WESTERN WAYNE FAMILY HEALTH CENTERS: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN WAYNE FAMILY HEALTH CENTERS (EIN 30-0281587)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-07-09
- IRS object ID
- 201921909349300602
- 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 | 2019-07-09T07:34:03-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382963463 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUAST JANKE & CO CPA'S PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 N JOHNSON | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48708 | 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 | 300281587 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN WAYNE FAMILY HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 3135615100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 HAMLIN BLVD | AddressLine1Txt |
| City | INKSTER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48141 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA ATKINS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3135615100 | PhoneNum |
| Signature | 2019-06-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID G GWIZDALA CPA | PreparerPersonNm |
| PTIN | P00234130 | PTIN |
| Phone | 9898924549 | PhoneNum |
| Preparation | 2019-06-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.188.255.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-07-09 | IPDt |
| IP Tm | 07:34:03 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7DB65F781F3B9801773DEF9D9FEC889190F44AA2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8C5457C659111890134E7037C06BD7E3EB37A991 | 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 | LINDA ATKINS | PrincipalOfficerNm |
| Gross Receipts | $12,942,203 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWFHCINKSTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY,COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE ACCESSIBLE, AFFORDABLE AND RESPONSIVE TO THE COMMUNITIES THAT WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 153 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,222,019 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,523,672 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,270,373 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,417,161 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,218 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,370 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,493,610 | PYTotalRevenueAmt |
| CY Total Revenue | $12,942,203 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,593,044 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,167,478 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,912,260 | PYOtherExpensesAmt |
| CY Other Expenses | $3,764,675 | CYOtherExpensesAmt |
| PY Total Expenses | $9,505,304 | PYTotalExpensesAmt |
| CY Total Expenses | $10,932,153 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,988,306 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,010,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,521,516 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,651,590 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,381,763 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,501,787 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,139,753 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,149,803 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY,COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE ACCESSIBLE, AFFORDABLE AND RESPONSIVE TO THE COMMUNITIES THAT WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,374,127 | ExpenseAmt |
| Revenue | $8,417,161 | RevenueAmt |
| Desc | CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER AND IS SERVICING APPROXIMATELY 16,000 PATIENTS IN A MEDICALLY UNDERSERVED AREA CLINIC ENCOUNTERS FOR THE YEAR WERE APPROXIMATELY 54,000 | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER AND IS SERVICING APPROXIMATELY 15,515 PATIENTS IN A MEDICALLY UNDERSERVED AREA CLINIC ENCOUNTERS FOR THE YEAR WERE APPROXIMATELY 51,800 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,374,127 | 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 | false | 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 | 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 | false | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 153 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 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 | JEREN STEPP | PersonNm |
| Phone | 3135615100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 HAMLIN | AddressLine1Txt |
| City | INKSTER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48141 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| NOAH BERGERON | |||||||
| CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WALTER STARGHILL JR | |||||||
| VICE CHAIRMA | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN KIMBROUGH | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BOBBIE WALLACE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINA ARNOLD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID IPPEL | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN OVERMAN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARSHA BEY | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM MILLER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANITA GOREE | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RACHEL CUSHMAN | |||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA STELLINI | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MENDEZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RANA ISMAIL | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA ATKINS | |||||||
| CEO | 40.00 | $147,706 | $0 | $7,298 | Yes (X) | ||
| DORIS MONICA GELDRES | |||||||
| CBO | 40.00 | $101,423 | $0 | $7,298 | Yes (X) | ||
| JEREN STEPP | |||||||
| CFO | 40.00 | $92,365 | $0 | $7,298 | Yes (X) | ||
| GUADALUPE VIVANCO | |||||||
| COO | 40.00 | $76,888 | $0 | $7,298 | Yes (X) | ||
| ANTOINETTE BYRD-CARR | |||||||
| PHYSICIAN | 40.00 | $232,104 | $0 | $11,451 | Yes (X) | ||
| FELICIA RANDOLPH | |||||||
| PHYSICIAN | 40.00 | $179,997 | $0 | $9,890 | Yes (X) | ||
| GREGORY TREADO | |||||||
| PHYSICIAN | 40.00 | $161,318 | $0 | $9,268 | Yes (X) | ||
| TANAYA PORTER | |||||||
| DENTIST | 40.00 | $138,267 | $0 | $10,254 | Yes (X) | ||
| KAREN EGGLESTON | |||||||
| DENTIST | 40.00 | $136,200 | $0 | $9,704 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,266,268 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $79,759 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $4,450,367 | GovernmentGrantsAmt |
| All Other Contributions | $73,305 | AllOtherContributionsAmt |
| Total Contributions | $4,523,672 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT FEES | $8,207,492 | $8,207,492 |
| INCENTIVE PAYMENTS | $198,435 | $198,435 |
| MEDICAL RECORDS | $11,234 | $11,234 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,417,161 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,370 | TotalRevenueColumnAmt |
| Exclusion | $1,370 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,942,203 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,417,161 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,370 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,494 | TotalAmt |
| Program Services | $101,423 | ProgramServicesAmt |
| Management And General | $240,071 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,731,804 | TotalAmt |
| Program Services | $4,685,961 | ProgramServicesAmt |
| Management And General | $1,045,843 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,942 | TotalAmt |
| Program Services | $457,811 | ProgramServicesAmt |
| Management And General | $119,131 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,238 | TotalAmt |
| Program Services | $401,506 | ProgramServicesAmt |
| Management And General | $115,732 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,463 | TotalAmt |
| Program Services | $15,463 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,420 | TotalAmt |
| Management And General | $14,420 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,036,386 | TotalAmt |
| Program Services | $773,939 | ProgramServicesAmt |
| Management And General | $262,447 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,253 | TotalAmt |
| Program Services | $21,064 | ProgramServicesAmt |
| Management And General | $8,189 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,097 | TotalAmt |
| Program Services | $19,798 | ProgramServicesAmt |
| Management And General | $32,299 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,291 | TotalAmt |
| Program Services | $180,666 | ProgramServicesAmt |
| Management And General | $91,625 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,544 | TotalAmt |
| Program Services | $14,157 | ProgramServicesAmt |
| Management And General | $67,387 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,165 | TotalAmt |
| Program Services | $26,227 | ProgramServicesAmt |
| Management And General | $98,938 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,974 | TotalAmt |
| Program Services | $40,305 | ProgramServicesAmt |
| Management And General | $32,669 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,799 | TotalAmt |
| Program Services | $25,953 | ProgramServicesAmt |
| Management And General | $18,846 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $443,630 | $370,123 | $73,507 |
| BAD DEBT | $331,063 | $331,063 | |
| $280,127 | $257,300 | $22,827 | |
| PHARMACEUTICALS | $241,366 | $241,366 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,097 | TotalAmt |
| Program Services | $410,002 | ProgramServicesAmt |
| Management And General | $314,095 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,932,153 | TotalAmt |
| Program Services | $8,374,127 | ProgramServicesAmt |
| Management And General | $2,558,026 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,119,755 | BOYAmt |
| EOY | $4,959,889 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,371 | BOYAmt |
| EOY | $347,298 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,026,967 | BOYAmt |
| EOY | $2,035,035 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,431 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,763 | BOYAmt |
| EOY | $51,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,903,264 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,645,273 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,265,229 | BOYAmt |
| EOY | $4,257,991 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,521,516 | BOYAmt |
| EOY | $11,651,590 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,500 | BOYAmt |
| EOY | $723,727 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,321 | BOYAmt |
| EOY | $70,318 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,771,038 | BOYAmt |
| EOY | $1,703,575 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,904 | BOYAmt |
| EOY | $4,167 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,381,763 | BOYAmt |
| EOY | $2,501,787 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,139,753 | BOYAmt |
| EOY | $9,149,803 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,139,753 | BOYAmt |
| EOY | $9,149,803 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,521,516 | BOYAmt |
| EOY | $11,651,590 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,010,050 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
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 | $3,003,270 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,537,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,250,436 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,222,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,523,672 | CurrentTaxYearAmt |
| Total | $18,537,308 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,003,270 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,537,911 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,250,436 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,222,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,523,672 | CurrentTaxYearAmt |
| Total | $18,537,308 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $18,537,308 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,218 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,370 | CurrentTaxYearAmt |
| Total | $3,279 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,540,587 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $15,687,534 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99980 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,800 | OtherCostOrOtherBasisAmt |
| Book Value | $6,800 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,105,781 | OtherCostOrOtherBasisAmt |
| Depreciation | $459,456 | DepreciationAmt |
| Book Value | $3,646,325 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,790,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,185,817 | DepreciationAmt |
| Book Value | $604,866 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,257,991 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $12,942,203 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $12,942,203 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $12,942,203 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,932,153 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $10,932,153 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $10,932,153 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| LINDA ATKINS | |||
| CEO | $147,706 | $7,298 | $155,004 |
| ANTOINETTE BYRD-CARR | |||
| PHYSICIAN | $232,104 | $11,451 | $243,555 |
| FELICIA RANDOLPH | |||
| PHYSICIAN | $179,997 | $9,890 | $189,887 |
| GREGORY TREADO | |||
| PHYSICIAN | $161,318 | $9,268 | $170,586 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEER BOARD OF DIRECTORS |
| FORM 990, PAGE 2, PART III, LINE 4D | CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER AND IS SERVICING APPROXIMATELY 15,515 PATIENTS IN A MEDICALLY UNDERSERVED AREA CLINIC ENCOUNTERS FOR THE YEAR WERE APPROXIMATELY 51,800 |
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD OF DIRECTORS, CFO AND AUDITOR REVIEW 990 PRIOR TO SUBMISSION. GOVERANCE QUESTIONS AGREED UPON AND REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE ASKED IF ANY ITEM ON THE AGENDA REPRESENTS A CONFLICT OF INTEREST AT EACH MEETING. CONFLICTS ARE DISCUSSED PRIOR TO BOARD ACTION |
| FORM 990, PAGE 6, PART VI, LINE 15A | CEO COMPENSATION WITHIN 75TH PERCENTILE OF CEO OF OTHER CENTERS FROM DATA SUPPLIED BY NATIONAL ASSOCIATION OF HEALTH CENTERS |
| FORM 990, PAGE 6, PART VI, LINE 15B | BOARD COMPENSATION REVIEW AND APPROVAL FOR KEY EMPLOYEES |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST |
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