LITTLE RIVER MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LITTLE RIVER MEDICAL CENTER INC (EIN 57-0672117)
- Tax period
- 2017-06-01 to 2018-05-31
- Filed
- 2018-09-07
- IRS object ID
- 201812509349301041
- 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 | 2018-09-07T12:03:58-07:00 | 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 | 570672117 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LITTLE RIVER MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LITT | BusinessNameControlTxt |
| Phone | 8436638000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 547 | AddressLine1Txt |
| City | LITTLE RIVER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29566 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAMELA DAVIS | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8436638000 | PhoneNum |
| Signature | 2018-09-06 | 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 | 2018-09-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.38.81.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-09-07 | IPDt |
| IP Tm | 12:03:30 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 813132FE58F5EFCDB3B149FDFD2D8B5486E0F4AC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 813132FE58F5EFCDB3B149FDFD2D8B5486E0F4AC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAMELA DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 547 | AddressLine1Txt |
| City | LITTLE RIVER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,951,847 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 403 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,586,181 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,171,713 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,199,091 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,782,290 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,462 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,156 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $25,787,734 | PYTotalRevenueAmt |
| CY Total Revenue | $27,951,847 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,660,901 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,210,451 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,921,973 | PYOtherExpensesAmt |
| CY Other Expenses | $7,971,294 | CYOtherExpensesAmt |
| PY Total Expenses | $23,582,874 | PYTotalExpensesAmt |
| CY Total Expenses | $27,181,745 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,204,860 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $770,102 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,458,532 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,076,588 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,992,966 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,825,727 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,465,566 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,250,861 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $23,054,688 | ExpenseAmt |
| Revenue | $15,782,290 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF 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 119,300 VISITS WERE PROVIDED DURING THE YEAR. | Desc |
| Total Program Service Expenses | $23,054,688 | 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 | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | 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 | 403 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | false | 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 | CHARLES EASON | PersonNm |
| Phone | 8436631013 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4303 LIVE OAK DRIVE | AddressLine1Txt |
| City | LITTLE RIVER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29566 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 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 |
|---|---|---|---|---|---|---|---|
| WILLIE ANN HUCKS | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HOWARD GARRISON | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARA DONEVANT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELOUISE YOUNG-SMITH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TOMMY SAMAHA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LUZ ELENA KUHLER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAURICE JONES | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANA BLACK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TUMPIE BULL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIMBERLEE MASSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CYNTHIA GAUSE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOAN VAITIS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAM DAVIS | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $206,345 | $0 | $47,742 | Yes (X) | ||
| CHARLES EASON | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $149,237 | $0 | $23,762 | Yes (X) | ||
| KAREN CAGLE | |||||||
| CHIEF OPERATIONAL OFFICER | 40.00 | $93,348 | $0 | $19,140 | Yes (X) | ||
| WILLIAM O'CONNOR | |||||||
| MEDICAL DIRECTOR | 40.00 | $224,500 | $0 | $38,075 | Yes (X) | ||
| KRISTOPHER CHIPLINSKI | |||||||
| DIRECTOR OF PHARMACY | 40.00 | $129,000 | $0 | $39,131 | Yes (X) | ||
| RICK WARLICK | |||||||
| HUMAN RESOURCES DIRECTOR | 40.00 | $110,134 | $0 | $21,920 | Yes (X) | ||
| SHEREE NWANEGWO | |||||||
| PHYSICIAN | 40.00 | $181,829 | $0 | $19,740 | Yes (X) | ||
| LUIS D INSIGNARES | |||||||
| PHYSICIAN | 40.00 | $186,317 | $0 | $37,408 | Yes (X) | ||
| MARISTELA Y NABLOG-NILLAS | |||||||
| PHYSICIAN | 40.00 | $169,577 | $0 | $30,823 | Yes (X) | ||
| CHRISTINE M MCGINLEY | |||||||
| PHYSICIAN | 40.00 | $182,650 | $0 | $20,540 | Yes (X) | ||
| PREETH MENON | |||||||
| PHYSICIAN | 40.00 | $195,276 | $0 | $35,152 | Yes (X) | ||
