HEALING HANDS MINISTRIES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HEALING HANDS MINISTRIES INC (EIN 65-1259379)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-16
IRS object ID
201842289349300209
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

FieldValueIRS element (for citing)
Return2018-08-16T08:21:28-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY SUITE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN651259379EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Healing Hands Ministries IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JANNA GARDNERInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone2142210855PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 741524AddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP753741524ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANNA R GARDNERPersonNm
Person TitlePresident, CEOPersonTitleTxt
Phone2142210855PhoneNum
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJanna GardnerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18515 Greenville Ave N-112AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75243ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,712,516GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALINGHANDSDALLAS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionHHM IS A PATIENT MEDICAL/DENTAL HOME THAT PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH AND PEDIATRIC SERVICES TO THOSE THAT ARE ... (CONTINUED ON SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee70TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,523,835PYContributionsGrantsAmt
CY Contributions Grants$3,194,451CYContributionsGrantsAmt
PY Program Service Revenue$654,493PYProgramServiceRevenueAmt
CY Program Service Revenue$1,223,971CYProgramServiceRevenueAmt
PY Investment Income$89,343PYInvestmentIncomeAmt
CY Investment Income$315,384CYInvestmentIncomeAmt
PY Other Revenue$45,138PYOtherRevenueAmt
CY Other Revenue$91,748CYOtherRevenueAmt
PY Total Revenue$6,312,809PYTotalRevenueAmt
CY Total Revenue$4,825,554CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,683,635PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,542,051CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$14,614PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$62,266CYTotalFundraisingExpenseAmt
PY Other Expenses$1,487,001PYOtherExpensesAmt
CY Other Expenses$1,714,504CYOtherExpensesAmt
PY Total Expenses$4,185,250PYTotalExpensesAmt
CY Total Expenses$4,256,555CYTotalExpensesAmt
PY Revenues Less Expenses$2,127,559PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$568,999CYRevenuesLessExpensesAmt
Total Assets BOY$9,221,333TotalAssetsBOYAmt
Total Assets EOY$9,939,716TotalAssetsEOYAmt
Total Liabilities BOY$100,981TotalLiabilitiesBOYAmt
Total Liabilities EOY$120,967TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,120,352NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,818,749NetAssetsOrFundBalancesEOYAmt
MissionBECAUSE WE VIEW ALL PATIENTS AS GOD'S CHILDREN, HEALING HANDS MINISTRIES STRIVES TO PROVIDE COMPASSIONATE, ACCESSIBLE, QUALITY CARE TO ALL OF ITS NEIGHBORS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,828,323ExpenseAmt
Revenue$1,223,971RevenueAmt
DescProvided medical and dental care to 17,000 working poor and uninsured in the local community during 33,102 separate medical visits.Desc
Total Program Service Expenses$2,828,323TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee70EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANNA GARDNERPersonNm
Phone2142210855PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18515 GREENVILLE AVE N-112AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75243ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ADAM CHABIRA
TREASURER4.00.0Yes (X)Yes (X)$0$0$0
Jason Dodd
Chair4.00.0Yes (X)Yes (X)$0$0$0
Ivet Cantu
Director4.00.0Yes (X)$0$0$0
Don Dixon
Director4.00.0Yes (X)$0$0$0
Terri Heard
Director4.00.0Yes (X)$0$0$0
Desmond Jackson
Director4.00.0Yes (X)$0$0$0
Tikisa Jackson
Director4.00.0Yes (X)$0$0$0
Brian Jorgensen
Secretary4.00.0Yes (X)Yes (X)$0$0$0
Gill Kirkpatrick MD
Director4.00.0Yes (X)$0$0$0
Blanca Lerma
Director4.00.0Yes (X)$0$0$0
Maria Miller
Director4.00.0Yes (X)$0$0$0
Josefina Ornelas
Director4.00.0Yes (X)$0$0$0
Sharon Simpson
Director4.00.0Yes (X)$0$0$0
Chris Thompson
Chair-Elect4.00.0Yes (X)Yes (X)$0$0$0
Charlyn C Webb
Director4.00.0Yes (X)$0$0$0
JANNA GARDNER
PRESIDENT, CEO80.00.0Yes (X)$122,185$0$8,887
JARRETT LAMBERT
CFO60.00.0Yes (X)$110,261$0$551
BLANCA PENA
DENTAL DIRECTOR45.00.0$142,674$0$8,185Yes (X)
PAUL NETTLES
DENTIST42.00.0$147,877$0$2,914Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$522,997TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$20,537TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TEXAS HEALTH PHYSICIAN GROUP
612 E LAMAR BLVDARLINGTONTX76011PHYSICIAN & NURSING$530,753
CONSILLIUM STAFFING
6225 N STATE HWY 161 STE 400IRVINGTX75038PHYSICIAN & NURSING$188,975
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Government Grants$2,241,084GovernmentGrantsAmt
All Other Contributions$953,367AllOtherContributionsAmt
Noncash Contributions$163,751NoncashContributionsAmt
Total Contributions$3,194,451TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$1,158,389$1,158,389
EHR INCENTIVE REVENUE900099$63,823$63,823
OTHER OPERATING REVENUE621110$1,759$1,759
FieldValueIRS element (for citing)
Total Program Service Revenue$1,223,971TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,253TotalRevenueColumnAmt
Exclusion$171,253ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,015,886SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,871,755SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$144,131SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$144,131TotalRevenueColumnAmt
