COMMUNITY CARE INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY CARE INCORPORATED (EIN 82-0562064)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-03-29
IRS object ID
201800889349300605
Schema version
2017v2.2
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

FieldValueIRS element (for citing)
Return2018-03-29T09:57:46-04:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN631166192PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Cambridge Services LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 7016AddressLine1Txt
CityRainbow CityCityNm
State AbbreviationALStateAbbreviationCd
ZIP35906ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820562064EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE INCORPORATEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8622AddressLine1Txt
CityGadsdenCityNm
State AbbreviationALStateAbbreviationCd
ZIP359028622ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDSEY ARCHERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2018-03-27SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert W BlountPreparerPersonNm
PTINP01558911PTIN
Phone2565439299PhoneNum
Preparation2018-03-29PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDSEY ARCHERPrincipalOfficerNm
Gross Receipts$64,196GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionPROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY ALABAMAActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$86,512PYContributionsGrantsAmt
CY Contributions Grants$63,973CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$909PYOtherRevenueAmt
CY Other Revenue$223CYOtherRevenueAmt
PY Total Revenue$87,421PYTotalRevenueAmt
CY Total Revenue$64,196CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,012PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,720CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$65,512PYOtherExpensesAmt
CY Other Expenses$45,642CYOtherExpensesAmt
PY Total Expenses$100,524PYTotalExpensesAmt
CY Total Expenses$82,362CYTotalExpensesAmt
PY Revenues Less Expenses-$13,103PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$18,166CYRevenuesLessExpensesAmt
Total Assets BOY$42,267TotalAssetsBOYAmt
Total Assets EOY$23,775TotalAssetsEOYAmt
Total Liabilities BOY$1,241TotalLiabilitiesBOYAmt
Total Liabilities EOY$915TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$41,026NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,860NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY ALABAMAMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$67,233ExpenseAmt
Grant$63,973GrantAmt
Revenue$64,196RevenueAmt
DescPROVIDED FREE MEDICAL ASSISTANCE TO UNINSURED RESIDENTS OF ETOWAH CO ALDesc
Total Program Service Expenses$67,233TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCAMBRIDGE SERVICES LLCPersonNm
Phone2565439299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1756 WALNUT STAddressLine1Txt
CityGadsdenCityNm
State AbbreviationALStateAbbreviationCd
ZIP35901ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
CHARLES GRIFFITH
MEDICAL DIRECTOR0.000.00Yes (X)$0$0$0
STEPHEN WOOD
DIRECTOR0.000.00Yes (X)$0$0$0
LINDSEY ARCHER
PRESIDENT8.000.00Yes (X)$0$0$0Yes (X)
HEATHER RICKLES
DIRECTOR0.000.00Yes (X)$0$0$0
RICK JANSS
SECRETARY2.000.00$0$0$0Yes (X)
BOB BLOUNT
TREASURER10.000.00$0$0$0Yes (X)
JOAN JONES
CLINIC DIRECTOR40.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$48,090GovernmentGrantsAmt
All Other Contributions$15,883AllOtherContributionsAmt
Total Contributions$63,973TotalContributionsAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMedical servicesDesc
Business339110BusinessCd
Total Revenue Column$223TotalRevenueColumnAmt
Related Or Exempt Func Income$223RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$223OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,196TotalRevenueColumnAmt
Related Or Exempt Func Income$223RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,482TotalAmt
Program Services$25,734ProgramServicesAmt
Management And General$8,748ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,238TotalAmt
Program Services$1,656ProgramServicesAmt
Management And General$582ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,265TotalAmt
Management And General$5,265ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,957TotalAmt
Program Services$3,423ProgramServicesAmt
Management And General$534ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,802TotalAmt
Program Services$6,802ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,058TotalAmt
Program Services$1,058ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,133TotalAmt
Program Services$5,133ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Supplies$12,306$12,306
Lab fees$6,280$6,280
Medications$3,970$3,970

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$871TotalAmt
Program Services$871ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$82,362TotalAmt
Program Services$67,233ProgramServicesAmt
Management And General$15,129ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$34,090BOYAmt
EOY$16,156EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$130BOYAmt
EOY$630EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,137LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,148LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,047BOYAmt
EOY$6,989EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,267BOYAmt
EOY$23,775EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,241BOYAmt
EOY$915EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,241BOYAmt
EOY$915EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,026BOYAmt
EOY$22,860EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,026BOYAmt
EOY$22,860EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,267BOYAmt
EOY$23,775EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$18,166ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,332CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84,474CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,512CurrentTaxYearMinus1YearAmt
Current Tax Year$69,973CurrentTaxYearAmt
Total$374,567TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$794CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$909CurrentTaxYearMinus1YearAmt
Current Tax Year$223CurrentTaxYearAmt
Total$4,678TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,787CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$85,771CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99,070CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87,421CurrentTaxYearMinus1YearAmt
Current Tax Year$70,196CurrentTaxYearAmt
Total$379,245TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$379,245PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,787CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$85,771CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99,070CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87,421CurrentTaxYearMinus1YearAmt
Current Tax Year$70,196CurrentTaxYearAmt
Total$379,245TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,400InvestmentCostOrOtherBasisAmt
Depreciation$8DepreciationAmt
Book Value$5,392BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$15,737InvestmentCostOrOtherBasisAmt
Depreciation$14,140DepreciationAmt
Book Value$1,597BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,989TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11FORM 990 WAS PRESENTED TO BOARD OF DIRECTORS AND APPROVED BEFORE SUBMITTING TO IRS
Governing documents etc available to public Part VI line 19AVAILABLE TO PUBLIC

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