CLARK COMMUNITY MENTAL HEALTH CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CLARK COMMUNITY MENTAL HEALTH CENTER (EIN 23-7218344)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-02-03
- IRS object ID
- 202000349349301050
- Schema version
- 2018v3.1
- 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 | 2020-02-03T14:42:24-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 2018-07-01 | 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 | 2020-01-29 | 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 | 2020-01-03 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-02-03 | IPDt |
| IP Tm | 14:42:24 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 41CA27AE63F8CB8F3CCADA7E096C53C27CF1254A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5D5DAC9FD49385E39B81BF71A337D08204B867AF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | 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 | $10,254,053 | 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 | 160 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $8,123,523 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,311,066 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $799,663 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $917,355 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$34,548 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,632 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,888,638 | PYTotalRevenueAmt |
| CY Total Revenue | $10,254,053 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,927,913 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,173,933 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,706,081 | PYOtherExpensesAmt |
| CY Other Expenses | $2,965,673 | CYOtherExpensesAmt |
| PY Total Expenses | $7,633,994 | PYTotalExpensesAmt |
| CY Total Expenses | $10,139,606 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,254,644 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $114,447 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,079,021 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,504,175 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $564,277 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $874,984 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,514,744 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,629,191 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMMUNITY BEHAVIORAL HEALTHCARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,818,906 | ExpenseAmt |
| Desc | MEDICAL PSYCHOTHERAPY, PSYCHIATRIC MEDICATION SERVICES, PSYCHOLOGICAL EVALUATIONS, INFORMATION AND EDUCATION, INDIVIDUAL PSYCHOTHERAPY, SUBSTANCE ABUSE | Desc |
| Total Program Service Expenses | $8,818,906 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 160 | 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 (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JEFF CARR | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RUSS MORELAND | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK NELSON | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AJ BAHL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURIE BOWLING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES L GRAVES | |||||||
| MEDICAL DIRE | 40.00 | $294,880 | $0 | $7,488 | Yes (X) | ||
| BRADLEY RIDENOUR | |||||||
| CEO | 40.00 | $174,097 | $0 | $7,488 | Yes (X) | ||
| CHRISTY HENLEY | |||||||
| CLINIC DIREC | 40.00 | $146,192 | $0 | $14,901 | Yes (X) | ||
| JAMIE L RANDALL | |||||||
| NURSE PRACTI | 40.00 | $109,965 | $0 | $13,011 | Yes (X) | ||
| KIMBERLY L BLACK | |||||||
| NURSE PRACTI | 40.00 | $109,020 | $0 | $10,615 | Yes (X) | ||
| SHELIA LAYTON | |||||||
| CFO | 40.00 | $100,442 | $0 | $7,488 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $934,596 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $60,991 | 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 |
| Government Grants | $9,275,475 | GovernmentGrantsAmt |
| All Other Contributions | $35,591 | AllOtherContributionsAmt |
| Total Contributions | $9,311,066 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MENTAL HEATH SERVICES | Desc |
| Total Revenue Column | $917,355 | TotalRevenueColumnAmt |
| Exclusion | $917,355 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $917,355 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,632 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,632 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,254,053 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,632 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $917,355 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,337,965 | TotalAmt |
| Program Services | $4,611,799 | ProgramServicesAmt |
| Management And General | $726,166 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,488 | TotalAmt |
| Program Services | $465,609 | ProgramServicesAmt |
| Management And General | $120,879 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,170 | TotalAmt |
| Program Services | $578,462 | ProgramServicesAmt |
| Management And General | $148,708 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,310 | TotalAmt |
| Program Services | $450,041 | ProgramServicesAmt |
| Management And General | $72,269 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,152 | TotalAmt |
| Program Services | $781 | ProgramServicesAmt |
| Management And General | $2,371 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,667 | TotalAmt |
| Program Services | $2,167 | ProgramServicesAmt |
| Management And General | $6,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,393 | TotalAmt |
| Program Services | $102,899 | ProgramServicesAmt |
| Management And General | $12,494 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,000 | TotalAmt |
| Program Services | $21,872 | ProgramServicesAmt |
| Management And General | $4,128 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,745 | TotalAmt |
| Program Services | $230,108 | ProgramServicesAmt |
| Management And General | $37,637 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,865 | TotalAmt |
| Program Services | $212,656 | ProgramServicesAmt |
| Management And General | $55,209 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,678 | TotalAmt |
| Program Services | $99,376 | ProgramServicesAmt |
| Management And General | $21,302 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,863 | TotalAmt |
| Program Services | $417,498 | ProgramServicesAmt |
| Management And General | $33,365 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,279 | TotalAmt |
| Program Services | $68,899 | ProgramServicesAmt |
| Management And General | $2,380 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,524 | TotalAmt |
| Program Services | $102,308 | ProgramServicesAmt |
| Management And General | $21,216 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUBCONTRACTORS | $1,031,348 | $1,024,002 | $7,346 |
| DUES & SUBSCRIPTIONS | $121,185 | $119,904 | $1,281 |
| REPAIRS AND MAINTENANCE | $118,239 | $105,514 | $12,725 |
| EDUCATION AND TRAINING | $88,881 | $78,871 | $10,010 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,854 | TotalAmt |
| Program Services | $126,140 | ProgramServicesAmt |
| Management And General | $24,714 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,139,606 | TotalAmt |
| Program Services | $8,818,906 | ProgramServicesAmt |
| Management And General | $1,320,700 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,636,653 | BOYAmt |
| EOY | $3,093,474 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $752,164 | BOYAmt |
| EOY | $1,769,359 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $867,429 | BOYAmt |
| EOY | $820,978 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,476 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,547,660 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $727,296 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,820,299 | BOYAmt |
| EOY | $1,820,364 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,079,021 | BOYAmt |
| EOY | $7,504,175 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,277 | BOYAmt |
| EOY | $874,984 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,277 | BOYAmt |
| EOY | $874,984 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,514,744 | BOYAmt |
| EOY | $6,629,191 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,514,744 | BOYAmt |
| EOY | $6,629,191 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,079,021 | BOYAmt |
| EOY | $7,504,175 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $114,447 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,088,775 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,198,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,012,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,123,523 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,311,066 | CurrentTaxYearAmt |
| Total | $33,734,239 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,088,775 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,198,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,012,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,123,523 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,311,066 | CurrentTaxYearAmt |
| Total | $33,734,239 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $33,734,239 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $914,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,082,405 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,083,611 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $799,663 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $917,355 | CurrentTaxYearAmt |
| Total | $4,797,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $38,531,739 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $37,777 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.87550 | PublicSupportCY170Pct |
| Public Support PY170 | 0.88370 | 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 3,880,145 | 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 | $209,903 | DepreciationAmt |
| Book Value | $525,522 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $325,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $321,049 | DepreciationAmt |
| Book Value | $4,790 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,278,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $196,344 | DepreciationAmt |
| Book Value | $1,082,172 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,820,364 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $10,254,053 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $10,254,053 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,254,053 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,139,606 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $10,139,606 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $10,139,606 | 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 | $288,812 | $6,068 | $7,488 | $302,368 |
| BRADLEY RIDENOUR | ||||
| CEO | $151,097 | $23,000 | $7,488 | $181,585 |
| CHRISTY HENLEY | ||||
| CLINIC DIRECTOR | $132,557 | $13,635 | $14,901 | $161,093 |
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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