Exclusion$144,131ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$106,955FundraisingGrossIncomeAmt
Fundraising Direct Expenses$15,207FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,748TotalRevenueColumnAmt
Exclusion$91,748ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,825,554TotalRevenueColumnAmt
Related Or Exempt Func Income$1,223,971RelatedOrExemptFuncIncomeAmt
Exclusion$407,132ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$241,884TotalAmt
Program Services$138,925ProgramServicesAmt
Management And General$102,559ManagementAndGeneralAmt
Fundraising$400FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$78,000TotalAmt
Program Services$44,695ProgramServicesAmt
Management And General$32,952ManagementAndGeneralAmt
Fundraising$353FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,811,917TotalAmt
Program Services$1,042,058ProgramServicesAmt
Management And General$769,859ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$250,123TotalAmt
Program Services$138,918ProgramServicesAmt
Management And General$100,595ManagementAndGeneralAmt
Fundraising$10,610FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$160,127TotalAmt
Program Services$92,874ProgramServicesAmt
Management And General$67,253ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,554TotalAmt
Management And General$2,554ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,525TotalAmt
Management And General$19,525ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,977TotalAmt
Management And General$8,977ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$590,693TotalAmt
Program Services$590,693ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$743TotalAmt
Fundraising$743FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$86,973TotalAmt
Program Services$46,538ProgramServicesAmt
Management And General$39,978ManagementAndGeneralAmt
Fundraising$457FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$35,080TotalAmt
Program Services$23,584ProgramServicesAmt
Management And General$10,416ManagementAndGeneralAmt
Fundraising$1,080FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$134,614TotalAmt
Program Services$100,950ProgramServicesAmt
Management And General$33,664ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,924TotalAmt
Program Services$23,627ProgramServicesAmt
Management And General$4,242ManagementAndGeneralAmt
Fundraising$55FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,706TotalAmt
Management And General$28,706ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$200,188TotalAmt
Program Services$138,130ProgramServicesAmt
Management And General$62,058ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,334TotalAmt
Program Services$25,151ProgramServicesAmt
Management And General$35,183ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT EXPENSE$249,322$249,322
MEDICAL SUPPLIES$163,235$163,235
Training and Recruitment$59,857$5,987$27,204$26,666
Dues and Certification$15,679$15,679

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$30,100TotalAmt
Program Services$3,636ProgramServicesAmt
Management And General$4,562ManagementAndGeneralAmt
Fundraising$21,902FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,256,555TotalAmt
Program Services$2,828,323ProgramServicesAmt
Management And General$1,365,966ManagementAndGeneralAmt
Fundraising$62,266FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,413,857BOYAmt
EOY$1,336,956EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,369,008BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$175,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,691BOYAmt
EOY$82,426EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$254,389BOYAmt
EOY$386,912EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,338BOYAmt
EOY$48,137EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,748,219LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$768,169LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,091,050BOYAmt
EOY$980,050EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,930,235EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,221,333BOYAmt
EOY$9,939,716EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$78,535BOYAmt
EOY$93,309EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,446BOYAmt
EOY$27,658EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,981BOYAmt
EOY$120,967EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,771,295BOYAmt
EOY$9,100,248EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$349,057BOYAmt
EOY$718,501EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,120,352BOYAmt
EOY$9,818,749EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,221,333BOYAmt
EOY$9,939,716EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$568,999ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$129,398NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,756,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,317,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,650,005CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,523,835CurrentTaxYearMinus1YearAmt
Current Tax Year$3,194,451CurrentTaxYearAmt
Total$21,442,611TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,513CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$314,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$654,493CurrentTaxYearMinus1YearAmt
Current Tax Year$1,223,971CurrentTaxYearAmt
Total$2,574,720TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,831,174CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,624,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,964,468CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,178,328CurrentTaxYearMinus1YearAmt
