HEALING HANDS MINISTRIES INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HEALING HANDS MINISTRIES INC (EIN 65-1259379)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-08-05
- IRS object ID
- 201912179349300126
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-05T11:41:06-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY SUITE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | 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 | 651259379 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healing Hands Ministries Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JANNA GARDNER | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 2142210855 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 741524 | AddressLine1Txt |
| City | Dallas | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 753741524 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANNA R GARDNER | PersonNm |
| Person Title | PRESIDENT, CEO | PersonTitleTxt |
| Phone | 2142210855 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 75465920192175000004 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-08-05 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 98C67C06075FADA3594A58B7FA41D63CA3097B7E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ACBA2431EF37DEF71821A9057AFD5F2E9C389335 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JANNA GARDNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8515 GREENVILLE AVE N-112 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75243 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,373,859 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALINGHANDSDALLAS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | HHM IS A PATIENT MEDICAL/DENTAL HOME THAT PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH AND PEDIATRIC SERVICES TO THOSE THAT ARE ... (CONTINUED ON SCHEDULE O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 105 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,194,451 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,626,028 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,223,971 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,481,157 | CYProgramServiceRevenueAmt |
| PY Investment Income | $315,384 | PYInvestmentIncomeAmt |
| CY Investment Income | $233,483 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,748 | PYOtherRevenueAmt |
| CY Other Revenue | $27,212 | CYOtherRevenueAmt |
| PY Total Revenue | $4,825,554 | PYTotalRevenueAmt |
| CY Total Revenue | $6,367,880 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,542,051 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,366,988 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $214,124 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,714,504 | PYOtherExpensesAmt |
| CY Other Expenses | $2,081,779 | CYOtherExpensesAmt |
| PY Total Expenses | $4,256,555 | PYTotalExpensesAmt |
| CY Total Expenses | $6,448,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $568,999 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$80,887 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,939,716 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,076,938 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $120,967 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $775,995 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,818,749 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,300,943 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BECAUSE WE VIEW ALL PATIENTS AS GOD'S CHILDREN, HEALING HANDS MINISTRIES STRIVES TO PROVIDE COMPASSIONATE, ACCESSIBLE, QUALITY CARE TO ALL OF ITS NEIGHBORS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,308,199 | ExpenseAmt |
| Revenue | $2,481,157 | RevenueAmt |
| Desc | PROVIDED MEDICAL AND DENTAL CARE TO 18,623 WORKING POOR AND UNINSURED IN THE LOCAL COMMUNITY DURING 34,617 SEPARATE MEDICAL VISITS. | Desc |
| Total Program Service Expenses | $4,308,199 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 105 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANNA GARDNER | PersonNm |
| Phone | 2142210855 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8515 GREENVILLE AVE N-112 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75243 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ADAM CHABIRA | ||||||||
| TREASURER | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Brian Jorgensen | ||||||||
| Secretary | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Charlyn C Webb | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Chris Thompson | ||||||||
| Chairman | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Desmond Jackson | ||||||||
| Director END: 05/18 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Don Dixon | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Ivet Cantu | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Johnny Bond | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Josefina Ornelas | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Juan Macias | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Maria Miller | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Sharon Simpson | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Terri Heard | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Tikisa Jackson | ||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JANNA GARDNER | ||||||||
| PRESIDENT, CEO | 80.0 | 0.0 | Yes (X) | $147,085 | $0 | $5,367 | ||
| JARRETT LAMBERT | ||||||||
