RURAL HEALTH SERVICES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- RURAL HEALTH SERVICES INC (EIN 23-7085643)
- Tax period
- 2017-06-01 to 2018-05-31
- Filed
- 2018-10-02
- IRS object ID
- 201822759349300512
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-02T06:44:49-07:00 | ReturnTs |
| Tax Period End | 2018-05-31 | 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 | 2017-06-01 | 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 | 2018-09-28 | 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 | 2018-10-02 | 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 | 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 | $13,820,802 | 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 | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 127 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,855,884 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,919,930 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,018,447 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,898,598 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,576 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,774 | CYInvestmentIncomeAmt |
| PY Other Revenue | $34,000 | PYOtherRevenueAmt |
| CY Other Revenue | $500 | CYOtherRevenueAmt |
| PY Total Revenue | $10,909,907 | PYTotalRevenueAmt |
| CY Total Revenue | $13,820,802 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,577,466 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,578,440 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,548,157 | PYOtherExpensesAmt |
| CY Other Expenses | $4,880,197 | CYOtherExpensesAmt |
| PY Total Expenses | $10,125,623 | PYTotalExpensesAmt |
| CY Total Expenses | $12,458,637 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $784,284 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,362,165 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,611,997 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,673,905 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,669,897 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,369,640 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,942,100 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,304,265 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THIS ORGANIZATION PROVIDES HEALTH CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,044,466 | ExpenseAmt |
| Revenue | $10,898,598 | 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 60,800 VISITS WERE PROVIDED DURING THE YEAR. | Desc |
| Total Program Service Expenses | $9,044,466 | 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 |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 127 | 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 | 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 |
| 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 (21 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 |
|---|---|---|---|---|---|---|---|
| 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 | ||
| ANA AHMADIEH | |||||||
| BOARD MEMBER | 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 | ||
| BARBARA WILLIAMS | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN EMANUEL-MCCLAIN | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $197,279 | $0 | $4,581 | Yes (X) | ||
| ROBERT T REEL JR | |||||||
| FORMER CHIEF FINANCIAL OFFICER | 40.00 | $93,659 | $0 | $4,581 | Yes (X) | ||
| JAMIE ULMER | |||||||
| FORMER CHIEF OPERATIONAL OFFICER | 40.00 | $89,915 | $0 | $1,045 | Yes (X) | ||
| TIFFANY BOYD | |||||||
| MEDICAL DIRECTOR | 40.00 | $230,883 | $0 | $12,055 | Yes (X) | ||
| CHERISSE EDWARDS | |||||||
| DIRECTOR OF PHARMACY | 40.00 | $112,397 | $0 | $8,075 | Yes (X) | ||
| LLYOD DANIELS | |||||||
| PHYSICIAN | 40.00 | $219,454 | $0 | $5,512 | Yes (X) | ||
| GARY T FISCHBACH | |||||||
| PHYSICIAN | 40.00 | $196,131 | $0 | $11,060 | Yes (X) | ||
| KENNETH JONES | |||||||
| PHYSICIAN | 40.00 | $184,681 | $0 | $4,581 | Yes (X) | ||
| MARIA RODRIGUEZ | |||||||
| PHYSICIAN | 40.00 | $213,600 | $0 | $6,381 | Yes (X) | ||
| JAMES BLAND | |||||||
| PHYSICIAN | 40.00 | $176,573 | $0 | $8,875 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,714,572 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $66,746 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDTS LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1926 | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 309031926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | IT SUPPORT | ServicesDesc |
| Compensation | $119,811 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,919,930 | GovernmentGrantsAmt |
| Total Contributions | $2,919,930 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $10,898,598 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,898,598 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,774 | TotalRevenueColumnAmt |
| Exclusion | $1,774 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $500 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $500 | TotalRevenueColumnAmt |
| Exclusion | $500 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,820,802 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,898,598 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,274 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,133 | TotalAmt |
| Program Services | $343,280 | ProgramServicesAmt |
| Management And General | $380,853 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,781,428 | TotalAmt |
| Program Services | $4,519,718 | ProgramServicesAmt |
| Management And General | $1,261,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,119 | TotalAmt |
| Program Services | $471,422 | ProgramServicesAmt |
| Management And General | $160,697 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,760 | TotalAmt |
| Program Services | $330,570 | ProgramServicesAmt |
