RURAL HEALTH SERVICES INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- RURAL HEALTH SERVICES INC (EIN 23-7085643)
- Tax period
- 2018-06-01 to 2019-05-31
- Filed
- 2019-10-07
- IRS object ID
- 201942809349300774
- 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 | 2019-10-07T08:18:40-07:00 | ReturnTs |
| Tax Period End | 2019-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terry Horne CPA Inc | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 West Main Street | AddressLine1Txt |
| City | Lebanon | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37087 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237085643 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RURAL HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RURA | BusinessNameControlTxt |
| Phone | 8035939283 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 CLYBURN PLACE | AddressLine1Txt |
| City | AIKEN | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Carolyn Emanuel-McClain | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8035939283 | PhoneNum |
| Signature | 2019-10-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Terry Horne CPA | PreparerPersonNm |
| PTIN | P00120946 | PTIN |
| Phone | 6154447293 | PhoneNum |
| Preparation | 2019-10-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.38.81.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-07 | IPDt |
| IP Tm | 08:18:23 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 03245427EFB77A9D91A2A51551C39050C68870D0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 03245427EFB77A9D91A2A51551C39050C68870D0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Carolyn Emanuel-McClain | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 298220277 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,505,973 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MJWCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 156 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,919,930 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,899,950 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,898,598 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,595,485 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,774 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,538 | CYInvestmentIncomeAmt |
| PY Other Revenue | $500 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $13,820,802 | PYTotalRevenueAmt |
| CY Total Revenue | $14,505,973 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,578,440 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,865,844 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,880,197 | PYOtherExpensesAmt |
| CY Other Expenses | $4,555,410 | CYOtherExpensesAmt |
| PY Total Expenses | $12,458,637 | PYTotalExpensesAmt |
| CY Total Expenses | $13,421,254 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,362,165 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,084,719 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,649,293 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,775,955 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,345,028 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,386,971 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,304,265 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,388,984 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,090,250 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,595,485 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 51,600 VISITS WERE PROVIDED DURING THE YEAR. | Desc |
| Total Program Service Expenses | $10,090,250 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | Yes (true) | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 156 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | 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 | 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 |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHIOW WEN TERRANOVA CFO | PersonNm |
| Phone | 8035939283 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29822 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROSA ISHMAL | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN STROTHER | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHIRLEY EDWARDS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BENJAMIN BROUSSARD | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA WILLIAMS | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THAYER MCGAHEE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAWN FOSTER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NICHOLAS MCCARLEY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LIZ STEWART | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TRINITY CLAROS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROLYN EMANUEL-MCCLAIN | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $226,631 | $0 | $6,524 | Yes (X) | |||
| SHIOW WEN TERRANOVA | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $74,631 | $0 | $12,944 | Yes (X) | |||
| GIGINA WALKER | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $81,847 | $0 | $13,660 | Yes (X) | |||
| TIFFANY BOYD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $225,719 | $0 | $27,307 | Yes (X) | |||
| PRINCESS DAVIS | ||||||||
| CHIEF CLINICAL OPERATING OFFICER | 40.00 | $86,872 | $0 | $6,947 | Yes (X) | |||
| CHERISSE EDWARDS | ||||||||
| DIRECTOR OF PHARMACY | 40.00 | $119,936 | $0 | $18,869 | Yes (X) | |||
