ALLIANCE MEDICAL MINISTRY INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ALLIANCE MEDICAL MINISTRY INC (EIN 56-2168673)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-10-02
- IRS object ID
- 201822759349300002
- 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 | 2018-10-02T07:48:33-04:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562344058 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DREHER MARTIN CPAS PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4101 LAKE BOONE TRL STE 215 | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27607 | 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 | 562168673 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE MEDICAL MINISTRY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLI | BusinessNameControlTxt |
| Phone | 9192503320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DONALD ROSS DRIVE | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARGARET P RADER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9192503320 | PhoneNum |
| Signature | 2018-09-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN C MARTIN | PreparerPersonNm |
| PTIN | P01084640 | PTIN |
| Phone | 9195109399 | PhoneNum |
| Preparation | 2018-10-01 | 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 | MARGARET P RADER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DONALD ROSS DRIVE | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,706,250 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALLIANCEMEDICALMINISTRY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 21 | TotalEmployeeCnt |
| Total Volunteers | 329 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $635,894 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,097,994 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $196,272 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $512,491 | CYProgramServiceRevenueAmt |
| PY Investment Income | $377 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,487 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,262 | PYOtherRevenueAmt |
| CY Other Revenue | $64,432 | CYOtherRevenueAmt |
| PY Total Revenue | $837,805 | PYTotalRevenueAmt |
| CY Total Revenue | $1,676,404 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $573,125 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,190,718 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $182,821 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $208,885 | PYOtherExpensesAmt |
| CY Other Expenses | $513,213 | CYOtherExpensesAmt |
| PY Total Expenses | $782,010 | PYTotalExpensesAmt |
| CY Total Expenses | $1,703,931 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $55,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$27,527 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,875,099 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,743,005 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $123,417 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,850 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,751,682 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,724,155 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,384,875 | ExpenseAmt |
| Revenue | $522,890 | RevenueAmt |
| Desc | PROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS. | Desc |
| Total Program Service Expenses | $1,384,875 | 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 | Yes (true) | 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 | Yes (true) | 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 | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 21 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | 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 | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARGARET P RADER | PersonNm |
| Phone | 9192503394 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DONALD ROSS DRIVE | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 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 |
|---|---|---|---|---|---|---|---|
| S TODD HEMPHILL | |||||||
| CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICK MARCOTTE | |||||||
| PAST CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN GORMLEY | |||||||
| SECRETARY | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN DONOFRIO JR | |||||||
| TREASURER | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARGARET P RADER | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | Yes (X) | $108,748 | $0 | $9,152 | |
| REBECCA ANDREWS | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| MATILDA FERRER | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR WILLIAM HELTON | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES KAY | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| NEIL MORRIS | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| GERALD PETKAU | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTEN RIGGS RN | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| JR SHEARIN | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY SIMMS | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR MICHAEL SPIRITOS | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR SUSAN WEAVER | |||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR MARGARET BURKHEAD | |||||||
| MEDICAL DIRE | 40.00 | $140,983 | $0 | $10,119 | Yes (X) | ||
| DR SHERYL JOYNER | |||||||
| PHYSICIAN | 40.00 | $112,758 | $0 | $9,272 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $362,489 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $28,543 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $119,630 | FundraisingAmt |
| Government Grants | $177,830 | GovernmentGrantsAmt |
| All Other Contributions | $800,534 | AllOtherContributionsAmt |
| Noncash Contributions | $33,999 | NoncashContributionsAmt |
| Total Contributions | $1,097,994 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REVENUE: CONTRACT FEES | 621110 | $375,000 | $375,000 |
| REVENUE: PATIENT FEES | 621110 | $135,949 | $135,949 |
| REVENUE MEDICAL RECORDS | 621110 | $1,542 | $1,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $512,491 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,507 | TotalRevenueColumnAmt |
| Exclusion | $1,507 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,830 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,830 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,830 | TotalRevenueColumnAmt |
| Exclusion | $55,830 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,383 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,403 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$20 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$20 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $16,626 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $119,630 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,443 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,817 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REVENUE:MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $10,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,419 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,419 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,676,404 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $522,890 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $57,337 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,215 | TotalAmt |
| Program Services | $39,738 | ProgramServicesAmt |
| Management And General | $39,738 | ManagementAndGeneralAmt |
| Fundraising | $39,739 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,565 | TotalAmt |
| Program Services | $803,081 | ProgramServicesAmt |
| Fundraising | $93,484 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,984 | TotalAmt |
| Program Services | $20,960 | ProgramServicesAmt |
| Management And General | $750 | ManagementAndGeneralAmt |
| Fundraising | $1,274 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,906 | TotalAmt |
| Program Services | $66,788 | ProgramServicesAmt |
| Management And General | $8,788 | ManagementAndGeneralAmt |
| Fundraising | $1,330 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,048 | TotalAmt |
| Program Services | $62,610 | ProgramServicesAmt |
| Management And General | $2,734 | ManagementAndGeneralAmt |
| Fundraising | $9,704 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,700 | TotalAmt |
| Program Services | $10,160 | ProgramServicesAmt |
| Management And General | $2,540 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,109 | TotalAmt |
| Program Services | $108,534 | ProgramServicesAmt |
| Management And General | $33,575 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,942 | TotalAmt |
| Program Services | $3,985 | ProgramServicesAmt |
| Fundraising | $11,957 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288 | TotalAmt |
| Program Services | $216 | ProgramServicesAmt |
| Management And General | $36 | ManagementAndGeneralAmt |
| Fundraising | $36 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,639 | TotalAmt |
| Program Services | $101,539 | ProgramServicesAmt |
