SANDHILLS MEDICAL FOUNDATION INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SANDHILLS MEDICAL FOUNDATION INC (EIN 57-0672342)
- Tax period
- 2017-06-01 to 2018-05-31
- Filed
- 2018-08-29
- IRS object ID
- 201842419349300904
- 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 | 2018-08-29T12:19:45-07:00 | 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 | 570672342 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANDHILLS MEDICAL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAND | BusinessNameControlTxt |
| Phone | 8436583006 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 366 | AddressLine1Txt |
| City | MCBEE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS DIXON | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8436583006 | PhoneNum |
| Signature | 2018-08-29 | 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 | 2018-08-29 | 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 | CHRIS DIXON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 366 | AddressLine1Txt |
| City | MCBEE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,272,318 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | THE 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 130 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,644,953 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,715,293 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,096,391 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,531,018 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,770 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,007 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,000 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $18,752,114 | PYTotalRevenueAmt |
| CY Total Revenue | $19,272,318 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,537,055 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,682,118 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,578,401 | PYOtherExpensesAmt |
| CY Other Expenses | $9,396,405 | CYOtherExpensesAmt |
| PY Total Expenses | $15,115,456 | PYTotalExpensesAmt |
| CY Total Expenses | $17,078,523 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,636,658 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,193,795 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,930,344 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,763,176 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,548,947 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,187,984 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,381,397 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,575,192 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,788,518 | ExpenseAmt |
| Revenue | $16,531,018 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 35,700 VISITS WERE PROVIDED DURING THE YEAR. | Desc |
| Total Program Service Expenses | $13,788,518 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 130 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| 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 | WILLIAM MILES | PersonNm |
| Phone | 8433358291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 S SEVENTH STREET | AddressLine1Txt |
| City | MCBEE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29101 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|
| JANET DEFEE | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENN ODOM | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| E WAYNE WALLACE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LAVILLA EVANS | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN BARRINEAU | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DON ROBINSON | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELE REEDER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUZAN J MYERS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY BAKER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL NAPPER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER DIXON | |||||||
| CHIEF EXEC. OFFICER | 40.00 | $277,573 | $0 | $14,722 | Yes (X) | ||
| CRYSTAL MAXWELL | |||||||
| MEDICAL DIRECTOR | 40.00 | $263,624 | $0 | $18,709 | Yes (X) | ||
| WILLIAM MILES | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $137,342 | $0 | $10,699 | Yes (X) | ||
| ERNEST WARDLAW | |||||||
| CHIEF OPERATIONAL OFFICER | 40.00 | $125,283 | $0 | $11,946 | Yes (X) | ||
| ERIN ROLLINS | |||||||
| PHARMACY DIRECTOR | 40.00 | $155,198 | $0 | $8,826 | Yes (X) | ||
| AYZIA TAYLOR | |||||||
| PHYSICIAN | 40.00 | $101,954 | $0 | $665 | Yes (X) | ||
| NIGEL TAYLOR | |||||||
| PHYSICIAN | 40.00 | $193,972 | $0 | $9,656 | Yes (X) | ||
| PHONG TRAN | |||||||
| PHARMACIST | 40.00 | $122,814 | $0 | $15,887 | Yes (X) | ||
| TEMISHA BUDDEN | |||||||
| NURSE PRACTIONER | 40.00 | $120,560 | $0 | $25,094 | Yes (X) | ||
| BRIAN SCOTT | |||||||
| PHYSICIAN | 40.00 | $205,440 | $0 | $30,868 | Yes (X) | ||
| RANDALL WENDT | |||||||
| PHYSICIAN | 40.00 | $111,249 | $0 | $13,700 | Yes (X) | ||
| GALE FRYER | |||||||
| PHARMACIST | 40.00 | $130,660 | $0 | $21,535 | Yes (X) | ||
| AMELIA MILLEJCZAK | |||||||
| PHARMACIST | 40.00 | $127,096 | $0 | $17,633 | Yes (X) | ||
| LINDSAY FROST | |||||||
| PHARMACIST | 40.00 | $117,804 | $0 | $14,777 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,190,569 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $214,717 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOLSTAS LAB | |||||
| PO BOX 751337 | CHAROLTTE | NC | 28275 | LAB SERVICES | $363,764 |
| AMICUS | |||||
| 313 MAIN STREET SUITE B | GREENWOOD | SC | 29646 | LAB SERVICES | $363,945 |
| LIFEFORTE ASSOCIATE | |||||
| PO BOX 492 | CAMDEN | SC | 29201 | PHYSICIAN CONTRACTUAL WORK | $145,949 |
| MEDESTAR | |||||
| 1603 LBJ FREEWAY SUITE 700 | DALLAS | TX | 75234 | LOCUM COVERAGE | $129,298 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,715,293 | GovernmentGrantsAmt |
| Total Contributions | $2,715,293 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $16,531,018 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,531,018 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,007 | TotalRevenueColumnAmt |
| Exclusion | $26,007 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,272,318 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,531,018 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $26,007 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,020 | TotalAmt |
| Program Services | $418,822 | ProgramServicesAmt |
| Management And General | $540,198 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,370,873 | TotalAmt |
| Program Services | $4,344,977 | ProgramServicesAmt |
| Management And General | $1,025,896 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,401 | TotalAmt |
| Program Services | $52,801 | ProgramServicesAmt |
| Management And General | $17,600 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $831,813 | TotalAmt |