| ROMEO NILLAS | |||||||
| PHYSICIAN | 40.00 | $142,222 | $0 | $20,685 | Yes (X) | ||
| RAYMOND REISER | |||||||
| PHYSICIAN | 40.00 | $159,222 | $0 | $13,454 | Yes (X) | ||
| ALEENA SABZWARI | |||||||
| DENTIST | 40.00 | $126,516 | $0 | $14,133 | Yes (X) | ||
| ORLANDO VALDEZ | |||||||
| PHYSICIAN | 40.00 | $160,618 | $0 | $13,022 | Yes (X) | ||
| SHAUNA WALTERS | |||||||
| PHYSICIAN | 40.00 | $159,360 | $0 | $10,579 | Yes (X) | ||
| MARK JANOSKY | |||||||
| DENTIST | 40.00 | $160,862 | $0 | $20,141 | Yes (X) | ||
| DANNY KASS | |||||||
| PHYSICIAN | 40.00 | $108,378 | $0 | $1,400 | Yes (X) | ||
| LATISHA KEARSLEY | |||||||
| DENTIST | 40.00 | $143,200 | $0 | $16,386 | Yes (X) | ||
| BERNICE LIM | |||||||
| PHYSICIAN | 40.00 | $146,236 | $0 | $7,554 | Yes (X) | ||
| LYNN MANFRED | |||||||
| PHYSICIAN | 40.00 | $154,796 | $0 | $33,423 | Yes (X) | ||
| BRENT ALAN BAUER | |||||||
| DENTIST | 40.00 | $144,552 | $0 | $16,887 | Yes (X) | ||
| PAUL COHEN | |||||||
| PHYSICIAN | 40.00 | $132,944 | $0 | $16,632 | Yes (X) | ||
| ANGELA WALLS DANIELS | |||||||
| PHARMACIST | 40.00 | $120,385 | $0 | $20,310 | Yes (X) | ||
| MICHELE HROMYAK | |||||||
| PHARMACIST | 40.00 | $118,607 | $0 | $25,572 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,806,111 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $563,611 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | 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 |
|---|---|---|---|---|---|
| KING CONSTRUCTION | |||||
| 111 WHITE OAK FOREST PLACE | CONWAY | SC | 29566 | CONSTRUCTION | $271,307 |
| GREENWAY | |||||
| ONE METROPLEX DRIVE SUITE 500 | BIRMINGHAM | AL | 35209 | EMR CONTRACT MAINTENANCE | $671,423 |
| WACCAMAW CENTER FOR MENTAL HEALTH | |||||
| 164 WACCAMAW MEDICAL PARK | CONWAY | SC | 29526 | CONTRACT MENTAL HEALTH SERVICES | $107,145 |
| BALDWIN CONSTRUCTION | |||||
| PO BOX 190 | MYRTLE BEACH | SC | 29597 | CONSTRUCTION | $249,770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,845,161 | GovernmentGrantsAmt |
| All Other Contributions | $3,326,552 | AllOtherContributionsAmt |
| Noncash Contributions | $109,189 | NoncashContributionsAmt |
| Total Contributions | $12,171,713 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| PATIENT FEES | 621111 | $12,944,353 |
| 340B & OTHER CONTRACT SERVICES | 621111 | $2,837,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,782,290 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,643 | TotalRevenueColumnAmt |
| Exclusion | $6,643 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,799 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,799 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,799 | TotalRevenueColumnAmt |
| Exclusion | -$8,799 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,951,847 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,782,290 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$2,156 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673,430 | TotalAmt |
| Program Services | $224,500 | ProgramServicesAmt |
| Management And General | $448,930 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,141,400 | TotalAmt |
| Program Services | $13,505,885 | ProgramServicesAmt |
| Management And General | $1,635,515 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,831 | TotalAmt |
| Program Services | $267,813 | ProgramServicesAmt |
| Management And General | $40,018 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,984,814 | TotalAmt |
| Program Services | $1,720,665 | ProgramServicesAmt |
| Management And General | $264,149 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,102,976 | TotalAmt |
| Program Services | $959,589 | ProgramServicesAmt |
| Management And General | $143,387 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,943,827 | TotalAmt |
| Program Services | $1,555,062 | ProgramServicesAmt |
| Management And General | $388,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,554,413 | TotalAmt |
| Program Services | $2,843,531 | ProgramServicesAmt |
| Management And General | $710,882 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,291,195 | TotalAmt |
| Program Services | $1,032,156 | ProgramServicesAmt |
| Management And General | $259,039 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,943 | TotalAmt |
| Program Services | $326,354 | ProgramServicesAmt |
| Management And General | $81,589 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,174 | TotalAmt |
| Program Services | $336,939 | ProgramServicesAmt |
| Management And General | $84,235 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,742 | TotalAmt |
| Program Services | $282,194 | ProgramServicesAmt |
| Management And General | $70,548 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,181,745 | TotalAmt |
| Program Services | $23,054,688 | ProgramServicesAmt |
| Management And General | $4,127,057 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,928,525 | BOYAmt |
| EOY | $119,721 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,180 | BOYAmt |
| EOY | $3,627,199 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,673,302 | BOYAmt |
| EOY | $1,814,691 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,684 | BOYAmt |
| EOY | $327,493 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,074 | BOYAmt |
| EOY | $355,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,709,643 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,880,371 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,778,267 | BOYAmt |
| EOY | $15,829,272 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,500 | BOYAmt |
| EOY | $2,500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,458,532 | BOYAmt |