Current Tax Year$4,418,422CurrentTaxYearAmt
Total$24,017,331TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,610CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$737,162CurrentTaxYearMinus1YearAmt
Current Tax Year$5,865CurrentTaxYearAmt
Total$764,237TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,610CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$737,162CurrentTaxYearMinus1YearAmt
Current Tax Year$5,865CurrentTaxYearAmt
Total$764,237TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$23,253,094PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$335CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,343CurrentTaxYearMinus1YearAmt
Current Tax Year$171,253CurrentTaxYearAmt
Total$350,191TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$335CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,343CurrentTaxYearMinus1YearAmt
Current Tax Year$171,253CurrentTaxYearAmt
Total$350,191TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,008CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,138CurrentTaxYearMinus1YearAmt
Current Tax Year$91,748CurrentTaxYearAmt
Total$285,477TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,869,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,710,689CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,078,393CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,312,809CurrentTaxYearMinus1YearAmt
Current Tax Year$4,681,423CurrentTaxYearAmt
Total$24,652,999TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94322PublicSupportCY509Pct
Public Support PY5090.94360PublicSupportPY509Pct
Investment Income CY0.01421InvestmentIncomeCYPct
Investment Income PY0.00850InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,007,876OtherCostOrOtherBasisAmt
Depreciation$380,977DepreciationAmt
Book Value$626,899BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$740,343OtherCostOrOtherBasisAmt
Depreciation$387,192DepreciationAmt
Book Value$353,151BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$980,050TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
Amt$27,658Amt
FieldValueIRS element (for citing)
Total Liability$27,658TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,881,936TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$129,398NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$530,543DonatedServicesAndUseFcltsAmt
Other Revenue-$113,970OtherRevenueAmt
Revenue Not Reported$545,971RevenueNotReportedAmt
Revenue Subtotal$4,335,965RevenueSubtotalAmt
Other Revenues Not Included$489,589OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$489,589RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,825,554TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,552,983TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$530,543DonatedServicesUseFcltsAmt
Other Expenses Included$15,207OtherExpensesIncludedAmt
Expenses Not Reported$545,750ExpensesNotReportedAmt
Expenses Subtotal$4,007,233ExpensesSubtotalAmt
Other Expenses Not Included$249,322OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$249,322ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,256,555TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DRECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad Debt $(249,322) Net Assets Released from Restrictions 135,352 -------------- Total $(113,970)
SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Direct Fundraising Expense $(15,207) Contributions in Temporarily Restricted Net Assets 504,796 -------------- Total $489,589
SCHEDULE D, PART XII, LINE 2DRECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Direct Fundraising Expense $15,207
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: Bad Debt $249,322

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event110TH ANNIVERSAREvent1Nm
Gross Receipts Event1$71,072GrossReceiptsEvent1Amt
Gross Revenue Event1$71,072GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,118RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,625FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,257OtherDirectExpensesEvent1Amt
Event2TABLESCAPESEvent2Nm
Gross Receipts Event2$35,883GrossReceiptsEvent2Amt
Gross Revenue Event2$35,883GrossRevenueEvent2Amt
Food And Beverage Event2$4,266FoodAndBeverageEvent2Amt
Entertainment Event2$235EntertainmentEvent2Amt
Other Direct Expenses Event2$706OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$106,955GrossReceiptsTotalAmt
Gross Revenue Total Events$106,955GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,118RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,891FoodAndBeverageTotalEventsAmt
Entertainment Total Events$235EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,963OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$15,207DirectExpenseSummaryEventsAmt
Net Income Summary$91,748NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BLANCA PENA
DENTAL DIRECTOR$142,424$0$250$0$0$0$0$0$8,185$0$150,859$0$0$0
PAUL NETTLES
DENTIST$147,627$0$250$0$0$0$0$0$2,914$0$150,791$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
Personbrent gardnerPersonNm
FieldValueIRS element (for citing)
Relationship Descriptionhusband of ceoRelationshipDescriptionTxt
Transaction$78,000TransactionAmt
Transactionsalaries/wagesTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution24ContributionCnt
Noncash Contributions Rpt F990$163,751NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I, Column BFormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONS OR NUMBER OF ITEMS RECEIVED: THE AMOUNT REPORTED IN THIS COLUMN REFLECTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1ORGANIZATION'S SIGNIFICANT ACTIVITIES: (CONTINUED FROM PAGE 1)... UNINSURED, UNDERINSURED, HAVE MEDICAID, MEDICARE AND PRIVATE INSURANCE THAT DO NOT HAVE ACCESS TO CARE.