| JAMES BLAND | ||||||||
| PHYSICIAN | 40.00 | $178,784 | $0 | $13,601 | Yes (X) | |||
| LLOYD DANIELS | ||||||||
| PHYSICIAN | 40.00 | $218,682 | $0 | $7,524 | Yes (X) | |||
| KENNETH JONES | ||||||||
| PHYSICIAN | 40.00 | $216,651 | $0 | $6,428 | Yes (X) | |||
| MARIA RODRIGUEZ | ||||||||
| PHYSICIAN | 40.00 | $231,157 | $0 | $7,151 | Yes (X) | |||
| MAYA FIELDS | ||||||||
| PHYSICIAN | 40.00 | $168,775 | $0 | $8,099 | Yes (X) | |||
| GARY FISCHBACH | ||||||||
| PHYSICIAN | 40.00 | $192,395 | $0 | $16,845 | Yes (X) | |||
| WANDA GIBSON | ||||||||
| DENTIST | 40.00 | $144,112 | $0 | $6,486 | Yes (X) | |||
| NADIA FAZEL | ||||||||
| DENTIST | 40.00 | $128,987 | $0 | $10,395 | Yes (X) | |||
| BRECK KLEIN | ||||||||
| PHARMACIST | 40.00 | $111,220 | $0 | $7,728 | Yes (X) | |||
| DARRELL MORGAN | ||||||||
| PHARMACIST | 40.00 | $110,770 | $0 | $7,314 | Yes (X) | |||
| CHRISTIN NOE | ||||||||
| PHARMACIST | 40.00 | $108,132 | $0 | $14,673 | Yes (X) | |||
| AMANDA SALAS | ||||||||
| PHYSICIAN | 40.00 | $117,443 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,742,744 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $192,495 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DR VICTORIA STOEPPLER | |||||
| 14 BUNGALOW VILLAGE WAY | AIKEN | SC | 29803 | CONTRACTED MEDICAL SERVICES | $114,112 |
| AFFORDABLE CLEANING | |||||
| 1157 HERDON DAIRY RD | AIKEN | SC | 29803 | CONTRACTED CLEANING SERVICES | $135,727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,898,460 | GovernmentGrantsAmt |
| All Other Contributions | $1,490 | AllOtherContributionsAmt |
| Total Contributions | $2,899,950 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $11,595,485 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,595,485 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,538 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,538 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,505,973 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,595,485 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,538 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,635 | TotalAmt |
| Program Services | $345,655 | ProgramServicesAmt |
| Management And General | $469,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,725,690 | TotalAmt |
| Program Services | $5,844,599 | ProgramServicesAmt |
| Management And General | $881,091 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,206 | TotalAmt |
| Program Services | $15,749 | ProgramServicesAmt |
| Management And General | $3,457 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,515 | TotalAmt |
| Program Services | $656,721 | ProgramServicesAmt |
| Management And General | $142,794 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,798 | TotalAmt |
| Program Services | $414,754 | ProgramServicesAmt |
| Management And General | $91,044 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,175 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $9,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,220 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $37,220 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,765,587 | TotalAmt |
| Program Services | $1,104,600 | ProgramServicesAmt |
| Management And General | $660,987 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,887,013 | TotalAmt |
| Program Services | $1,399,023 | ProgramServicesAmt |
| Management And General | $487,990 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,783 | TotalAmt |
| Program Services | $75,275 | ProgramServicesAmt |
| Management And General | $148,508 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,443 | TotalAmt |
| Program Services | $40,781 | ProgramServicesAmt |
| Management And General | $101,662 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,767 | TotalAmt |
| Program Services | $1,603 | ProgramServicesAmt |
| Management And General | $31,164 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,177 | TotalAmt |
| Program Services | $171,718 | ProgramServicesAmt |
| Management And General | $258,459 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,245 | TotalAmt |
| Program Services | $19,772 | ProgramServicesAmt |
| Management And General | $7,473 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,421,254 | TotalAmt |
| Program Services | $10,090,250 | ProgramServicesAmt |
| Management And General | $3,331,004 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $860,842 | BOYAmt |
| EOY | $962,443 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,143,517 | BOYAmt |
| EOY | $1,366,942 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,196 | BOYAmt |
| EOY | $1,625,758 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,882 | BOYAmt |
| EOY | $83,768 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $33,041 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,919,681 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,229,328 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,684,206 | BOYAmt |
| EOY | $7,690,353 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,650 | BOYAmt |
| EOY | $13,650 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,649,293 | BOYAmt |
| EOY | $11,775,955 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,987 | BOYAmt |
| EOY | $712,025 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $50,010 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,688,041 | BOYAmt |