| Program Services | $627,359 | ProgramServicesAmt |
| Management And General | $204,454 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,011 | TotalAmt |
| Program Services | $337,508 | ProgramServicesAmt |
| Management And General | $112,503 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,196 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,196 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,145 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,145 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,932,024 | TotalAmt |
| Program Services | $1,450,572 | ProgramServicesAmt |
| Management And General | $481,452 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,584,700 | TotalAmt |
| Program Services | $6,042,461 | ProgramServicesAmt |
| Management And General | $542,239 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,471 | TotalAmt |
| Program Services | $304,624 | ProgramServicesAmt |
| Management And General | $33,847 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,014 | TotalAmt |
| Program Services | $84,207 | ProgramServicesAmt |
| Management And General | $284,807 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,512 | TotalAmt |
| Program Services | $91,578 | ProgramServicesAmt |
| Management And General | $5,934 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,343 | TotalAmt |
| Program Services | $33,609 | ProgramServicesAmt |
| Management And General | $3,734 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,078,523 | TotalAmt |
| Program Services | $13,788,518 | ProgramServicesAmt |
| Management And General | $3,290,005 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,364,281 | BOYAmt |
| EOY | $486,498 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,452,817 | BOYAmt |
| EOY | $8,168,253 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,256,026 | BOYAmt |
| EOY | $1,115,836 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,417 | BOYAmt |
| EOY | $518,156 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,449 | BOYAmt |
| EOY | $191,758 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,235,817 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,178,373 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,971,794 | BOYAmt |
| EOY | $5,057,444 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,930 | BOYAmt |
| EOY | $184,599 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,630 | BOYAmt |
| EOY | $40,632 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,930,344 | BOYAmt |
| EOY | $15,763,176 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,976 | BOYAmt |
| EOY | $800,723 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,668 | BOYAmt |
| EOY | $15,446 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,398,303 | BOYAmt |
| EOY | $1,371,815 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,548,947 | BOYAmt |
| EOY | $2,187,984 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,381,397 | BOYAmt |
| EOY | $13,575,192 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,381,397 | BOYAmt |
| EOY | $13,575,192 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,930,344 | BOYAmt |
| EOY | $15,763,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,193,795 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $1,981,256 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,084,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,184,604 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,644,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,715,293 | CurrentTaxYearAmt |
| Total | $11,611,073 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,981,256 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,084,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,184,604 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,644,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,715,293 | CurrentTaxYearAmt |
| Total | $11,611,073 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,611,073 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,781 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,770 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,007 | CurrentTaxYearAmt |
| Total | $81,603 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,692,676 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $61,982,958 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99300 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99350 | 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 | $649,929 | InvestmentCostOrOtherBasisAmt |
| Book Value | $649,929 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $5,437,892 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,368,277 | DepreciationAmt |
| Book Value | $4,069,615 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,147,996 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $810,096 | DepreciationAmt |
| Book Value | $337,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,057,444 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $19,272,318 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $19,272,318 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $19,272,318 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,078,523 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,078,523 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,078,523 | 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 (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| CHRISTOPHER DIXON | |||
| $277,573 | $5,677 | $9,045 | $292,295 |
| CRYSTAL MAXWELL | |||
| $263,624 | $11,239 | $7,471 | $282,334 |
| ERIN ROLLINS | |||
| $155,198 | $8,100 | $726 | $164,024 |
| NIGEL TAYLOR | |||
| $193,972 | $3,019 | $6,637 | $203,628 |
| BRIAN SCOTT | |||
| $205,440 | $22,507 | $8,361 | $236,308 |
| GALE FRYER | |||
| $130,660 | $13,200 | $8,337 | $152,197 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| Pt VI, Line 19 | POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. |
| Pt VI, Line 11b | THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW PRIOR TO FILING. |
| Pt VI, Line 15a | STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS |
| Pt VI, Line 15b | FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY |
| Pt VI, Line 15b | AND SALARY INCREASES ARE BOARD APPROVED. |
| Pt VI, Line 12c | BOARD IS APPRISED ANNUALLY OF THE POLICY. DISCUSSIONS THAT MAY GIVE A MEMBER A |
| Pt VI, Line 12c | POSSIBLE CONFLICT, REQUIRE THE MEMBER TO STEP OUT OF THE BOARD MEETING. |
| Pt XII, Line 2c | THE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION |
| Pt XII, Line 2c | AND AUDIT ENGAGEMENT. |
| Pt VI, Line 2 | A BOARD MEMBER IS CO-OWNER IN THE PHARMACY WHICH ADMINISTERS THE |
| Pt VI, Line 2 | 340 (B) DRUG PROGRAM. THIS PHARMACY ALSO RENTS SPACE FROM THE ORGANIZATION |
| Pt VI, Line 2 | FOR $1000 PER MONTH. |
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