| CFO | 60.0 | 0.0 | Yes (X) | $122,190 | $0 | $465 | ||
| JASON WALLACE | ||||||||
| COO START: 01/18 | 50.0 | 0.0 | Yes (X) | $102,529 | $0 | $5,367 | ||
| JENNIFER SEARLES | ||||||||
| CDO START: 01/18 | 45.0 | 0.0 | Yes (X) | $91,476 | $0 | $5,367 | ||
| MICHAEL LYONS | ||||||||
| CMO START: 12/18 | 50.0 | 0.0 | Yes (X) | $16,404 | $0 | $447 | ||
| BLANCA PENA | ||||||||
| DENTAL DIRECTOR | 45.0 | 0.0 | $143,425 | $0 | $12,938 | Yes (X) | ||
| PAUL NETTLES | ||||||||
| DENTIST | 42.0 | 0.0 | $148,626 | $0 | $9,867 | Yes (X) | ||
| Dahn Nguyen | ||||||||
| Nurse Practitioner | 42.0 | 0.0 | $108,627 | $0 | $8,667 | Yes (X) | ||
| LYNNE OROZCO | ||||||||
| MEDICAL DIRECTOR | 45.0 | 0.0 | $148,256 | $0 | $8,874 | Yes (X) | ||
| Debra Wright-Bowers | ||||||||
| pediatrician | 45.0 | 0.0 | $106,408 | $0 | $3,509 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,135,026 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $60,868 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TEXAS HEALTH PHYSICIAN GROUP | |||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | PHYSICIAN & NURSING | $281,215 |
| Women's Health Care Center PLLC | |||||
| 8160 Walnut Hill Ln Ste 103 | DALLAS | TX | 75231 | PHYSICIANS | $244,000 |
| Abstract Construction | |||||
| 2532 Highlander Way S | CARROLLTON | TX | 75006 | CONSTRUCTED CLINICS | $874,515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,895,388 | GovernmentGrantsAmt |
| All Other Contributions | $730,640 | AllOtherContributionsAmt |
| Noncash Contributions | $107,923 | NoncashContributionsAmt |
| Total Contributions | $3,626,028 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $2,471,823 | $2,471,823 |
| Other Operating Revenue | 621110 | $9,334 | $9,334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,481,157 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $233,483 | TotalRevenueColumnAmt |
| Exclusion | $233,483 | ExclusionAmt |
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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $33,191 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $5,979 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,212 | TotalRevenueColumnAmt |
| Exclusion | $27,212 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
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 | $6,367,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,481,157 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $260,695 | ExclusionAmt |
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 | $496,333 | TotalAmt |
| Program Services | $81,761 | ProgramServicesAmt |
| Management And General | $271,993 | ManagementAndGeneralAmt |
| Fundraising | $142,579 | FundraisingAmt |
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 | $3,254,621 | TotalAmt |
| Program Services | $2,266,151 | ProgramServicesAmt |
| Management And General | $988,470 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,378 | TotalAmt |
| Program Services | $29,649 | ProgramServicesAmt |
| Management And General | $22,654 | ManagementAndGeneralAmt |
| Fundraising | $2,075 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,811 | TotalAmt |
| Program Services | $166,565 | ProgramServicesAmt |
| Management And General | $122,363 | ManagementAndGeneralAmt |
| Fundraising | $4,883 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,845 | TotalAmt |
| Program Services | $192,986 | ProgramServicesAmt |
| Management And General | $64,745 | ManagementAndGeneralAmt |
| Fundraising | $10,114 | 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 | $4,515 | TotalAmt |
| Management And General | $4,515 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,894 | TotalAmt |
| Management And General | $38,894 | 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 | $24,814 | TotalAmt |
| Management And General | $24,814 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,278 | TotalAmt |
| Program Services | $445,619 | ProgramServicesAmt |
| Management And General | $130,659 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,976 | TotalAmt |
| Fundraising | $19,976 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,447 | TotalAmt |
| Program Services | $85,427 | ProgramServicesAmt |
| Management And General | $49,152 | ManagementAndGeneralAmt |
| Fundraising | $1,868 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,300 | TotalAmt |
| Program Services | $28,851 | ProgramServicesAmt |
| Management And General | $6,159 | ManagementAndGeneralAmt |
| Fundraising | $12,290 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,975 | TotalAmt |
| Program Services | $148,568 | ProgramServicesAmt |
| Management And General | $37,407 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,311 | TotalAmt |
| Program Services | $13,677 | ProgramServicesAmt |
| Management And General | $4,833 | ManagementAndGeneralAmt |
| Fundraising | $1,801 | FundraisingAmt |
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 | $31,228 | TotalAmt |
| Program Services | $505 | ProgramServicesAmt |
| Management And General | $30,723 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,004 | TotalAmt |
| Program Services | $161,796 | ProgramServicesAmt |
| Management And General | $53,208 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,193 | TotalAmt |
| Program Services | $6,583 | ProgramServicesAmt |
| Management And General | $610 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Bad Debt Expense | $55,291 | $55,291 | ||
