WOMENCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WOMENCARE INC (EIN 55-0691297)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-02-25
IRS object ID
202040569349300824
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

FieldValueIRS element (for citing)
Return2020-02-25T15:50:53-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550621482PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRAY GRIFFITH & MAYS ACBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA STREETEASTSUITE 400AddressLine1Txt
CityCHARLESTONCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253012711ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550691297EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOMENCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWOMEBusinessNameControlTxt
Phone3047576999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line197 GREAT TEAYS BOULEVARD NO 6AddressLine1Txt
CitySCOTT DEPOTCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25560ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCRAIG GLOVERPersonNm
Person TitlePRESIDENT / CEOPersonTitleTxt
Phone3047576999PhoneNum
Signature2020-02-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ RYAN LINDSAYPreparerPersonNm
PTINP01835061PTIN
Phone3043459400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.192.238.246IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-25IPDt
IP Tm09:05:42IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA01AD637FF7855F41293BC21A078314BEC370AE6AtSubmissionCreationDeviceId
At Submission Filing Device Id149CDF77D96CBBF549F02EAC05248B85EA8946E9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FAMILYCARE HEALTH CENTERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCRAIG GLOVERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line197 GREAT TEAYS BOULEVARD NO 6AddressLine1Txt
CitySCOTT DEPOTCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25560ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,659,465GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.FAMILYCAREWV.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE ORGANIZATION IS PROVIDE HEALTH CARE THAT FOCUSES ON THE WHOLE PERSON AND BENEFITS THE ENTIRE COMMUNITYActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee309TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,967,298PYContributionsGrantsAmt
CY Contributions Grants$4,234,116CYContributionsGrantsAmt
PY Program Service Revenue$19,218,820PYProgramServiceRevenueAmt
CY Program Service Revenue$20,134,410CYProgramServiceRevenueAmt
PY Investment Income$307PYInvestmentIncomeAmt
CY Investment Income$316CYInvestmentIncomeAmt
PY Other Revenue$447,906PYOtherRevenueAmt
CY Other Revenue$290,623CYOtherRevenueAmt
PY Total Revenue$23,634,331PYTotalRevenueAmt
CY Total Revenue$24,659,465CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,906,976PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,615,109CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,558,886PYOtherExpensesAmt
CY Other Expenses$7,746,098CYOtherExpensesAmt
PY Total Expenses$23,465,862PYTotalExpensesAmt
CY Total Expenses$24,361,207CYTotalExpensesAmt
PY Revenues Less Expenses$168,469PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$298,258CYRevenuesLessExpensesAmt
Total Assets BOY$6,956,342TotalAssetsBOYAmt
Total Assets EOY$6,932,648TotalAssetsEOYAmt
Total Liabilities BOY$3,125,177TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,803,225TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,831,165NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,129,423NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE ORGANIZATION IS TO PROVIDE HEALTH CARE THAT FOCUSES ON THE WHOLE PERSON AND BENEFITS THE ENTIRE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,794,663ExpenseAmt
Revenue$20,425,033RevenueAmt
DescWOMENCARE, INC. D/B/A FAMILY CARE HEALTH CENTERS, PROVIDES PRIMARY CARE SERVICES TO WOMEN AND FAMILIES, AS WELL AS OB/GYN, PEDIATRICS, BEHAVIORAL HEALTH, DENTAL SERVICES, AND INTERNAL MEDICINE IN THE GREATER KANAWHA, PUTNAM, CABELL, AND BOONE COUNTY REGIONS. THE ORGANIZATION PROVIDES A SLIDING FEE SCALE BASED ON FEDERAL POVERTY GUIDELINES AND PROVIDES FREE HEALTH SCREENINGS AND OTHER HEALTH SERVICES TO THE COMMUNITY DURING HEALTH FAIRS AND OTHER EVENTS. IN ADDITION, IT PROVIDES EDUCATIONAL SERVICES TO THE COMMUNITY REGARDING VARIOUS HEALTH ISSUES, SUCH AS HIGH BLOOD PRESSURE AND DIABETES.Desc
Total Program Service Expenses$19,794,663TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee309EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRI DICKERSON CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3047576999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line197 GREAT TEAYS BLVD SUITE 6AddressLine1Txt
CitySCOTT DEPOTCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25560ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUSAN SCOURAS
BOARD CHAIR0.50Yes (X)Yes (X)$0$0$0
STEVE CUNNINGHAM
VICE CHAIR0.50Yes (X)Yes (X)$0$0$0
MIRI HUNTER
TREASURER0.50Yes (X)Yes (X)$0$0$0
A BONITA PERRY-DEAN
SECRETARY0.50Yes (X)Yes (X)$0$0$0
PAULA BEASLEY
BOARD MEMBER0.50Yes (X)$0$0$0
