COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC (EIN 72-1526129)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-11-13
- IRS object ID
- 202013189349311456
- 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 | 2020-11-13T15:51:59-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 631158335 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TUCKER SCOTT & WATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1130 | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 356021130 | 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 | 721526129 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY FREE CLINIC OF DECATUR | BusinessNameLine1Txt |
| Business Name Line2 | MORGAN COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2563095617 | PhoneNum |
| Signature | 2020-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRELL W WATES CPA CGMA | PreparerPersonNm |
| PTIN | P00360808 | PTIN |
| Phone | 2563551828 | PhoneNum |
| Preparation | 2020-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 52.37.240.203 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-13 | IPDt |
| IP Tm | 15:51:59 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 614C1C25C64FAC94AA5E90AA45135ED770BC9297 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ECA4AA85D7D37B56F0BB944DCBDE4E10106028BE | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JESSICA PAYNE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,673,948 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FREE, QUALITY HEALTHCARE TO LOW INCOME, MEDICALLY UNINSURED ADULT RESIDENTS OF DECATUR AND MORGAN COUNTY, THROUGH VOLUNTEERS SERVING THE COMMUNITY IN A MANNER THAT RESPECTS THE DIGNITY OF ALL PERSONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 6 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,807,241 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,572,412 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $114,968 | PYInvestmentIncomeAmt |
| CY Investment Income | $76,535 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,146 | PYOtherRevenueAmt |
| CY Other Revenue | $23,325 | CYOtherRevenueAmt |
| PY Total Revenue | $1,948,355 | PYTotalRevenueAmt |
| CY Total Revenue | $1,672,272 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $239,649 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $247,603 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,437 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,661,275 | PYOtherExpensesAmt |
| CY Other Expenses | $1,518,394 | CYOtherExpensesAmt |
| PY Total Expenses | $1,900,924 | PYTotalExpensesAmt |
| CY Total Expenses | $1,765,997 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $47,431 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$93,725 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,838,874 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,796,002 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,705 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $68,558 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,821,169 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,727,444 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,733,333 | ExpenseAmt |
| Desc | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | Desc |
| Total Program Service Expenses | $1,733,333 | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | 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 | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 6 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|
| CHASE ACKERMAN | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| AMY ANDERSON | |||||
| PAST PRESIDE | Yes (X) | $0 | $0 | $0 | |
| DR RUSSELL BARR | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| MICHAEL CONRAD | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| VENESSA EDMONDS | |||||
| VICE PRESIDE | Yes (X) | $0 | $0 | $0 | |
| RANDY GARRISON | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| TRUDY GRISHAM | |||||
| DIRECTOR AT | Yes (X) | $0 | $0 | $0 | |
| PAM HOWELL | |||||
| DIRECTOR AT | Yes (X) | $0 | $0 | $0 | |
| LEANETTE JACKSON | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DAVID LANGSTON | |||||
| EX-OFFICIO M | Yes (X) | $0 | $0 | $0 | |
| ANNE LEDBETTER | |||||
| PRESIDENT | Yes (X) | $0 | $0 | $0 | Yes (X) |
| NOEL LOVELACE | |||||
| SECRETARY | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DALE TRAMMELL MD | |||||
| DIRECTOR AT | Yes (X) | $0 | $0 | $0 | |
| ROBERT ALLEN MD | |||||
| MEDICAL DIRE | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR ALICIA NAILS | |||||
| DENTAL DIREC | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HON ARTHUR ORR | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ALI PROPST | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ANGIE SCHOEL | |||||
| TREASURER | Yes (X) | $0 | $0 | $0 | Yes (X) |
| 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 |
| Government Grants | $90,864 | GovernmentGrantsAmt |
| All Other Contributions | $1,481,548 | AllOtherContributionsAmt |
| Noncash Contributions | $1,354,180 | NoncashContributionsAmt |
| Total Contributions | $1,572,412 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,535 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $25,001 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,676 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,325 | TotalRevenueColumnAmt |
| Exclusion | $23,325 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,672,272 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,535 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $23,325 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,876 | TotalAmt |
| Program Services | $215,220 | ProgramServicesAmt |
| Management And General | $6,656 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,833 | TotalAmt |
| Program Services | $16,328 | ProgramServicesAmt |
| Management And General | $505 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,894 | TotalAmt |
| Program Services | $8,627 | ProgramServicesAmt |
| Management And General | $267 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,184 | TotalAmt |
| Program Services | $4,310 | ProgramServicesAmt |
| Management And General | $1,437 | ManagementAndGeneralAmt |
| Fundraising | $1,437 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395,745 | TotalAmt |
| Program Services | $1,386,018 | ProgramServicesAmt |
| Management And General | $9,727 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234 | TotalAmt |
| Program Services | $1,123 | ProgramServicesAmt |
| Management And General | $111 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,392 | TotalAmt |
| Program Services | $2,663 | ProgramServicesAmt |
| Management And General | $2,729 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,526 | TotalAmt |