| Management And General | $20,668 | ManagementAndGeneralAmt |
| Fundraising | $9,432 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73 | TotalAmt |
| Program Services | $55 | ProgramServicesAmt |
| Management And General | $9 | ManagementAndGeneralAmt |
| Fundraising | $9 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531 | TotalAmt |
| Program Services | $399 | ProgramServicesAmt |
| Management And General | $66 | ManagementAndGeneralAmt |
| Fundraising | $66 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,746 | TotalAmt |
| Program Services | $69,560 | ProgramServicesAmt |
| Management And General | $11,593 | ManagementAndGeneralAmt |
| Fundraising | $11,593 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,580 | TotalAmt |
| Program Services | $23,734 | ProgramServicesAmt |
| Management And General | $2,176 | ManagementAndGeneralAmt |
| Fundraising | $670 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLINIC EXPENSE | $35,694 | $35,694 | ||
| MEDICAL SUPPLIES | $22,094 | $22,094 | ||
| SUPPLIES-OFFICE | $10,059 | $6,035 | $1,006 | $3,018 |
| TRAINING | $7,841 | $7,841 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,917 | TotalAmt |
| Program Services | $1,852 | ProgramServicesAmt |
| Management And General | $12,556 | ManagementAndGeneralAmt |
| Fundraising | $509 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,703,931 | TotalAmt |
| Program Services | $1,384,875 | ProgramServicesAmt |
| Management And General | $136,235 | ManagementAndGeneralAmt |
| Fundraising | $182,821 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $631,846 | BOYAmt |
| EOY | $628,461 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,532 | BOYAmt |
| EOY | $17,532 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,248 | BOYAmt |
| EOY | $11,694 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,938 | BOYAmt |
| EOY | $26,513 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,103,437 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,044,632 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,114,535 | BOYAmt |
| EOY | $3,058,805 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,875,099 | BOYAmt |
| EOY | $3,743,005 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,665 | BOYAmt |
| EOY | $18,850 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,475 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,277 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,417 | BOYAmt |
| EOY | $18,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,688,650 | BOYAmt |
| EOY | $3,691,623 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,032 | BOYAmt |
| EOY | $32,532 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,751,682 | BOYAmt |
| EOY | $3,724,155 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,875,099 | BOYAmt |
| EOY | $3,743,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$27,527 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $1,297,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $923,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $960,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $635,894 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,097,994 | CurrentTaxYearAmt |
| Total | $4,914,997 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $594,008 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $599,408 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $543,908 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $221,232 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $539,536 | CurrentTaxYearAmt |
| Total | $2,498,092 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,891,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,523,120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,504,028 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $857,126 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,637,530 | CurrentTaxYearAmt |
| Total | $7,413,089 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,185 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $299,419 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,714 | CurrentTaxYearAmt |
| Total | $717,921 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $352,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $356,378 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $356,322 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,715 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $358,061 | CurrentTaxYearAmt |
| Total | $1,602,199 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $371,908 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $411,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $655,741 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $472,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $408,775 | CurrentTaxYearAmt |
| Total | $2,320,120 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,092,969 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $377 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $377 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,507 | CurrentTaxYearAmt |
| Total | $3,463 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $377 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $377 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,507 | CurrentTaxYearAmt |
| Total | $3,463 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $95,311 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,353 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,914 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,830 | CurrentTaxYearAmt |
| Total | $307,410 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,987,168 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,584,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,580,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $878,505 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,693,867 | CurrentTaxYearAmt |
| Total | $7,723,962 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.65940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.64700 | 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
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 | $580,100 | OtherCostOrOtherBasisAmt |
| Book Value | $580,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,376,463 | OtherCostOrOtherBasisAmt |
| Depreciation | $913,171 | DepreciationAmt |
| Book Value | $2,463,292 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,461 | DepreciationAmt |
| Book Value | $15,413 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,058,805 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,000,732 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $324,328 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $324,328 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,676,404 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,676,404 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,028,259 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $324,328 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $324,328 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,703,931 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,703,931 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | WOMEN'S LUNCHEO | Event1Nm |
| Gross Receipts Event1 | $106,922 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $90,296 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $16,626 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $17,784 | OtherDirectExpensesEvent1Amt |
| Event2 | SHARE THE PIE | Event2Nm |
| Gross Receipts Event2 | $29,334 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $29,334 | CharitableContriEvent2Amt |
| Gross Receipts Total | $136,256 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $119,630 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $16,626 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $17,784 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $17,784 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,158 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR MARGARET BURKHEAD | PersonNm |
| Title | MEDICAL DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $140,983 | BaseCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $4,229 | DeferredCompensationFlngOrgAmt |
| Nontaxable Benefits Filing Org | $5,890 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $151,102 | TotalCompensationFilingOrgAmt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $11,403 | NoncashContributionsRptF990Amt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $9,814 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $12,782 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 WILL BE DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT AT THE BOARD MEETING FOLLOWING DISTRIBUTION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FOR INSPECTION. ALSO THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL REPORT SENT IN A NEWSLETTER TO SUPPORTERS(ALSO AVAILABLE UPON REQUEST). THE NEWSLETTER WITH THE ANNUAL REPORT MAY BE DOWNLOADED FROM THE ORGANIZATION'S WEBSITE. |