FORM 990, PART VI, SECTION A, LINE 1ADELEGATION OF AUTHORITY: The executive committee is composed of the Officers, all committee chairs appointed that are not already an officer and the President and CEO as an ex-officio non-voting member. The Executive Committee is ABLE TO EXERCISE ALL THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION BETWEEN BOARD MEETINGS. All action taken by the Executive Committee must be submitted for ratification to the Board at its next meeting.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. ONCE PREPARED, THE FULL FORM 990 IS PRESENTED TO THE BOARD AT A MONTHLY MEETING, REVIEWED, AND VOTED FOR ACCEPTANCE AND DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR COMPLIANCE WITH CONFLICT OF INTEREST POLICY: IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY IMPLEMENTED SEVERAL YEARS AGO, BOARD MEMBERS AND STAFF SIGN A FORM ANNUALLY INDICATING EACH HAS THE OBLIGATION OF INFORMING THE BOARD ABOUT ANY CONFLICTS OF INTEREST THAT MAY ARISE. THE DETERMINATION OF ACTUAL CONFLICTS IS MADE BY THE BOARD, PRESIDENT, AND/OR Chief Executive Officer. THOSE WITH CONFLICTS ARE RECUSED FROM VOTING ON ASSOCIATED MATTERS.
FORM 990, PART VI, SECTION B, LINE 15A & 15BREVIEW OF COMPENSATION: THE EXECUTIVE COMMITTEE ANNUALLY REVIEWS THE CEO'S COMPENSATION USING VARIOUS GOALS INCLUDING PERFORMANCE METRICS THAT ARE WEIGHTED BY CERTAIN PERCENTAGES. THE REVIEW IS DOCUMENTED IN THE COMMITTEE MINUTES. THE COMPENSATION OF THE CFO IS EVALUATED BY PREDETERMINED GOALS ESTABLISHED IN THE PRIOR YEAR. THERE IS AN ANNUAL EVALUATION DONE BASED ON PERFORMANCE. THE SALARY IS ESTABLISHED BASED ON MARKET SURVEYS FOR NOT-FOR-PROFIT CFOS. A MARKET BUMP AND TACHC SALARY SURVEY RESULTS ALSO FACTORED INTO THE PERCENTAGE OF INCREASE.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2COVERSIGHT OVER AUDIT OF THE FINANCIAL STATEMENTS: ALTHOUGH THE ORGANIZATION DOES NOT HAVE A SEPARATE COMMITTEE, THE RESPONSIBILITY OF THE OVERSIGHT OF THE AUDIT IS ASSUMED BY THE FULL BOARD. ALSO, THE CEO AND CFO INTERVIEWED POTENTIAL AUDITORS AT DIFFERENT INDEPENDENT ACCOUNTING FIRMS. BASED ON THE INTERVIEWS THE BOARD MEMBERS WERE PRESENTED WITH A RECOMMENDATION WHERE THE FULL BOARD VOTED ON THEIR SELECTION.
FORM 990 PART IX LINE 11GDESCRIPTION:PATIENT CARE SERVICES TOTAL FEES:575551
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:15142

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