ST MARYS HEALTH WAGON: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HEALTH WAGON (EIN 04-3739083)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-09-23
- IRS object ID
- 201902669349300125
- Schema version
- 2018v3.1
- Note
- A later return for the same period supersedes this one.
- 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 | 2019-09-23T08:53:07-07:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541283622 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Larry D Sturgill CPA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2080 | AddressLine1Txt |
| City | WISE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24293 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043739083 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS HEALTH WAGON INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 2763288850 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7070 | AddressLine1Txt |
| City | WISE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24293 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA TYSON | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2019-09-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LARRY D STURGILL | PreparerPersonNm |
| PTIN | P00381273 | PTIN |
| Phone | 2763289593 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7070 | AddressLine1Txt |
| City | WISE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24293 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,534,727 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | THEHEALTHWAGON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | THE HEALTH WAGON'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE TO THE MEDICALLY UNDERSERVED PEOPLE IN THE MOUNTIANS OF APPALACHIA. OUR VALUES ARE INCLUSIVENESS, COMMUNITY OUTREACH, COLLABORATION, SPIRITUALITY, AND EMPOWERMENT. THE HEALTH WAGON HAS TWO MOBILE HEALTH UNIT CLINICS AND TWO STATIONARY CLINICS. THE HEALTH WAGON HAS REMAINED A PIONEER IN THE DELIVERY OF HEALTH CARE IN THE CENTRAL APPALACHIAN REGION FOR ALMOST FOUR DECADES. THE HEALTH WAGON PROVIDES SOUTHWEST VIRGINIA AND THE SURROUNDING REGION WITH COMPASSIONATE, HIGH QUALITY HEALTH CARE SERVICES. THE HEALTH WAGON PROVIDES HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED PATIENTS WITH HIGH CO-PAYS AND DEDCUTIBLES IN LEE, SCOTT, DICKENSON, BUCHANAN AND RUSSELL COUNTIES OF VIRGINIA. THE HEALTH WAGON SERVES THE MOST VULNERABLE IN THE POPULATION THAT DO NOT HAVE ACCESS TO HEALTH CARE.THE HEALTH WAGON CREATES A MEDICAL HOME FOR PATIENTS AND GIVES ACCESS TO HEALTH CARE SERVICES THAT THEY WOULD OTHERWISE DO WITHOU | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 30 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,361,302 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,945,661 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,416 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,465 | CYProgramServiceRevenueAmt |
| PY Investment Income | $332,400 | PYInvestmentIncomeAmt |
| CY Investment Income | -$473,399 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,742,118 | PYTotalRevenueAmt |
| CY Total Revenue | $2,534,727 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,410,124 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,669,038 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $129,180 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $718,170 | PYOtherExpensesAmt |
| CY Other Expenses | $767,825 | CYOtherExpensesAmt |
| PY Total Expenses | $2,128,294 | PYTotalExpensesAmt |
| CY Total Expenses | $2,436,863 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,613,824 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $97,864 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,646,317 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,769,925 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $79,455 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $105,199 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,566,862 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,664,726 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE HEALTH WAGON'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE TO THE MEDICALLY UNDERSERVED PEOPLE IN THE MOUNTIANS OF APPALACHIA. OUR VALUES ARE INCLUSIVENESS, COMMUNITY OUTREACH, COLLABORATION, SPIRITUALITY, AND EMPOWERMENT. THE HEALTH WAGON HAS TWO MOBILE HEALTH UNIT CLINICS AND TWO STATIONARY CLINICS. THE HEALTH WAGON HAS REMAINED A PIONEER IN THE DELIVERY OF HEALTH CARE IN THE CENTRAL APPALACHIAN REGION FOR ALMOST FOUR DECADES. THE HEALTH WAGON PROVIDES SOUTHWEST VIRGINIA AND THE SURROUNDING REGION WITH COMPASSIONATE, HIGH QUALITY HEALTH CARE SERVICES. THE HEALTH WAGON PROVIDES HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED PATIENTS WITH HIGH CO-PAYS AND DEDCUTIBLES IN LEE, SCOTT, DICKENSON, BUCHANAN AND RUSSELL COUNTIES OF VIRGINIA. THE HEALTH WAGON SERVES THE MOST VULNERABLE IN THE POPULATION THAT DO NOT HAVE ACCESS TO HEALTH CARE.THE HEALTH WAGON CREATES A MEDICAL HOME FOR PATIENTS AND GIVES ACCESS TO HEALTH CARE SERVICES THAT THEY WOULD OTHERWISE DO WITHOU | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,729,336 | ExpenseAmt |