LEISHA GIBSON
BOARD MEMBER0.50Yes (X)$0$0$0
TIM ICKES
BOARD MEMBER0.50Yes (X)$0$0$0
REBECCA RATLIFF
BOARD MEMBER0.00Yes (X)$0$0$0
C TODD THOMAS
BOARD MEMBER0.00Yes (X)$0$0$0
JULIE PRATT
BOARD MEMBER0.00Yes (X)$0$0$0
BONNIE O'HARA
BOARD MEMBER0.50Yes (X)$0$0$0
CRAIG GLOVER
CEO, EFFECTIVE 2/11/20190.00Yes (X)$0$0$0
MARTHA CARTER
CEO, TERM 3/1/201940.00Yes (X)$120,202$0$11,824
FRAN COLEMAN
COO40.00Yes (X)$96,908$0$11,459
TERRI DICKERSON
CFO40.00Yes (X)$91,335$0$10,990
DEVIN CILIBERTI
OB/GYN PHYSICIAN40.00$265,025$0$26,288Yes (X)
FRANCIS HUNTER
OB/GYN PHYSICIAN40.00$240,239$0$30,633Yes (X)
PHILLIP SPANGLER
PSYCHIATRIST - MD40.00$259,611$0$17,534Yes (X)
SANJAY MASILAMANI
PSYCHIATRIST - MD40.00$381,137$0$26,414Yes (X)
LEON RONEN
PHYSICIAN40.00$215,152$0$17,319Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,669,609TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$152,461TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ATHENA HEALTH INC
PO BOX 415615BOSTONMA022415615EHR SYSTEM AND SUPPORT$1,363,475
MCKESSON
6555 STATE HWY 161IRVINGTX75039SUPPLIES$526,328
QUINN TECHNOLOGY INC
5300 MACCORKLE AVENUESOUTH CHARLESTONWV25309COMPUTER MAINTENANCE AND SUPPORT$300,649
YEAGER LAND
PO BOX 462SCOTT DEPOTWV25560RENT$285,323
GLAXOSMITHKLINE
5 CRESCENT DRIVEPHILADELPHIAPA19112DRUGS$261,578
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$3,804,582GovernmentGrantsAmt
All Other Contributions$429,534AllOtherContributionsAmt
Total Contributions$4,234,116TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621111$16,301,815$16,301,815
PHARMACY INCOME446110$3,343,384$3,343,384
QUALITY CARE INCOME621111$489,211$489,211
FieldValueIRS element (for citing)
Total Program Service Revenue$20,134,410TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$316TotalRevenueColumnAmt
Exclusion$316ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EHR INCENTIVE INCOME900099$178,501$178,501
REIMBURSEMENTS900099$43,187$43,187
MEDICAL RECORDS INCOME900099$15,308$15,308

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,627TotalRevenueColumnAmt
Related Or Exempt Func Income$53,627RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$290,623OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,659,465TotalRevenueColumnAmt
Related Or Exempt Func Income$20,425,033RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$316ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$308,445TotalAmt
Management And General$308,445ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,237,034TotalAmt
Program Services$10,755,391ProgramServicesAmt
Management And General$2,481,643ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$158,281TotalAmt
Program Services$125,678ProgramServicesAmt
Management And General$32,603ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,990,644TotalAmt
Program Services$1,580,613ProgramServicesAmt
Management And General$410,031ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$920,705TotalAmt
Program Services$731,059ProgramServicesAmt
Management And General$189,646ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,467TotalAmt
Management And General$78,467ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,300TotalAmt
Management And General$41,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,180,290TotalAmt
Program Services$1,932,091ProgramServicesAmt
Management And General$248,199ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$81,269TotalAmt
Management And General$81,269ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$230,843TotalAmt
Management And General$230,843ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$64,635TotalAmt
Program Services$48,187ProgramServicesAmt
Management And General$16,448ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,399,460TotalAmt
Program Services$1,297,167ProgramServicesAmt
Management And General$102,293ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$30,959TotalAmt
Program Services$23,081ProgramServicesAmt
Management And General$7,878ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$90,719TotalAmt
Program Services$67,634ProgramServicesAmt
Management And General$23,085ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$60,879TotalAmt
Management And General$60,879ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$369,021TotalAmt
Program Services$311,506ProgramServicesAmt
Management And General$57,515ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$35,062TotalAmt
Program Services$7,524ProgramServicesAmt
Management And General$27,538ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$2,004,028$1,987,516$16,512
BAD DEBTS$377,648$377,648
MINOR DURABLES$264,987$197,555$67,432
DUES$115,364$86,007$29,357

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$321,167TotalAmt
Program Services$266,006ProgramServicesAmt
Management And General$55,161ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,361,207TotalAmt
Program Services$19,794,663ProgramServicesAmt
Management And General$4,566,544ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$379,292BOYAmt
EOY$387,447EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,112,088BOYAmt
