FURP.ORG / PUBLIC DATA EXPLORER

LITTLE RIVER MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LITTLE RIVER MEDICAL CENTER INC (EIN 57-0672117)
Tax period
2018-06-01 to 2019-05-31
Filed
2019-08-22
IRS object ID
201902349349300705
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)
Return2019-08-22T06:27:00-07:00ReturnTs
Tax Period End2019-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570672117EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LITTLE RIVER MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLITTBusinessNameControlTxt
Phone8436638000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 547AddressLine1Txt
CityLITTLE RIVERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29566ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAMELA DAVISPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8436638000PhoneNum
Signature2019-07-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry Horne CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2019-08-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.38.81.69IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-22IPDt
IP Tm06:26:04IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id03245427EFB77A9D91A2A51551C39050C68870D0AtSubmissionCreationDeviceId
At Submission Filing Device Id03245427EFB77A9D91A2A51551C39050C68870D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAMELA DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 547AddressLine1Txt
CityLITTLE RIVERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29566ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,311,083GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee427TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,171,713PYContributionsGrantsAmt
CY Contributions Grants$9,347,909CYContributionsGrantsAmt
PY Program Service Revenue$15,782,290PYProgramServiceRevenueAmt
CY Program Service Revenue$21,869,799CYProgramServiceRevenueAmt
PY Investment Income-$2,156PYInvestmentIncomeAmt
CY Investment Income$93,375CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$27,951,847PYTotalRevenueAmt
CY Total Revenue$31,311,083CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,210,451PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,631,233CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,971,294PYOtherExpensesAmt
CY Other Expenses$10,504,565CYOtherExpensesAmt
PY Total Expenses$27,181,745PYTotalExpensesAmt
CY Total Expenses$31,135,798CYTotalExpensesAmt
PY Revenues Less Expenses$770,102PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$175,285CYRevenuesLessExpensesAmt
Total Assets BOY$22,076,588TotalAssetsBOYAmt
Total Assets EOY$23,353,380TotalAssetsEOYAmt
Total Liabilities BOY$9,825,727TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,922,568TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,250,861NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,430,812NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,251,505ExpenseAmt
Grant$0GrantAmt
Revenue$21,869,799RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 117,900 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$26,251,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee427EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHARLES EASONPersonNm
Phone8436631013PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14303 LIVE OAK DRIVEAddressLine1Txt
CityLITTLE RIVERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29566ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIE ANN HUCKS
SECRETARY1.00Yes (X)$0$0$0
HOWARD GARRISON
CHAIR1.00Yes (X)$0$0$0
LYNN KORNITA
BOARD MEMBER1.00Yes (X)$0$0$0
ELOUISE YOUNG
BOARD MEMBER1.00Yes (X)$0$0$0
COLEEN RENEE KENNEDY
BOARD MEMBER1.00Yes (X)$0$0$0
LUZ ELENA KUHLER
BOARD MEMBER1.00Yes (X)$0$0$0
MAURICE JONES
VICE CHAIR1.00Yes (X)$0$0$0
DANA BLACK
BOARD MEMBER1.00Yes (X)$0$0$0
JACK FIELDS
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLEE MASSON
TREASURER1.00Yes (X)$0$0$0
CYNTHIA GAUSE
BOARD MEMBER1.00Yes (X)$0$0$0
JOAN VAITIS
BOARD MEMBER1.00Yes (X)$0$0$0
GREGORY THOMPSON
BOARD MEMBER1.00Yes (X)$0$0$0
PAM DAVIS
CHIEF EXECUTIVE OFFICER40.00$231,137$0$44,124Yes (X)
CHARLES EASON
CHIEF FINANCIAL OFFICER40.00$166,197$0$44,434Yes (X)
KAREN CAGLE
CHIEF OPERATIONAL OFFICER40.00$109,171$0$21,242Yes (X)
MARK MANCINI
CHIEF INFORMATION OFFICER40.00$91,713$0$33,798Yes (X)
WILLIAM J O'CONNOR
CHIEF MEDICAL OFFICER40.00$222,159$0$29,916Yes (X)
MARK JANOSKY
CHIEF DENTAL OFFICER40.00$164,817$0$22,307Yes (X)
KRISTOPHER L CHIPLINSKI
DIRECTOR OF PHARMACY40.00$140,059$0$57,735Yes (X)
LUIS INSIGNARES
PHYSICIAN40.00$190,154$0$39,982Yes (X)
DANNY KASS
PHYSICIAN40.00$217,333$0$5,007Yes (X)
EUNICE GUZMAN
PHYSICIAN40.00$214,868$0$4,376Yes (X)
CHRISTINE MCGINLEY
PHYSICIAN40.00$191,974$0$21,558Yes (X)
ROMEO NILLAS
PHYSICIAN40.00$187,138$0$24,682Yes (X)
MICHELE HROMYAK
PHARMACIST40.00$122,329$0$28,629Yes (X)
LATISHA KEARSLEY
DENTIST40.00$143,803$0$18,124Yes (X)
BRENT ALAN BAUER
DENTIST40.00$136,781$0$39,406Yes (X)
PEGGY BOURGUILLON
PHYSICIAN40.00$182,515$0$9,373Yes (X)
MARISTELA NABONG-NILLAS
PHYSICIAN40.00$170,074$0$33,543Yes (X)
SHERRY NWANEGWO
PHYSICIAN40.00$185,838$0$18,398Yes (X)
RAYMOND REISER
PHYSICIAN40.00$174,466$0$17,116Yes (X)
ALEENA SABZWARI
DENTIST40.00$154,142$0$17,264Yes (X)
ORLANDO VALDEZ
PHYSICIAN40.00$169,352$0$14,700Yes (X)
SHAUNA WALTERS
PHYSICIAN40.00$168,502$0$11,057Yes (X)
MERIANA MARTIN
DENTIST40.00$140,393$0$7,510Yes (X)
BERNICE LIM
PHYSICIAN40.00$123,488$0$18,900Yes (X)
ANGELA WALLS DANIELS
PHARMACIST40.00$123,750$0$21,212Yes (X)
VIKI LAMBERTUS
NURSE PRACTITIONER40.00$114,653$0$16,133Yes (X)
BEVERLY ELAINE MILLER
NURSE PRACTITIONER40.00$120,689$0$1,341Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,357,495TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$621,867TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CHARTSPAN MEDICAL TECHNOLOGIES INC
2 N MAIN STGREENVILLESC29601CARE COORDINATION SERVICES$323,459
GREENWAY
PO BOX 203658DALLASTX75320MEDICAL BILLING/CODING SERVICES$418,852
WACCAMAW CENTER FOR MENTAL HEALTH
164 WACCAMAW MEDICAL PARKCONWAYSC29526CONTRACT MENTAL HEALTH SERVICES$131,474
LABCORP
PO BOX 921140BURLINGTONNC27216LAB SERVICES$203,854
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$8,845,791GovernmentGrantsAmt
