WESTERN WAYNE FAMILY HEALTH CENTERS: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WESTERN WAYNE FAMILY HEALTH CENTERS (EIN 30-0281587)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-04-24
- IRS object ID
- 201811149349300751
- 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 | 2018-04-24T08:07:07-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 2018-04-17 | 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 | 2018-04-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LINDA ATKINS | PrincipalOfficerNm |
| Gross Receipts | $11,493,610 | 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 | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 148 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,250,436 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,222,019 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,147,857 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,270,373 | CYProgramServiceRevenueAmt |
| PY Investment Income | $691 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,218 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $9,398,984 | PYTotalRevenueAmt |
| CY Total Revenue | $11,493,610 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,049,045 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,593,044 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,224,105 | PYOtherExpensesAmt |
| CY Other Expenses | $3,912,260 | CYOtherExpensesAmt |
| PY Total Expenses | $8,273,150 | PYTotalExpensesAmt |
| CY Total Expenses | $9,505,304 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,125,834 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,988,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,425,694 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,521,516 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,274,247 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,381,763 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,151,447 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,139,753 | 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 | $6,831,474 | ExpenseAmt |
| Revenue | $7,270,373 | RevenueAmt |
| Desc | CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER AND IS SERVICING APPROXIMATELY 15,900 PATIENTS IN A MEDICALLY UNDERSERVED AREA CLINIC ENCOUNTERS FOR THE YEAR WERE APPROXIMATELY 53,600 | 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 | $6,831,474 | 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 | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 148 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 (19 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 | ||
| JOHN FLYNN | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN KIMBROUGH | |||||||
| SECRETARY | 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 | |||||||
| DIRECTOR | 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 | ||
| RACHEL CUSHMAN | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA ATKINS | |||||||
| CEO | 40.00 | $119,320 | $0 | $7,367 | Yes (X) | ||
| DORIS MONICA GELDRES | |||||||
| COO | 40.00 | $92,082 | $0 | $7,367 | Yes (X) | ||
| JEREN STEPP | |||||||
| CFO | 40.00 | $64,423 | $0 | $7,367 | Yes (X) | ||
| ANTOINETTE BYRD-CARR | |||||||
| PHYSICIAN | 40.00 | $230,736 | $0 | $7,367 | Yes (X) | ||
| KAREN EGGLESTON | |||||||
| DENTIST | 40.00 | $136,617 | $0 | $7,367 | Yes (X) | ||
| TANIA SARKER | |||||||
| PHYSICIAN | 40.00 | $112,917 | $0 | $7,367 | Yes (X) | ||
| ROGER MAY | |||||||
| DENTIST | 40.00 | $109,219 | $0 | $7,367 | Yes (X) | ||
| GEORGE SAWABINI | |||||||
| PHYSICIAN | 40.00 | $103,374 | $0 | $7,367 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $968,688 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $58,936 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $4,053,860 | GovernmentGrantsAmt |
| All Other Contributions | $168,159 | AllOtherContributionsAmt |
| Total Contributions | $4,222,019 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT FEES | $6,604,367 | $6,604,367 |
| PHARMACY | $332,562 | $332,562 |
| INCENTIVE PAYMENTS | $321,408 | $321,408 |
| MEDICAL RECORDS | $12,036 | $12,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,270,373 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,218 | TotalRevenueColumnAmt |
| Exclusion | $1,218 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,493,610 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,270,373 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,218 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,743 | TotalAmt |
| Management And General | $183,743 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,515,087 | TotalAmt |
| Program Services | $3,122,559 | ProgramServicesAmt |
| Management And General | $1,392,528 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,938 | TotalAmt |
| Program Services | $362,299 | ProgramServicesAmt |
| Management And General | $186,639 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,276 | TotalAmt |
| Program Services | $227,882 | ProgramServicesAmt |
| Management And General | $117,394 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,321 | TotalAmt |
| Program Services | $14,780 | ProgramServicesAmt |
| Management And General | $7,541 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,950 | TotalAmt |
| Management And General | $10,950 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,293,170 | TotalAmt |
| Program Services | $1,027,698 | ProgramServicesAmt |
| Management And General | $265,472 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,316 | TotalAmt |