| Desc | THE HEALTH WAGON PROVIDES COMPASSIONATE, QUALITY HEALTH CARE TO THE MEDICALLY UNDERSERVED INDIVIDUALS THROUGHOUT SOUTHWEST VIRGINIA. THE HEALTH WAGON SERVES INDIVIDUALS AND FAMILIES WITH FREE, INTEGRATED HEALTH CARE THAT IS CULTURALLY SENSITIVE. THE HEALTH WAGON PROVIDES PRIMARY AND PREVENTIVE CARE, DENTAL BEHAVIORAL HEALTH, TELEHEALTH, AND SPECIALTY CARE SERVICES.IN ADDITION TO ROUTINE SERVICES, THE HEALTH WAGON PROVIDES THE REGION WITH STRATEGICALLY COORDINATED OUTREACH REPORTS. SERVICES PROVIDED ARE: PRIMARY MEDICAL CARE, OPTOMETRY, DENTAL, CANCER EARLY DETECTION, INCLUDING CHEST X-RAYS,PULMONARY FUNCTION TESTING, ACUTE AND CHRONIC DISEASE MANAGMENT, MEDICATION ASSISTANCE PROGRAM THAT CONNECTS PATIENTS WITH PHARMACEUTICAL PATIENT INDIGENT PROGRAMS, PHYSICAL ASSESSMENTS, LAB AND DIAGNOSTIC SERVICES, MEDICAL THERAPY MANAGMENT, NEPHROLOGY SPECIALTY CLINICS, CARDIOLOGY SPECIALTY CLINICS, BEHAVIORAL HEALTH SPECIALTY CLINICS, DERMATOLOGY SPECIALTY CLINICS, UROLOGY SPECIALTY CLINCS, ENDOCRONOLOGY SPECIALTY CLINICS, OSTOMY CLINICS, VACCINATIONS, PRE AND POST OP SURGERY CLINIC, REFERRALS AND FOLLOW UP SYSTEMS, TRANSPORTATOIN ASSISTANCE, WOULD CARE CLINICS, WOMEN'S HEALTH, INCLUDING PAP SMEARS, MAMMOGRAPHY, CYSTOSCOPIES AND COLPOSCOPIES, PASTORAL SUPPORT; EAR, NOSE AND THROAT CLINIC; HEARING AID ASSISTANCE, DIABETES SELF-MANAGEMENT WORKSHOPS, CHRONIC DISEASE SELF MANAGEMENT WORKSHOPS; SCREENING, DIAGNOSIS AND SELF-MANAGEMENT OF CARDIOVASCULAR DISEASE; AND STATE OF THE ART TELEMEDICINE SERVICES IN PARTNERSHIP WITH THE UNIVERSITY OF VIRGINIA. THE HEALTH WAGON ALSO COORDINATES THE NATION'S LARGEST HEALTH OUTREACH EVENT, WISE REMOTE AREA MEDICAL, WHICH WILL BE CONDUCTED IN JUNE 2019. | Desc |
| Total Program Service Expenses | $1,729,336 | 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 | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | 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 | false | 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 |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 30 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA TYSON | PersonNm |
| Phone | 2763288850 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5626 PATRIOT DRIVE | AddressLine1Txt |
| City | WISE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24293 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| DR ROSS ISAACS MD | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROGER RAMEY | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS KENNEDY | |||||||
| Vice President | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| VALARIE STEWART | |||||||
| Treasurer | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PATRICIA SONNER | |||||||
| Secretary | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHARLES KISER | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SHIRLEY WOODWARD | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KERMIT ANDERSON | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY LAWSON | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR JOSEPH SMIDDY | |||||||
| President | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JENNIFER HAMMONS | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARY WHITE | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GORDON SCOTT | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID CATTELL-GORDAN | |||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $692,828 | GovernmentGrantsAmt |
| All Other Contributions | $2,252,833 | AllOtherContributionsAmt |
| Noncash Contributions | $29,334 | NoncashContributionsAmt |
| Total Contributions | $2,945,661 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL FEE'S | Desc |
| Total Revenue Column | $62,465 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,465 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,465 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$473,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$473,399 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,534,727 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$410,934 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,390 | TotalAmt |
| Management And General | $467,390 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $878,598 | TotalAmt |
| Program Services | $715,704 | ProgramServicesAmt |
| Management And General | $67,299 | ManagementAndGeneralAmt |
| Fundraising | $95,595 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,992 | TotalAmt |
| Program Services | $68,393 | ProgramServicesAmt |
| Management And General | $3,599 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,170 | TotalAmt |
| Program Services | $163,048 | ProgramServicesAmt |
| Management And General | $8,909 | ManagementAndGeneralAmt |
| Fundraising | $3,213 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,888 | TotalAmt |
| Program Services | $64,523 | ProgramServicesAmt |
| Management And General | $3,794 | ManagementAndGeneralAmt |
| Fundraising | $7,571 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600 | TotalAmt |
| Program Services | $1,520 | ProgramServicesAmt |
| Management And General | $80 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,925 | TotalAmt |
| Program Services | $48,379 | ProgramServicesAmt |
| Management And General | $2,546 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,100 | TotalAmt |
| Program Services | $14,345 | ProgramServicesAmt |
