SACRED HEART COMMUNITY CLINIC INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SACRED HEART COMMUNITY CLINIC INC (EIN 27-2901548)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-08-14
- IRS object ID
- 202002279349302000
- 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 | 2020-08-14T10:49:50-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272901548 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Community Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Jody Posluszny | InCareOfNm |
| Business Name Control | SACR | BusinessNameControlTxt |
| Phone | 5127163929 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 Round Rock West Dr Ste Bld 8 | AddressLine1Txt |
| City | Round Rock | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78681 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JODY POSLUSZNY | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 5127163929 | PhoneNum |
| Signature | 2020-08-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 107.77.218.40 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 21010520202270885669 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-08-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | O | FilingLicenseTypeCd |
| At Submission Creation Device Id | A83441827E8E2F15AE69C53C2C7BAE15D16E61F0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A83441827E8E2F15AE69C53C2C7BAE15D16E61F0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBORAH HOPPS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 Round Rock West Dr Ste Bldg 8 | AddressLine1Txt |
| City | Round Rock | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78681 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $728,744 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sacredheartclinic.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | To provide nocost outpatient health and dental services to the uninsured and underinsured residents of the Round Rock TX area | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 175 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $610,097 | PYContributionsGrantsAmt |
| CY Contributions Grants | $565,395 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $505 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $540 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,601 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,836 | CYInvestmentIncomeAmt |
| PY Other Revenue | $94,779 | PYOtherRevenueAmt |
| CY Other Revenue | $105,297 | CYOtherRevenueAmt |
| PY Total Revenue | $712,982 | PYTotalRevenueAmt |
| CY Total Revenue | $681,068 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $290,541 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $351,349 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $36,782 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $358,402 | PYOtherExpensesAmt |
| CY Other Expenses | $386,344 | CYOtherExpensesAmt |
| PY Total Expenses | $648,943 | PYTotalExpensesAmt |
| CY Total Expenses | $737,693 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $64,039 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$56,625 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,037,476 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,012,266 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,250 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,342 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $985,226 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $947,924 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide no-cost outpatient basic health and dental services, and nutrition and diabetic education to low-income uninsured and under- insured adult residents of the Round Rock, Texas area. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,125,411 | ExpenseAmt |
| Revenue | $540 | RevenueAmt |
| Desc | Basic outpatient health care and dental services, diabetic and nutrition education to qualifiying uninsured and under-insured residents of the Round Rock, Texas area. | Desc |
| Total Program Service Expenses | $1,125,411 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 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 | JODY M POSLUSZNY | PersonNm |
| Phone | 5122553181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 Round Rock West Dr Ste Bldg8 | AddressLine1Txt |
| City | Round Rock | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78681 | 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 | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DEBORAH HOPPS | ||||||
| President | 3.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ISAAC KORENSTEIN | ||||||
| Vice President | 2.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NORMA R RODRIGUEZ | ||||||
| Secretary | 3.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JODY POSLUSZNY | ||||||
| Treasurer | 3.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATE WALTERS | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| CAROLINE HILBERT | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| REV DAVID KOPPEL | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| TINO HERNANDEZ | ||||||
| Past President | 2.000 | Yes (X) | $0 | $0 | $0 | |
| FATHER DEAN WILHEIM | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| CYNTHIA FLORES | ||||||
| Director | 1.000 | Yes (X) | $0 | $0 | $0 | |
| RUDOLFO URIEGAS | ||||||
| Past Vice President | 1.000 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $20,000 | FederatedCampaignsAmt |
| Fundraising | $14,362 | FundraisingAmt |
| Government Grants | $22,243 | GovernmentGrantsAmt |
| All Other Contributions | $508,790 | AllOtherContributionsAmt |
| Noncash Contributions | $110,145 | NoncashContributionsAmt |
| Total Contributions | $565,395 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Medical and Dental | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $540 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $540 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $540 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,836 | TotalRevenueColumnAmt |
| Exclusion | $9,836 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $152,550 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $14,362 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $47,676 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,874 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Medical & Dental | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $423 | TotalRevenueColumnAmt |
| Exclusion | $423 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $423 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $681,068 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $540 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,259 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,381 | TotalAmt |
| Program Services | $167,082 | ProgramServicesAmt |
| Management And General | $125,299 | ManagementAndGeneralAmt |
| Fundraising | $34,000 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,968 | TotalAmt |
| Program Services | $12,784 | ProgramServicesAmt |
| Management And General | $9,583 | ManagementAndGeneralAmt |
| Fundraising | $2,601 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,967 | TotalAmt |
| Management And General | $7,967 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,744 | TotalAmt |
| Program Services | $118,744 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158 | TotalAmt |
| Fundraising | $158 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,643 | TotalAmt |
| Management And General | $10,620 | ManagementAndGeneralAmt |