| Program Services | $27,269 | ProgramServicesAmt |
| Management And General | $14,047 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,682 | TotalAmt |
| Program Services | $7,501 | ProgramServicesAmt |
| Management And General | $48,181 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,637 | TotalAmt |
| Program Services | $198,109 | ProgramServicesAmt |
| Management And General | $49,528 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,527 | TotalAmt |
| Program Services | $25,453 | ProgramServicesAmt |
| Management And General | $43,074 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,514 | TotalAmt |
| Program Services | $41,941 | ProgramServicesAmt |
| Management And General | $31,573 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,546 | TotalAmt |
| Program Services | $49,860 | ProgramServicesAmt |
| Management And General | $25,686 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,876 | TotalAmt |
| Program Services | $5,401 | ProgramServicesAmt |
| Management And General | $39,475 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $429,907 | $429,907 | |
| SUPPLIES | $407,885 | $368,817 | $39,068 |
| PHARMACEUTICALS | $297,879 | $297,879 | |
| $279,324 | $229,996 | $49,328 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,726 | TotalAmt |
| Program Services | $394,123 | ProgramServicesAmt |
| Management And General | $169,603 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,505,304 | TotalAmt |
| Program Services | $6,831,474 | ProgramServicesAmt |
| Management And General | $2,673,830 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,980,295 | BOYAmt |
| EOY | $3,119,755 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,721 | BOYAmt |
| EOY | $51,371 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,074,408 | BOYAmt |
| EOY | $2,026,967 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,261 | BOYAmt |
| EOY | $12,431 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,905 | BOYAmt |
| EOY | $45,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,647,439 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,382,210 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,285,104 | BOYAmt |
| EOY | $4,265,229 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,425,694 | BOYAmt |
| EOY | $9,521,516 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,312 | BOYAmt |
| EOY | $519,500 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,057 | BOYAmt |
| EOY | $80,321 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,835,741 | BOYAmt |
| EOY | $1,771,038 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,137 | BOYAmt |
| EOY | $10,904 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,274,247 | BOYAmt |
| EOY | $2,381,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,151,447 | BOYAmt |
| EOY | $7,139,753 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,151,447 | BOYAmt |
| EOY | $7,139,753 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,425,694 | BOYAmt |
| EOY | $9,521,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,988,306 | 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 | $1,752,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,003,270 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,537,911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,250,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,222,019 | CurrentTaxYearAmt |
| Total | $15,765,679 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,752,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,003,270 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,537,911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,250,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,222,019 | CurrentTaxYearAmt |
| Total | $15,765,679 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $15,765,679 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $691 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,218 | CurrentTaxYearAmt |
| Total | $1,909 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,767,588 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,270,373 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $3,872,204 | OtherCostOrOtherBasisAmt |
| Depreciation | $318,172 | DepreciationAmt |
| Book Value | $3,554,032 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,768,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,064,038 | DepreciationAmt |
| Book Value | $704,397 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,265,229 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $11,493,610 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $11,493,610 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $11,493,610 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,505,304 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,505,304 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,505,304 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTOINETTE BYRD-CARR | PersonNm |
| Title | PHYSICIAN | TitleTxt |
| Base Compensation Filing Org | $230,736 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $7,367 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $238,103 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 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 |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES 489,296 0 0 PURCHASED SERVICES 288,181 12,188 0 PAYROLL SERVICE 13,076 6,736 0 COMPUTER SERVICE 174,657 148,781 0 SECURITY 60,988 51,953 0 CONSULTING 1,500 29,387 0 TEMPORARY HELP 0 16,427 0 TOTAL 1,027,698 265,472 0 |
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