| Management And General | $755 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,754 | TotalAmt |
| Fundraising | $6,754 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,540 | TotalAmt |
| Program Services | $41,363 | ProgramServicesAmt |
| Management And General | $2,177 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,107 | TotalAmt |
| Program Services | $51,402 | ProgramServicesAmt |
| Management And General | $2,705 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39 | TotalAmt |
| Program Services | $37 | ProgramServicesAmt |
| Management And General | $2 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,876 | TotalAmt |
| Program Services | $50,232 | ProgramServicesAmt |
| Management And General | $2,644 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,264 | TotalAmt |
| Program Services | $28,751 | ProgramServicesAmt |
| Management And General | $1,513 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RAM EXPENSE | $113,857 | $113,857 | |
| IT EXPENSE | $79,874 | $75,880 | $3,994 |
| PROGRAM EXPENSE | $55,544 | $55,544 | |
| MOBILE UNIT EXPENSE | $37,201 | $35,341 | $1,860 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,144 | TotalAmt |
| Program Services | $201,017 | ProgramServicesAmt |
| Management And General | $9,080 | ManagementAndGeneralAmt |
| Fundraising | $16,047 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,436,863 | TotalAmt |
| Program Services | $1,729,336 | ProgramServicesAmt |
| Management And General | $578,347 | ManagementAndGeneralAmt |
| Fundraising | $129,180 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,628,514 | BOYAmt |
| EOY | $2,258,149 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,999 | BOYAmt |
| EOY | $122,204 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,054,646 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $377,687 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,871 | BOYAmt |
| EOY | $676,959 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,082,933 | BOYAmt |
| EOY | $4,693,364 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $19,249 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,646,317 | BOYAmt |
| EOY | $7,769,925 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,233 | BOYAmt |
| EOY | $10,648 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,485 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,737 | BOYAmt |
| EOY | $94,551 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,455 | BOYAmt |
| EOY | $105,199 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,417,638 | BOYAmt |
| EOY | $6,433,848 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,149,224 | BOYAmt |
| EOY | $1,230,878 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,566,862 | BOYAmt |
| EOY | $7,664,726 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,646,317 | BOYAmt |
| EOY | $7,769,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $97,864 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Vl EOY | $124,000 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $28,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $28,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $498,695 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $89,352 | DepreciationAmt |
| Book Value | $409,343 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,965 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,862 | DepreciationAmt |
| Book Value | $10,103 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $515,986 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $286,473 | DepreciationAmt |
| Book Value | $229,513 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $676,959 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED COMPENSATED ABSENCES | $54,147 |
| CREDIT CARD PAYABLE | $5,678 |
| DUE TO INTRAFUNDS | $8,346 |
| PAYROLL WITHHOLDINGS | $1,428 |
| SALARIES PAYABLE | $24,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $94,551 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,014,638 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$520,089 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$520,089 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,534,727 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,534,727 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,436,863 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,436,863 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,436,863 | TotalExpensesPerForm990Amt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $29,334 | 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | BY THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | THE HEALTH WAGON HAS A CONFLICT OF INTEREST STATEMENT & MEMBERS ARE ASKED TO SIGN ANNUALLY. MEMBERS ARE ASKED TO ABSTAIN FROM VOTING IF A PERCEIVED CONFLICT OF INTEREST EXIST. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | BOARD MEMBERS AND PERSONNEL COMMITTEE DO ANNUAL EVALUATIONS AND COMPENSATION REVIEW OF KEY EMPLOYEES |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | PERSONNEL COMMITTEE PERFORMS A ANNUAL EVALUATION & COMPENSATION REVIEW OF KEY EMPLOYEES |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THE NON PROFIT WILL PROVIDE THE AUDIT ONLINE & BE MADE AVAILABLE TO ANY INDIVIDUAL UPON REQUEST. |
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