All Other Contributions$502,118AllOtherContributionsAmt
Noncash Contributions$24,000NoncashContributionsAmt
Total Contributions$9,347,909TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT FEES621111$18,926,113$0$0
340B & OTHER CONTRACT SERVICES621111$2,943,686$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$21,869,799TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,711TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$93,711ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other-$336OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$336OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$336TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$336ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,311,083TotalRevenueColumnAmt
Related Or Exempt Func Income$21,869,799RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$93,375ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,125,253TotalAmt
Program Services$527,035ProgramServicesAmt
Management And General$598,218ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,771,440TotalAmt
Program Services$14,090,110ProgramServicesAmt
Management And General$1,681,330ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$358,610TotalAmt
Program Services$311,991ProgramServicesAmt
Management And General$46,619ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,272,954TotalAmt
Program Services$1,959,130ProgramServicesAmt
Management And General$313,824ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,102,976TotalAmt
Program Services$959,589ProgramServicesAmt
Management And General$143,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,179,825TotalAmt
Program Services$2,543,860ProgramServicesAmt
Management And General$635,965ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,623,905TotalAmt
Program Services$3,699,123ProgramServicesAmt
Management And General$924,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,415,160TotalAmt
Program Services$1,132,127ProgramServicesAmt
Management And General$283,033ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$446,780TotalAmt
Program Services$357,424ProgramServicesAmt
Management And General$89,356ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$414,331TotalAmt
Program Services$331,465ProgramServicesAmt
Management And General$82,866ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$424,564TotalAmt
Program Services$339,651ProgramServicesAmt
Management And General$84,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,135,798TotalAmt
Program Services$26,251,505ProgramServicesAmt
Management And General$4,884,293ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$119,721BOYAmt
EOY$142,111EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,627,199BOYAmt
EOY$3,756,470EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,814,691BOYAmt
EOY$2,548,468EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$327,493BOYAmt
EOY$389,166EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$355,712BOYAmt
EOY$412,132EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,715,241LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,655,532LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,829,272BOYAmt
EOY$16,059,709EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$45,324EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,076,588BOYAmt
EOY$23,353,380EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,272,691BOYAmt
EOY$2,627,764EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$113,951BOYAmt
EOY$214,029EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,439,085BOYAmt
EOY$8,080,775EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,825,727BOYAmt
EOY$10,922,568EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,213,472BOYAmt
EOY$12,388,757EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,389BOYAmt
EOY$42,055EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,250,861BOYAmt
EOY$12,430,812EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,076,588BOYAmt
EOY$23,353,380EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$175,285ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,666OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,998,155CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,307,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,586,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,171,713CurrentTaxYearMinus1YearAmt
Current Tax Year$9,347,909CurrentTaxYearAmt
Total$45,411,384TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,998,155CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,307,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,586,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,171,713CurrentTaxYearMinus1YearAmt
Current Tax Year$9,347,909CurrentTaxYearAmt
Total$45,411,384TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$45,411,384PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,095CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,375CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,462CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,643CurrentTaxYearMinus1YearAmt
Current Tax Year$93,375CurrentTaxYearAmt
Total$106,950TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$45,518,334TotalSupportAmt
Gross Receipts Rltd Activities$77,835,324GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99770PublicSupportCY170Pct
Public Support PY1700.99960PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,640,472InvestmentCostOrOtherBasisAmt
Book Value$2,640,472BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$15,626,938InvestmentCostOrOtherBasisAmt
Depreciation$3,194,655DepreciationAmt
Book Value$12,432,283BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,447,831InvestmentCostOrOtherBasisAmt
Depreciation$3,460,877DepreciationAmt
Book Value$986,954BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,059,709TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$31,311,083TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$31,311,083RevenueSubtotalAmt
Total Revenue Per Form990$31,311,083TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,135,798TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$31,135,798ExpensesSubtotalAmt
Total Expenses Per Form990$31,135,798TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