| Medical Supplies | $442,155 | $442,155 | ||
| Training and Recruitment | $80,026 | $29,161 | $37,077 | $13,788 |
| EQUIPMENT & MAINT. | $148,742 | $138,934 | $8,613 | $1,195 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,630 | TotalAmt |
| Program Services | $14,520 | ProgramServicesAmt |
| Management And General | $29,555 | ManagementAndGeneralAmt |
| Fundraising | $3,555 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,448,767 | TotalAmt |
| Program Services | $4,308,199 | ProgramServicesAmt |
| Management And General | $1,926,444 | ManagementAndGeneralAmt |
| Fundraising | $214,124 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,336,956 | BOYAmt |
| EOY | $1,698,855 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,000 | BOYAmt |
| EOY | $240,255 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,426 | BOYAmt |
| EOY | $324,058 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,912 | BOYAmt |
| EOY | $198,175 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,137 | BOYAmt |
| EOY | $41,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,865,683 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $983,172 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $980,050 | BOYAmt |
| EOY | $1,882,511 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,930,235 | BOYAmt |
| EOY | $5,351,985 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $339,288 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,939,716 | BOYAmt |
| EOY | $10,076,938 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,309 | BOYAmt |
| EOY | $418,940 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,658 | BOYAmt |
| EOY | $357,055 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,967 | BOYAmt |
| EOY | $775,995 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,100,248 | BOYAmt |
| EOY | $9,208,668 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718,501 | BOYAmt |
| EOY | $92,275 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,818,749 | BOYAmt |
| EOY | $9,300,943 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,939,716 | BOYAmt |
| EOY | $10,076,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$80,887 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$436,919 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,317,659 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,650,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,523,835 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,194,451 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,626,028 | CurrentTaxYearAmt |
| Total | $21,311,978 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,317,659 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,650,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,523,835 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,194,451 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,626,028 | CurrentTaxYearAmt |
| Total | $21,311,978 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $292,316 | SubstantialContributorsTotAmt |
| Public Support Total170 | $21,019,662 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $82,518 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $89,343 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $171,253 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $233,483 | CurrentTaxYearAmt |
| Total | $583,339 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $95,108 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,627 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,104 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $106,955 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,191 | CurrentTaxYearAmt |
| Total | $346,985 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $22,242,302 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,880,364 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94503 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95400 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,029,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $504,255 | DepreciationAmt |
| Book Value | $1,525,119 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $836,309 | OtherCostOrOtherBasisAmt |
| Depreciation | $478,917 | DepreciationAmt |
| Book Value | $357,392 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $1,882,511 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Rent | Desc |
| Amt | $357,055 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $357,055 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,887,271 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$436,919 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $280,965 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $133,554 | OtherRevenueAmt |
| Revenue Not Reported | -$22,400 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,909,671 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $24,814 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $433,395 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $458,209 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,367,880 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,655,606 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $280,965 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $5,979 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $286,944 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,368,662 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $24,814 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $55,291 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $80,105 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,448,767 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad Debt $(55,291) Net Assets Released from Restrictions 188,845 -------------- Total $133,554 |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Direct Fundraising Expense $(5,979) Contributions in Net Assets w/ Donor Restrictions 354,374 CONTRIBUTION FOR ACQUISITION OF PROPERTY AND EQUIPMENT 10,000 GRANTS FOR ACQUISITION OF PROPERTY AND EQUIPMENT 75,000 -------------- Total $433,395 |