| Fundraising | $23 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,345 | TotalAmt |
| Management And General | $13,345 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,394 | TotalAmt |
| Program Services | $570 | ProgramServicesAmt |
| Management And General | $2,824 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,800 | TotalAmt |
| Program Services | $917 | ProgramServicesAmt |
| Management And General | $1,883 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,762 | TotalAmt |
| Program Services | $22,316 | ProgramServicesAmt |
| Management And General | $2,446 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,051 | TotalAmt |
| Management And General | $8,051 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Donated Pharmaceauticals | $110,145 | $110,145 |
| Pharmaceauticals | $21,382 | $21,382 |
| Medical Services | $33,239 | $33,239 |
| Med & Dent Supplies | $23,209 | $23,209 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,505 | TotalAmt |
| Program Services | $7,559 | ProgramServicesAmt |
| Management And General | $946 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,693 | TotalAmt |
| Program Services | $517,947 | ProgramServicesAmt |
| Management And General | $182,964 | ManagementAndGeneralAmt |
| Fundraising | $36,782 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,242 | BOYAmt |
| EOY | $213,308 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,894 | BOYAmt |
| EOY | $17,500 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,067 | BOYAmt |
| EOY | $21,790 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $673,464 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $107,846 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,265 | BOYAmt |
| EOY | $565,618 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,008 | BOYAmt |
| EOY | $194,050 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,476 | BOYAmt |
| EOY | $1,012,266 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000 | BOYAmt |
| EOY | $19,038 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,250 | BOYAmt |
| EOY | $45,304 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,250 | BOYAmt |
| EOY | $64,342 | 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 | $958,976 | BOYAmt |
| EOY | $932,924 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,250 | BOYAmt |
| EOY | $15,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985,226 | BOYAmt |
| EOY | $947,924 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,476 | BOYAmt |
| EOY | $1,012,266 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$56,625 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $19,323 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| 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 | $548,501 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $736,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $775,351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $610,097 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $565,395 | CurrentTaxYearAmt |
| Total | $3,236,269 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $548,501 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $736,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $775,351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $610,097 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $565,395 | CurrentTaxYearAmt |
| Total | $3,236,269 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,236,269 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,124 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,934 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,667 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,384 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,477 | CurrentTaxYearAmt |
| Total | $13,586 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,249,855 | TotalSupportAmt |
| Public Support CY170 | 0.99582 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support PY509 | 0.99580 | PublicSupportPY509Pct |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
| Written Policy Monitoring | false | WrittenPolicyMonitoringInd |
| Section170h Rqr Stsfd | false | Section170hRqrStsfdInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $546,043 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $44,526 | DepreciationAmt |
| Book Value | $501,517 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $127,421 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $63,320 | DepreciationAmt |
| Book Value | $64,101 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $565,618 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,233,723 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $19,322 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $485,657 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $47,676 | OtherRevenueAmt |
| Revenue Not Reported | $552,655 | RevenueNotReportedAmt |
| Revenue Subtotal | $681,068 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $681,068 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,271,026 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $485,657 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $47,676 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $533,333 | ExpensesNotReportedAmt |
| Expenses Subtotal | $737,693 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $737,693 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| P11, Ln 2d | Fund raising expenses netted in 990 revenue |
| P12, Ln 2d | Fund rasing expense netted in 990 revenue, |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $166,912 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $166,912 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $794 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,894 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $28,640 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $9,102 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,246 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $166,912 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $166,912 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $794 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,894 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $28,640 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $9,102 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $4,246 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $47,676 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $119,236 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $110,145 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI Line 11b | Treasurer reviewed 990 with Board at 8/12/20 meeting |
| Part VI Line 12c | Treasurer reviewed with Board on 8/12/20 at meeting |
| Part VI Line 19 | Made available upon request |
| Part IX Line 11g | Prossional Fees Total expenses - $118744.00 Program service expenses - $118744.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
| Form 990, Part IX, 11g | Licenced medical professionals |
| Form 990, Part VI, 11b | Treasurer reviews form with Board if they meet at an |
| Form 990, Part VI Line 11b | appropriate time. Otherwise, reviewed by President and ED |
| Form 990, Part VI, Line 12c | Board reviews as discovered |
| Form 990, Part VI Line 19 | Made available upon request |
| Form 990, Part IX Line 11g | Prof fee total: $118744 Program service - $118744 Mgmt & general-$0 |
| Form 990, Part IX Line 11g | Fundraising expenses - $0 |
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