Base 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
PAM DAVIS
$231,137$0$0$0$0$0$9,995$0$34,130$0$275,262$0$0$0
CHARLES EASON
$166,197$0$0$0$0$0$6,804$0$37,630$0$210,631$0$0$0
WILLIAM J O'CONNOR
$222,159$0$0$0$0$0$9,377$0$20,539$0$252,075$0$0$0
MARK JANOSKY
$164,817$0$0$0$0$0$6,645$0$15,662$0$187,124$0$0$0
KRISTOPHER L CHIPLINSKI
$140,059$0$0$0$0$0$6,469$0$51,266$0$197,794$0$0$0
LUIS INSIGNARES
$190,154$0$0$0$0$0$8,470$0$31,512$0$230,136$0$0$0
DANNY KASS
$217,333$0$0$0$0$0$3,260$0$1,747$0$222,340$0$0$0
EUNICE GUZMAN
$214,868$0$0$0$0$0$2,482$0$1,894$0$219,244$0$0$0
CHRISTINE MCGINLEY
$191,974$0$0$0$0$0$3,964$0$17,594$0$213,532$0$0$0
ROMEO NILLAS
$187,138$0$0$0$0$0$7,749$0$16,933$0$211,820$0$0$0
MICHELE HROMYAK
$122,329$0$0$0$0$0$4,097$0$24,532$0$150,958$0$0$0
LATISHA KEARSLEY
$143,803$0$0$0$0$0$4,425$0$13,699$0$161,927$0$0$0
BRENT ALAN BAUER
$136,781$0$0$0$0$0$6,229$0$33,177$0$176,187$0$0$0
PEGGY BOURGUILLON
$182,515$0$0$0$0$0$2,874$0$6,499$0$191,888$0$0$0
MARISTELA NABONG-NILLAS
$170,074$0$0$0$0$0$7,426$0$26,117$0$203,617$0$0$0
SHERRY NWANEGWO
$185,838$0$0$0$0$0$2,738$0$15,660$0$204,236$0$0$0
RAYMOND REISER
$174,466$0$0$0$0$0$1,747$0$15,369$0$191,582$0$0$0
ALEENA SABZWARI
$154,142$0$0$0$0$0$6,229$0$11,035$0$171,406$0$0$0
ORLANDO VALDEZ
$169,352$0$0$0$0$0$0$0$14,700$0$184,052$0$0$0
SHAUNA WALTERS
$168,502$0$0$0$0$0$0$0$11,057$0$179,559$0$0$0

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY
Pt VI, Line 19AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt VI, Line 11bTHE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT AUDITOR WITH REVIEW AND
Pt VI, Line 11bINFORMATION PROVIDED BY THE CEO & CFO. A COPY OF THE FORM 990 WILL BE GIVEN
Pt VI, Line 11bAND REVIEWED WITH THE BOARD AFTER COMPLETION AND SUBMISSION BY THE AUDITOR.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
Pt VI, Line 12cREVIEWED THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
Pt VI, Line 12cISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI, Line 15aSTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY
Pt VI, Line 15bAND CEO SALARY INCREASES ARE BOARD APPROVED.
Pt XII, Line 2cTHE CEO & CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt XIPART XI LINE 9- CHANGE IN NET ASSETS DUE TO DECREASE IN TEMPORARILY
Pt XIRESTRICTED NET ASSETS RELATED TO DONATED PHARMACEUTICALS.
Pt VI, Line 2MS. WILLIE ANN HUCKS AND MR. ROBERT HUCKS ARE BOTH ON THE BOARD
Pt VI, Line 2AND HAVE A MOTHER/SON RELATIONSHIP.
Pt XIINCREASE IN NET ASSETS DUE TO CHANGE IN TEMPORARILY RESTRICTED CASH.

Schedule R IRS990ScheduleR

FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd