UNIVERSITY COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY COMMUNITY HEALTH SERVICES INC (EIN 62-1438461)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201931349349307868
- Schema version
- 2017v2.3
- 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 | 2019-05-14T16:33:25-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 SECOND AVE SOUTH STE 1240 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621438461 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY COMMUNITY HEALTH SERVICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 6159327625 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 BENTON AVENUE | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROLINE JENKINS SUZANNE HURLEY | PersonNm |
| Person Title | CO-CEO | PersonTitleTxt |
| Phone | 6159327625 | PhoneNum |
| Signature | 2019-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA G MOON | PreparerPersonNm |
| PTIN | P00034774 | PTIN |
| Phone | 6153836592 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 184.80.143.82 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-14 | IPDt |
| IP Tm | 14:34:33 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B26CF02F91598C5FA45117DF78938BE0313345C0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 681165C3F411A5C91A132F4457263660CFEA6D09 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTUS HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAROLINE JENKINS SUZANN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 BENTON AVENUE | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,022,307 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CONNECTUS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ACCESSIBLE AFFORDABLE, HOLISTIC HEALTHCARE TO PATIENTS ACROSS THE LIFESPAN WITH A SPECIAL FOCUS ON VULNERABLE POPULATIONS, WITHIN A FINANCIALLY SUSTAINABLE DELIVERY MODEL. FURTHER, UCHS SUPPORTS HEALTH PROFESSIONS EDUCATION, CLINICAL, AND HEALTH SERVICES RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 73 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,911,653 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,834,767 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,818,758 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,187,540 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,730,411 | PYTotalRevenueAmt |
| CY Total Revenue | $6,022,307 | 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 | $3,745,287 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,079,247 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,873,464 | PYOtherExpensesAmt |
| CY Other Expenses | $2,051,830 | CYOtherExpensesAmt |
| PY Total Expenses | $5,618,751 | PYTotalExpensesAmt |
| CY Total Expenses | $6,131,077 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $111,660 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$108,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,968,038 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,872,480 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $395,583 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $408,796 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,572,455 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,463,684 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE ACCESSIBLE AFFORDABLE, HOLISTIC HEALTHCARE TO PATIENTS ACROSS THE LIFESPAN WITH A SPECIAL FOCUS ON VULNERABLE POPULATIONS, WITHIN A FINANCIALLY SUSTAINABLE DELIVERY MODEL. FURTHER, UCHS SUPPORTS HEALTH PROFESSIONS EDUCATION, CLINICAL, AND HEALTH SERVICES RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,641,132 | ExpenseAmt |
| Revenue | $4,187,540 | RevenueAmt |
| Desc | UNIVERSITY COMMUNITY HEALTH SERVICES OPERATES A NETWORK OF NURSE MANAGED PRIMARY CARE CLINICS SOME OF WHICH ARE LOCATED IN LOW INCOME AREAS IN NASHVILLE. THESE CLINICS ARE PART OF THE STATE SAFETY NET NETWORK AND SERVICES ARE PROVIDED UNDER AN AFFORDABLE SLIDING SCALE BASED ON POVERTY LEVEL AND INSURANCE COVERAGE. CARE WAS PROVIDED IN OVER 48,000 VISITS FOR THE YEAR ENDED JUNE 30, 2018. PRIMARY CARE SERVICES ARE ALSO PROVIDED IN ON SITE CLINICS EMBEDED IN WITH EMPLOYERS, INCLUDING THE STATE OF TENNESSEE. MANY OF THE EMPLOYEES SERVED AT THESE SITES ARE UNINSURED OR UNDER INSURED AS WELL. TO PROVIDE ACCESSIBLE AFFORDABLE, HOLISTIC HEALTHCARE TO PATIENTS ACROSS THE LIFESPAN WITH A SPECIAL FOCUS ON VULNERABLE POPULATIONS, WITHIN A FINANCIALLY SUSTAINABLE DELIVERY MODEL. | Desc |
| Total Program Service Expenses | $4,641,132 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 73 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLINE PORTIS-JENKINS & SUZANNE HURLEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6159327634 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 BENTON AVE | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| AMY RADCLIFF | |||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRENT TAYLOR | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES ARMSTRONG | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATY HAEUPTLE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN CONRAD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAIME BRINKLEY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA CRISTINA BLASQUEZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| QUENA ARMSTRONG | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHANA BERKELEY | |||||||
| VICE-PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| YURI CUNZA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANITA SANDERS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLINE PORTIS-JENKINS | |||||||
| CO-CEO | 40.00 | Yes (X) | $113,389 | $0 | $19,046 | ||
| MARY SUZANNE HURLEY | |||||||
| CO-CEO | 40.00 | Yes (X) | $123,714 | $0 | $4,183 | ||
| RICHARD DAVIDSON | |||||||
| CFO (7/1/17-6/17/18) | 40.00 | Yes (X) | $91,207 | $0 | $5,913 | ||
| STEPHANIE CAVANAGH | |||||||
| CFO (6/18/18-PRESENT) | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| LILLIAN N BEAIRD-GAINES | |||||||
| PHYSICIAN | 40.00 | $123,459 | $0 | $9,479 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $451,769 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $38,621 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GUIDANT PARTNERS | |||||
| PO BOX 830674 | BIRMINGHAN | AL | 35283 | TECHNOLOGY SERVICES | $168,010 |
| ALLSCRIPTS LLC | |||||
| 24630 NETWORK PLACE | CHIVAGO | IL | 60673 | TECHNOLOGY SERVICES | $135,231 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,774,359 | GovernmentGrantsAmt |
| All Other Contributions | $60,408 | AllOtherContributionsAmt |
| Total Contributions | $1,834,767 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REV | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,187,540 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,187,540 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,187,540 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,022,307 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,187,540 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,759 | TotalAmt |
| Program Services | $356,759 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,125,594 | TotalAmt |
| Program Services | $2,635,543 | ProgramServicesAmt |
| Management And General | $490,051 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,916 | TotalAmt |
| Program Services | $65,861 | ProgramServicesAmt |
| Management And General | $12,055 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,130 | TotalAmt |
| Program Services | $214,698 | ProgramServicesAmt |
| Management And General | $37,432 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,848 | TotalAmt |
| Program Services | $231,288 | ProgramServicesAmt |
| Management And General | $35,560 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,948 | TotalAmt |
| Management And General | $2,948 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,278 | TotalAmt |