EOY$1,985,304EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$22,074EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,932,019BOYAmt
EOY$2,079,908EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$123,986BOYAmt
EOY$132,035EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,749,937LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,534,057LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,203,957BOYAmt
EOY$2,215,880EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$10,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$195,000BOYAmt
EOY$100,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,956,342BOYAmt
EOY$6,932,648EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,665,888BOYAmt
EOY$1,446,518EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$133,700BOYAmt
EOY$210,064EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,325,589BOYAmt
EOY$1,146,643EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,125,177BOYAmt
EOY$2,803,225EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,831,165BOYAmt
EOY$4,129,423EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,831,165BOYAmt
EOY$4,129,423EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,956,342BOYAmt
EOY$6,932,648EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$298,258ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support PY5090.97580PublicSupportPY509Pct
Investment Income PY0.00170InvestmentIncomePYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART VI, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationEHR INCENTIVE INCOME - 2015 AMOUNT: $ 233,751. 2016 AMOUNT: $ 403,544. 2017 AMOUNT: $ 212,500. 2018 AMOUNT: $ 178,501. MISCELLANEOUS - 2014 AMOUNT: $ 22,066. 2015 AMOUNT: $ 4,990. 2016 AMOUNT: $ 9,692. 2017 AMOUNT: $ 115,125. 2018 AMOUNT: $ 53,627. MEDICAID LEGAL SETTLEMENT - 2014 AMOUNT: $ 664,933. EXPENSE REIMBURSEMENTS - 2014 AMOUNT: $ 32,864. 2015 AMOUNT: $ 34,964. 2016 AMOUNT: $ 33,537. 2017 AMOUNT: $ 105,116. 2018 AMOUNT: $ 43,187.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,050OtherCostOrOtherBasisAmt
Book Value$69,050BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,877,043OtherCostOrOtherBasisAmt
Depreciation$1,521,979DepreciationAmt
Book Value$1,355,064BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,626,222OtherCostOrOtherBasisAmt
Depreciation$2,085,945DepreciationAmt
Book Value$540,277BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,177,622OtherCostOrOtherBasisAmt
Depreciation$1,926,133DepreciationAmt
Book Value$251,489BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,215,880TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,281,817TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$24,281,817RevenueSubtotalAmt
Other Revenues Not Included$377,648OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$377,648RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,659,465TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$23,983,559TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$23,983,559ExpensesSubtotalAmt
Other Expenses Not Included$377,648OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$377,648ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,361,207TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PROCEDURES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT OF THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF THE ORGANIZATION AND HAS CONCLUDED THAT THE ORGANIZATION HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 377,648.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 377,648.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEVIN CILIBERTI
OB/GYN PHYSICIAN$265,025$0$0$0$0$0$18,500$0$7,788$0$291,313$0$0$0
FRANCIS HUNTER
OB/GYN PHYSICIAN$240,239$0$0$0$0$0$21,949$0$8,684$0$270,872$0$0$0
PHILLIP SPANGLER
PSYCHIATRIST - MD$259,611$0$0$0$0$0$9,620$0$7,914$0$277,145$0$0$0
SANJAY MASILAMANI
PSYCHIATRIST - MD$381,137$0$0$0$0$0$18,500$0$7,914$0$407,551$0$0$0
LEON RONEN
PHYSICIAN$215,152$0$0$0$0$0$17,319$0$0$0$232,471$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA REPRESENTATIVE FROM THE ACCOUNTING FIRM THAT PREPARES THE FORM 990 FOR THE ORGANIZATION PRESENTS THE FORM 990 TO ALL BOARD MEMBERS AT A REGULAR MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S BYLAWS INCLUDE A SECTION ADDRESSING CONFLICTS OF INTEREST. IN ADDITION, THE BOARD PASSED A SEPARATE STANDARDS OF CONDUCT POLICY IN NOVEMBER 2009 WHICH FURTHER ADDRESSES CONFLICTS OF INTEREST AND ADDS A REQUIREMENT THAT EACH BOARD MEMBER ANNUALLY DISCLOSE IN WRITING ACTUAL OR POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL REVIEW IS DONE BY THE EXECUTIVE COMMITTEE FOR THE CEO. ANY ADJUSTMENT IN SALARY COMPLIES WITH THE ANNUAL BUDGET FOR SALARIES. AN ANNUAL REVIEW IS DONE BY THE CEO FOR THE CFO AND COO. ANY ADJUSTMENT IN SALARY IS BASED ON THIS REVIEW AND COMPLIES WITH THE ANNUAL BUDGET.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST ONLY
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR SELECTION OF THE INDEPENDENT AUDITOR AND OVERSIGHT OF THE AUDIT PROCESS. THIS HAS NOT CHANGED FROM PRIOR YEAR.

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