |
| Program Services | $65,092 | ProgramServicesAmt |
| Management And General | $2,488 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,016 | TotalAmt |
| Program Services | $73,943 | ProgramServicesAmt |
| Management And General | $4,073 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $128,032 | $128,032 | |
| DUES & SUBSCRIPTIONS | $113,586 | $24,852 | $88,734 |
| SUBCONTRACTORS | $98,590 | $97,070 | $1,520 |
| EDUCATION AND TRAINING | $78,152 | $73,101 | $5,051 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,714 | TotalAmt |
| Program Services | $99,150 | ProgramServicesAmt |
| Management And General | $61,564 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,669,339 | TotalAmt |
| Program Services | $7,945,051 | ProgramServicesAmt |
| Management And General | $1,724,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,093,474 | BOYAmt |
| EOY | $3,178,852 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,769,359 | BOYAmt |
| EOY | $1,788,622 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,978 | BOYAmt |
| EOY | $1,110,628 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,593,942 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $792,610 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,820,364 | BOYAmt |
| EOY | $1,801,332 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $36,638 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,504,175 | BOYAmt |
| EOY | $7,916,072 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,984 | BOYAmt |
| EOY | $554,075 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,984 | BOYAmt |
| EOY | $554,075 | 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 | $6,629,191 | BOYAmt |
| EOY | $7,361,997 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,629,191 | BOYAmt |
| EOY | $7,361,997 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,504,175 | BOYAmt |
| EOY | $7,916,072 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $732,806 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $5,198,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,012,030 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,123,523 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,311,066 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,992,672 | CurrentTaxYearAmt |
| Total | $37,638,136 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,198,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,012,030 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,123,523 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,311,066 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,992,672 | CurrentTaxYearAmt |
| Total | $37,638,136 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $37,638,136 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,082,405 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,083,611 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $799,663 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $917,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,384,581 | CurrentTaxYearAmt |
| Total | $5,267,615 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $42,905,751 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $63,818 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.87720 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87550 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 3,883,034 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $207,880 | OtherCostOrOtherBasisAmt |
| Book Value | $207,880 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $735,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $228,288 | DepreciationAmt |
| Book Value | $507,137 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $325,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $321,602 | DepreciationAmt |
| Book Value | $4,237 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,324,798 | OtherCostOrOtherBasisAmt |
| Depreciation | $242,720 | DepreciationAmt |
| Book Value | $1,082,078 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,801,332 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $10,402,145 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $10,402,145 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,402,145 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,669,339 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,669,339 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,669,339 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| CHARLES L GRAVES | ||||
| MEDICAL DIRECTOR | $315,000 | $1,250 | $38,681 | $354,931 |
| BRADLEY RIDENOUR | ||||
| CEO | $167,739 | $30,000 | $197,739 | |
| CHRISTY HENLEY | ||||
| CLINIC DIRECTOR | $152,911 | $1,250 | $20,527 | $174,688 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD OF DIRECTORS RECEIVE DRAFT COPY OF FORM 990, REVIEW, AND AUTHORIZE DIRECTOR TO FILE THE RETURN UPON THEIR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST |
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