| Program Services | $74,189 | ProgramServicesAmt |
| Management And General | $7,337 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
| Management And General | $99 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,176 | TotalAmt |
| Program Services | $21,090 | ProgramServicesAmt |
| Management And General | $2,086 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,038 | TotalAmt |
| Program Services | $2,765 | ProgramServicesAmt |
| Management And General | $273 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,765,997 | TotalAmt |
| Program Services | $1,733,333 | ProgramServicesAmt |
| Management And General | $31,227 | ManagementAndGeneralAmt |
| Fundraising | $1,437 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,350 | BOYAmt |
| EOY | $47,092 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,233 | BOYAmt |
| EOY | $277,372 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,485 | BOYAmt |
| EOY | $2,775 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $765,679 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $366,698 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422,153 | BOYAmt |
| EOY | $398,981 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,037,653 | BOYAmt |
| EOY | $2,069,782 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,838,874 | BOYAmt |
| EOY | $2,796,002 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,029 | BOYAmt |
| EOY | $1,023 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,676 | BOYAmt |
| EOY | $67,535 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,705 | BOYAmt |
| EOY | $68,558 | 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 | $2,775,796 | BOYAmt |
| EOY | $2,691,176 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,373 | BOYAmt |
| EOY | $36,268 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,821,169 | BOYAmt |
| EOY | $2,727,444 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,838,874 | BOYAmt |
| EOY | $2,796,002 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$93,725 | 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) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,008,658 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,849,341 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,888,606 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,807,241 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,572,412 | CurrentTaxYearAmt |
| Total | $9,126,258 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,775 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $96,868 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,790 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $76,535 | CurrentTaxYearAmt |
| Total | $414,936 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,058,433 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,946,209 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,965,396 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,922,209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,648,947 | CurrentTaxYearAmt |
| Total | $9,541,194 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $9,541,194 | PublicSupportTotal509Amt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,432 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,181 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,879 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,146 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,325 | CurrentTaxYearAmt |
| Total | $120,963 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,081,865 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,970,390 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,991,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,947,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,671,272 | CurrentTaxYearAmt |
| Total | $9,662,157 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98750 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98880 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $618,453 | OtherCostOrOtherBasisAmt |
| Depreciation | $251,835 | DepreciationAmt |
| Book Value | $366,618 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,245 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,187 | DepreciationAmt |
| Book Value | $1,058 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,981 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,676 | DepreciationAmt |
| Book Value | $31,305 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $398,981 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ACCOUNT - SANDLIN | Desc |
| Book Value | $2,069,782 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,069,782 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| PPP NOTE PAYABLE - PROGRESS (SBA) | $51,513 |
| ACCRUED VACATION | $7,012 |
| ACCRUED PAYROLL | $5,024 |
| ACCRUED RETIRMENT PAYABLE | $2,143 |
| STATE WITHHOLDING PAYABLE | $1,787 |
| PAYROLL LIABILITIES | $36 |
| UNITED WAY PAYROLL DEDUCTION | $20 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $67,535 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,672,272 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,672,272 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,672,272 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,765,997 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,765,997 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,765,997 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPECIAL EVENT | Event1Nm |
| Gross Receipts Event1 | $25,001 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $25,001 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $1,676 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $25,001 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $25,001 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,676 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $1,676 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $23,325 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $80,000 | NoncashContributionsRptF990Amt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $915,497 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $358,683 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | PRESENTED TO THE BOARD BY INDEPENDENT CPA |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE PROVIDED UPON REQUEST |
| FORM 990, PART IX, LINE 11G | DISPENSED MEDICINES 996,872 0 0 DONATED SERVICES 358,684 0 0 UTILITIES 9,203 910 0 TELEPHONE 3,659 362 0 CLEANING AND JANITORIAL 0 7,208 0 PHARMACY SUPPLIES 2,823 0 0 REPAIRS & MAINTENANCE 11,648 1,152 0 CLINIC SUPPLIES 945 0 0 DENTAL SUPPLIES 1,751 0 0 SECURITY 433 0 0 BANK CHARGES 0 95 0 TOTAL 1,386,018 9,727 0 |
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