| Management And General | $152,278 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,579 | TotalAmt |
| Program Services | $119,993 | ProgramServicesAmt |
| Management And General | $157,586 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,365 | TotalAmt |
| Program Services | $35,233 | ProgramServicesAmt |
| Management And General | $63,132 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,073 | TotalAmt |
| Program Services | $121,091 | ProgramServicesAmt |
| Management And General | $13,982 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,710 | TotalAmt |
| Program Services | $26,351 | ProgramServicesAmt |
| Management And General | $224,359 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,089 | TotalAmt |
| Program Services | $175,031 | ProgramServicesAmt |
| Management And General | $2,058 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,101 | TotalAmt |
| Program Services | $4,673 | ProgramServicesAmt |
| Management And General | $18,428 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,237 | TotalAmt |
| Program Services | $3,237 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,010 | TotalAmt |
| Management And General | $184,010 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,364 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
| Management And General | $52,364 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $352,366 | $352,366 | |
| CONTRACT SERVICES | $228,327 | $219,787 | $8,540 |
| RECRUITING & RETENTION | $41,608 | $29,153 | $12,455 |
| MEALS & ENTERTAINMENT | $23,991 | $15,275 | $8,716 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,784 | TotalAmt |
| Program Services | $33,793 | ProgramServicesAmt |
| Management And General | $13,991 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,131,077 | TotalAmt |
| Program Services | $4,641,132 | ProgramServicesAmt |
| Management And General | $1,489,945 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $749,937 | BOYAmt |
| EOY | $860,623 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,090 | BOYAmt |
| EOY | $289,349 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,126 | BOYAmt |
| EOY | $353,978 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,843 | BOYAmt |
| EOY | $103,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,139,705 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,875,153 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $429,342 | BOYAmt |
| EOY | $264,552 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968,038 | BOYAmt |
| EOY | $1,872,480 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,106 | BOYAmt |
| EOY | $297,492 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,289 | BOYAmt |
| EOY | $1,499 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,188 | BOYAmt |
| EOY | $109,805 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,583 | BOYAmt |
| EOY | $408,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,572,455 | BOYAmt |
| EOY | $1,463,684 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,572,455 | BOYAmt |
| EOY | $1,463,684 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968,038 | BOYAmt |
| EOY | $1,872,480 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$108,770 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$1 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $938,920 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,337,404 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,770,612 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,911,653 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,834,767 | CurrentTaxYearAmt |
| Total | $7,793,356 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,059,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,694,506 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,945,935 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,818,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,187,540 | CurrentTaxYearAmt |
| Total | $23,705,925 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,998,106 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,031,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,716,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,730,411 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,022,307 | CurrentTaxYearAmt |
| Total | $31,499,281 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $858,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,238,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,549,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,734,821 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,653,913 | CurrentTaxYearAmt |
| Total | $7,035,601 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $858,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,238,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,549,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,734,821 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,653,913 | CurrentTaxYearAmt |
| Total | $7,035,601 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $24,463,680 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,541 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27 | CurrentTaxYearMinus3YearsAmt |
| Total | $1,568 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,541 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27 | CurrentTaxYearMinus3YearsAmt |
| Total | $1,568 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,999,647 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,031,937 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,716,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,730,411 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,022,307 | CurrentTaxYearAmt |
| Total | $31,500,849 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.77660 | PublicSupportCY509Pct |
| Public Support PY509 | 0.81450 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,393,812 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,285,624 | DepreciationAmt |
| Book Value | $108,188 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $624,933 | OtherCostOrOtherBasisAmt |
| Depreciation | $499,590 | DepreciationAmt |
| Book Value | $125,343 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,960 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,939 | DepreciationAmt |
| Book Value | $31,021 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $264,552 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $109,805 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $109,805 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $6,098,939 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $76,632 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $76,632 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,022,307 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,022,307 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,207,709 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $76,632 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $76,632 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,131,077 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,131,077 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | LBMC PERFORMED CONTROLLER DUTIES INCLUDING FINANCIAL STATEMENT PREPARATION AND VARIANCE EXPLANATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEOS AND CFE REVIEW THE FORM 990. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE CEO DISTRIBUTES THE FORM AND PRESENTS IT TO THE BOARD FOR APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION ANNUALLY REQUIRES ALL EMPLOYEES TO REEVALUATE IF THERE AS BEEN A CHANGE TO THEIR CONFLICT OF INTEREST WITH ANY PARTY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS DETERMINED BY MARKET FACTORS, EXPERIENCE, JOB DESCRIPTION, PERFORMANCE EVALUATION BY THE BOARD OF DIRECTORS, COMPETENCE, AND GOAL ACCOMPLISHMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
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