| SCHEDULE D, PART XII, LINE 2D | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: DIRECT FUNDRAISING EXPENSE $5,979 |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT $55,291 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TABLESCAPES | Event1Nm |
| Gross Receipts Event1 | $33,191 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $33,191 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,187 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,840 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $952 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $33,191 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $33,191 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,187 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,840 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $952 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,979 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $27,212 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLANCA PENA | ||||||||||||
| DENTAL DIRECTOR | $143,175 | $0 | $250 | $0 | $0 | $0 | $7,571 | $0 | $5,367 | $0 | $156,363 | $0 |
| PAUL NETTLES | ||||||||||||
| DENTIST | $148,376 | $0 | $250 | $0 | $0 | $0 | $4,500 | $0 | $5,367 | $0 | $158,493 | $0 |
| LYNNE OROZCO | ||||||||||||
| MEDICAL DIRECTOR | $148,256 | $0 | $0 | $0 | $0 | $0 | $3,507 | $0 | $5,367 | $0 | $157,130 | $0 |
| JANNA GARDNER | ||||||||||||
| PRESIDENT, CEO | $131,835 | $0 | $15,250 | $0 | $0 | $0 | $0 | $0 | $5,367 | $0 | $152,452 | $0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 15 | ContributionCnt |
| Noncash Contributions Rpt F990 | $107,923 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVERAGE WHOLESALE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I, Column B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS OR NUMBER OF ITEMS RECEIVED: THE AMOUNT REPORTED IN THIS COLUMN REFLECTS THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. ONCE PREPARED, THE FULL FORM 990 IS PRESENTED TO THE BOARD AT A MONTHLY MEETING, REVIEWED, AND VOTED FOR ACCEPTANCE AND DOCUMENTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY IMPLEMENTED SEVERAL YEARS AGO, BOARD MEMBERS AND STAFF SIGN A FORM ANNUALLY INDICATING EACH HAS THE OBLIGATION OF INFORMING THE BOARD ABOUT ANY CONFLICTS OF INTEREST THAT MAY ARISE. THE DETERMINATION OF ACTUAL CONFLICTS IS MADE BY THE BOARD, PRESIDENT, AND/OR CHIEF EXECUTIVE OFFICER. THOSE WITH CONFLICTS ARE RECUSED FROM VOTING ON ASSOCIATED MATTERS. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | REVIEW OF COMPENSATION: THE EXECUTIVE COMMITTEE ANNUALLY REVIEWS THE CEO'S COMPENSATION USING VARIOUS GOALS INCLUDING PERFORMANCE METRICS THAT ARE WEIGHTED BY CERTAIN PERCENTAGES. THE REVIEW IS DOCUMENTED IN THE COMMITTEE MINUTES. THE COMPENSATION OF THE CFO IS EVALUATED BY PREDETERMINED GOALS ESTABLISHED IN THE PRIOR YEAR. THERE IS AN ANNUAL EVALUATION DONE BASED ON PERFORMANCE. THE SALARY IS ESTABLISHED BASED ON MARKET SURVEYS FOR NOT-FOR-PROFIT CFOS. A MARKET BUMP AND TACHC SALARY SURVEY RESULTS ALSO FACTORED INTO THE PERCENTAGE OF INCREASE. THE COMPENSATION OF THE OTHER OFFICERS WAS REVIEWED AND APPROVED BY THE BOARD DURING 2018 FOR THEIR FIRST YEAR OF EMPLOYMENT. IN FUTURE YEARS, THE COMPENSATION REVIEW WILL BE COMPLETED BY THE CEO AND SUBJECT TO BUDGETARY APPROVALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART I, LINE 1 | ORGANIZATION'S SIGNIFICANT ACTIVITIES: (CONTINUED FROM PAGE 1)... UNINSURED, UNDERINSURED, HAVE MEDICAID, MEDICARE AND PRIVATE INSURANCE THAT DO NOT HAVE ACCESS TO CARE. |
| FORM 990, PART VI, SECTION A, LINE 1A | DELEGATION OF AUTHORITY: The executive committee is composed of the Officers, all committee chairs appointed that are not already an officer and the President and CEO as an ex-officio non-voting member. The Executive Committee is ABLE TO EXERCISE ALL THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION BETWEEN BOARD MEETINGS. All action taken by the Executive Committee must be submitted for ratification to the Board at its next meeting. |
| FORM 990, PART VI, SECTION A, LINE 4 | SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED SEPTEMBER 24, 2018. THE BYLAWS WERE MODIFIED TO MEET THE COMPLIANCE REQUIREMENTS OF HRSA INCLUDING MODIFYING THE MAKE UP OF THE BOARD OF DIRECTORS TO REQUIRE AT LEAST 51% OF THE DIRECTORS TO BE PATIENTS OF THE CLINIC. |
| FORM 990, PART XII, LINE 2C | OVERSIGHT OVER AUDIT OF THE FINANCIAL STATEMENTS: ALTHOUGH THE ORGANIZATION DOES NOT HAVE A SEPARATE COMMITTEE, THE RESPONSIBILITY OF THE OVERSIGHT OF THE AUDIT IS ASSUMED BY THE FULL BOARD. ALSO, THE CEO AND CFO INTERVIEWED POTENTIAL AUDITORS AT DIFFERENT INDEPENDENT ACCOUNTING FIRMS. BASED ON THE INTERVIEWS THE BOARD MEMBERS WERE PRESENTED WITH A RECOMMENDATION WHERE THE FULL BOARD VOTED ON THEIR SELECTION. |
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