| EOY | $22,076,588 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,113,185 | BOYAmt |
| EOY | $1,272,691 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,281 | BOYAmt |
| EOY | $113,951 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,672,500 | BOYAmt |
| EOY | $8,439,085 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,992,966 | BOYAmt |
| EOY | $9,825,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,442,370 | BOYAmt |
| EOY | $12,213,472 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,196 | BOYAmt |
| EOY | $37,389 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,465,566 | BOYAmt |
| EOY | $12,250,861 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,458,532 | BOYAmt |
| EOY | $22,076,588 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $770,102 | 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 | $6,384,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,998,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,307,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,586,181 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,171,713 | CurrentTaxYearAmt |
| Total | $42,447,625 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,384,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,998,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,307,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,586,181 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,171,713 | CurrentTaxYearAmt |
| Total | $42,447,625 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $42,447,625 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,095 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,462 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,643 | CurrentTaxYearAmt |
| Total | $15,425 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $42,463,050 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $64,664,672 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99960 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99960 | 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 | $2,436,803 | InvestmentCostOrOtherBasisAmt |
| Book Value | $2,436,803 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $14,963,738 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,848,411 | DepreciationAmt |
| Book Value | $12,115,327 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,309,102 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,031,960 | DepreciationAmt |
| Book Value | $1,277,142 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,829,272 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $27,951,847 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $27,951,847 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $27,951,847 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,180,745 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $27,180,745 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $27,180,745 | 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 (18 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| PAM DAVIS | |||
| $206,345 | $9,198 | $38,544 | $254,087 |
| CHARLES EASON | |||
| $149,237 | $6,373 | $17,389 | $172,999 |
| WILLIAM O'CONNOR | |||
| $224,500 | $9,614 | $28,461 | $262,575 |
| KRISTOPHER CHIPLINSKI | |||
| $129,000 | $6,198 | $32,933 | $168,131 |
| SHEREE NWANEGWO | |||
| $181,829 | $2,828 | $16,912 | $201,569 |
| LUIS D INSIGNARES | |||
| $186,317 | $8,381 | $29,027 | $223,725 |
| MARISTELA Y NABLOG-NILLAS | |||
| $169,577 | $7,332 | $23,491 | $200,400 |
| CHRISTINE M MCGINLEY | |||
| $182,650 | $2,870 | $17,670 | $203,190 |
| PREETH MENON | |||
| $195,276 | $3,653 | $31,499 | $230,428 |
| ROMEO NILLAS | |||
| $142,222 | $5,870 | $14,815 | $162,907 |
| RAYMOND REISER | |||
| $159,222 | $13,454 | $172,676 | |
| ORLANDO VALDEZ | |||
| $160,618 | $13,022 | $173,640 | |
| SHAUNA WALTERS | |||
| $159,360 | $10,579 | $169,939 | |
| MARK JANOSKY | |||
| $160,862 | $6,481 | $13,660 | $181,003 |
| LATISHA KEARSLEY | |||
| $143,200 | $4,392 | $11,994 | $159,586 |
| BERNICE LIM | |||
| $146,236 | $1,942 | $5,612 | $153,790 |
| LYNN MANFRED | |||
| $154,796 | $1,905 | $31,518 | $188,219 |
| BRENT ALAN BAUER | |||
| $144,552 | $3,224 | $13,663 | $161,439 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY |
| Pt VI, Line 19 | AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. |
| Pt VI, Line 11b | THE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT AUDITOR WITH REVIEW AND |
| Pt VI, Line 11b | INFORMATION PROVIDED BY THE CEO & CFO. A COPY OF THE FORM 990 WILL BE GIVEN |
| Pt VI, Line 11b | AND REVIEWED WITH THE BOARD AFTER COMPLETION AND SUBMISSION BY THE AUDITOR. |
| Pt VI, Line 12c | ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND |
| Pt VI, Line 12c | REVIEWED THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM |
| Pt VI, Line 12c | ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. |
| Pt VI, Line 15a | STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS |
| Pt VI, Line 15b | FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY |
| Pt VI, Line 15b | AND CEO SALARY INCREASES ARE BOARD APPROVED. |
| Pt XII, Line 2c | THE CEO & CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. |
| Pt XI | PART XI LINE 9-($4,964) CHANGE IN NET ASSETS DUE TO DECREASE IN TEMPORARILY |
| Pt XI | RESTRICTED NET ASSETS RELATED TO DONATED PHARMACEUTICALS. |
| Pt VI, Line 2 | MS. WILLIE ANN HUCKS AND MR. ROBERT HUCKS ARE BOTH ON THE BOARD |
| Pt VI, Line 2 | AND HAVE A MOTHER/SON RELATIONSHIP. |
| Pt XI | INCREASE IN NET ASSETS DUE TO CHANGE IN TEMPORARILY RESTRICTED CASH. |
Schedule R IRS990ScheduleR
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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