| Management And General | $110,190 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,115 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,115 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,895 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $21,895 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,519,871 | TotalAmt |
| Program Services | $1,171,266 | ProgramServicesAmt |
| Management And General | $348,605 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,517,836 | TotalAmt |
| Program Services | $1,909,538 | ProgramServicesAmt |
| Management And General | $608,298 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,747 | TotalAmt |
| Program Services | $178,197 | ProgramServicesAmt |
| Management And General | $44,550 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,252 | TotalAmt |
| Program Services | $18,471 | ProgramServicesAmt |
| Management And General | $116,781 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,355 | TotalAmt |
| Program Services | $26,684 | ProgramServicesAmt |
| Management And General | $6,671 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,043 | TotalAmt |
| Program Services | $58,454 | ProgramServicesAmt |
| Management And General | $324,589 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,083 | TotalAmt |
| Program Services | $16,866 | ProgramServicesAmt |
| Management And General | $4,217 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,458,637 | TotalAmt |
| Program Services | $9,044,466 | ProgramServicesAmt |
| Management And General | $3,414,171 | 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 | $236,780 | BOYAmt |
| EOY | $860,842 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,171 | BOYAmt |
| EOY | $1,143,517 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $668,907 | BOYAmt |
| EOY | $847,196 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,528 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,543 | BOYAmt |
| EOY | $99,882 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,483,358 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,799,152 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,903,100 | BOYAmt |
| EOY | $7,684,206 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,968 | BOYAmt |
| EOY | $38,262 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,611,997 | BOYAmt |
| EOY | $10,673,905 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,745 | BOYAmt |
| EOY | $656,987 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,284 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,785,868 | BOYAmt |
| EOY | $2,712,653 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,669,897 | BOYAmt |
| EOY | $3,369,640 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,942,100 | BOYAmt |
| EOY | $7,304,265 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,942,100 | BOYAmt |
| EOY | $7,304,265 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,611,997 | BOYAmt |
| EOY | $10,673,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,362,165 | 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 |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,803,912 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,723,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,079,770 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,910,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,919,930 | CurrentTaxYearAmt |
| Total | $16,437,660 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,803,912 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,723,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,079,770 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,910,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,919,930 | CurrentTaxYearAmt |
| Total | $16,437,660 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $16,437,660 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,576 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,274 | CurrentTaxYearAmt |
| Total | $29,546 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $16,467,206 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $32,487,326 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99820 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99790 | 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 | $8,420,780 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,686,674 | DepreciationAmt |
| Book Value | $6,734,106 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,844,035 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,112,478 | DepreciationAmt |
| Book Value | $731,557 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,684,206 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CAPITALIZED LOAN COSTS | $24,612 |
| DEPOSITS | $13,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $38,262 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $13,820,802 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $13,820,802 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $13,820,802 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,458,637 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $12,458,637 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $12,458,637 | 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 (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|
| CAROLYN EMANUEL-MCCLAIN | |||
| $197,279 | $4,581 | $201,860 | |
| TIFFANY BOYD | |||
| $230,883 | $11,060 | $242,938 | $995 |
| LLYOD DANIELS | |||
| $219,454 | $4,581 | $224,966 | $931 |
| GARY T FISCHBACH | |||
| $196,131 | $11,060 | $207,191 | |
| KENNETH JONES | |||
| $184,681 | $4,581 | $189,262 | |
| MARIA RODRIGUEZ | |||
| $213,600 | $4,581 | $219,981 | $1,800 |
| JAMES BLAND | |||
| $213,600 | $4,581 | $219,981 | $1,800 |
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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