| EOY | $2,624,936 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,345,028 | BOYAmt |
| EOY | $3,386,971 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,304,265 | BOYAmt |
| EOY | $8,388,984 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,304,265 | BOYAmt |
| EOY | $8,388,984 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,649,293 | BOYAmt |
| EOY | $11,775,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,084,719 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | 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 |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,723,079 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,079,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,910,969 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,919,930 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,899,950 | CurrentTaxYearAmt |
| Total | $16,533,698 | 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 | $5,723,079 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,079,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,910,969 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,919,930 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,899,950 | CurrentTaxYearAmt |
| Total | $16,533,698 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $16,533,698 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,800 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $596 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,576 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,274 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,538 | CurrentTaxYearAmt |
| Total | $36,784 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $16,570,482 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $40,806,175 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99780 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $218,543 | InvestmentCostOrOtherBasisAmt |
| Book Value | $218,543 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,430,069 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,154,132 | DepreciationAmt |
| Book Value | $6,275,937 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,271,069 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,075,196 | DepreciationAmt |
| Book Value | $1,195,873 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,690,353 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CAPITALIZED LOAN COSTS | $0 |
| DEPOSITS | $13,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,650 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $14,505,973 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $14,505,973 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $14,505,973 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,421,254 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $13,421,254 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $13,421,254 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (9 entries)
| 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROLYN EMANUEL-MCCLAIN | |||||||||||||
| $226,631 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,524 | $0 | $233,155 | $0 | $0 | $0 |
| TIFFANY BOYD | |||||||||||||
| $225,719 | $0 | $0 | $0 | $0 | $0 | $1,000 | $0 | $26,307 | $0 | $253,026 | $0 | $0 | $0 |
| JAMES BLAND | |||||||||||||
| $178,784 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,601 | $0 | $192,385 | $0 | $0 | $0 |
| LLOYD DANIELS | |||||||||||||
| $218,682 | $0 | $0 | $0 | $0 | $0 | $1,000 | $0 | $6,524 | $0 | $226,206 | $0 | $0 | $0 |
| KENNETH JONES | |||||||||||||
| $216,651 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,428 | $0 | $223,079 | $0 | $0 | $0 |
| MARIA RODRIGUEZ | |||||||||||||
| $231,157 | $0 | $0 | $0 | $0 | $0 | $952 | $0 | $6,199 | $0 | $238,308 | $0 | $0 | $0 |
| MAYA FIELDS | |||||||||||||
| $168,775 | $0 | $0 | $0 | $0 | $0 | $1,671 | $0 | $6,428 | $0 | $176,874 | $0 | $0 | $0 |
| GARY FISCHBACH | |||||||||||||
| $192,395 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,845 | $0 | $209,240 | $0 | $0 | $0 |
| WANDA GIBSON | |||||||||||||
| $144,112 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,486 | $0 | $150,598 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE |
| Pt VI, Line 11b | IT IS FILED WITH THE IRS. |
| Pt VI, Line 12c | ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST |
| Pt VI, Line 12c | STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY. |
| Pt VI, Line 15a | THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY |
| Pt VI, Line 15b | HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED |
| Pt VI, Line 15b | COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION |
| Pt VI, Line 15b | OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION |
| Pt VI, Line 15b | EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED |
| Pt VI, Line 15b | COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY |
| Pt VI, Line 15b | COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY |
| Pt VI, Line 15b | AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT |
| Pt VI, Line 15b | THROUGH HRSA. |
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT |
| Pt VI, Line 19 | OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. |
| Pt XI | THE USE OF TEMPORARILY RESTRICTED NET ASSETS (DONATED SERVICES) FOR |
| Pt X | THEIR INTENDED PURPOSE. |
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