BETHESDA HEALTH CLINIC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BETHESDA HEALTH CLINIC (EIN 26-0036674)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-02
- IRS object ID
- 201812759349300411
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-02T07:08:16-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752147296 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gollob Morgan Peddy PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 ESE Loop 323 Ste 300 | AddressLine1Txt |
| City | Tyler | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 757019609 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260036674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHESDA HEALTH CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETH | BusinessNameControlTxt |
| Phone | 9035968353 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 W FERGUSON STREET | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR JOHN ENGLISH | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2018-09-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kevin R Cashion | PreparerPersonNm |
| PTIN | P00246409 | PTIN |
| Phone | 9035340088 | PhoneNum |
| 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 | DR JOHN ENGLISH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 W FERGUSON | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,764,612 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BETHESDACLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | Bethesda Health Clinic is a Christ-centered clinic devoted to providing affordable health and dental care to hardworking low-income adults who are uninsured or underinsured. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 105 | TotalEmployeeCnt |
| Total Volunteers | 550 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,551,777 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,741,226 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $660,903 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $655,393 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$215 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,337 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$240,809 | PYOtherRevenueAmt |
| CY Other Revenue | -$586,179 | CYOtherRevenueAmt |
| PY Total Revenue | $2,971,656 | PYTotalRevenueAmt |
| CY Total Revenue | $3,812,777 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $13,500 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,256,386 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,437,601 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $183,781 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,888,492 | PYOtherExpensesAmt |
| CY Other Expenses | $2,313,417 | CYOtherExpensesAmt |
| PY Total Expenses | $3,144,878 | PYTotalExpensesAmt |
| CY Total Expenses | $3,764,518 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$173,222 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $48,259 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,494,705 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,658,322 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,126,014 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,075,571 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,368,691 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,582,751 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Bethesda Health Clinic is a Christ-centered clinic devoted to providing affordable health and dental care to hardworking low-income adults who are uninsured or underinsured. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,067,591 | ExpenseAmt |
| Grant | $13,500 | GrantAmt |
| Revenue | $655,393 | RevenueAmt |
| Desc | During 2017, the medical clinic treated 12,216 patients. The dental clinic treated 4,323 patients, while 1,350 patients benefited from the clinic's nutrition program. The clinic received donated professional medical and dental services totaling $1,544,746. Approximately 395 volunteers provided 18,004 hours of service to the clinic and its patients. | Desc |
| Total Program Service Expenses | $3,067,591 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 105 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRYSTI McWHA | PersonNm |
| Phone | 9035968353 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 W FERGUSON STREET | AddressLine1Txt |
| City | TYLER | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| MICHELLE BROOKSHIRE | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLES STONE DDS | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| FRITTER MCNALLY | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RANDALL CHILDRESS | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID KRAFVE | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AMBER OWEN | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SUE SAXENMEYER | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR TIM SMITH | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY JONES | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RAMSEY STARK | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RICHARD KNARR | |||||||
| President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TODD TUTT | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LARRY STOKES | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PAT MALLORY | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR TODD RAABE | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR DON SMITH | |||||||
| Vice President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JOSEPH WOELKERS | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN MERRILL | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| REBECCA SANDERS | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR JOHN ENGLISH | |||||||
| Executive Dir. | 40.00 | 0.00 | $159,819 | $0 | $8,866 | Yes (X) | |
| KRYSTI MCWHA | |||||||
| CFO | 40.00 | 0.00 | $56,450 | $0 | $5,885 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $216,269 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $14,751 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $246,582 | FundraisingAmt |
| All Other Contributions | $3,494,644 | AllOtherContributionsAmt |
| Noncash Contributions | $2,508,441 | NoncashContributionsAmt |
| Total Contributions | $3,741,226 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Fees | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $655,393 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $655,393 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $655,393 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,906 | TotalRevenueColumnAmt |
| Exclusion | $3,906 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $50,609 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $47,475 | SecuritiesAmt |
| Other | $4,703 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,134 | SecuritiesAmt |
| Other | -$4,703 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,569 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$4,703 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,134 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $24,480 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $246,582 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $81,323 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$56,843 | TotalRevenueColumnAmt |
| Exclusion | -$56,843 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,276,446 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,818,334 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$541,888 | TotalRevenueColumnAmt |
| Exclusion | -$541,888 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $12,552 | TotalRevenueColumnAmt |
| Exclusion | $12,552 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,552 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,812,777 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $650,690 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$579,139 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,500 | TotalAmt |
| Program Services | $13,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,021 | TotalAmt |
| Program Services | $149,247 | ProgramServicesAmt |
| Management And General | $73,340 | ManagementAndGeneralAmt |
| Fundraising | $8,434 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,596 | TotalAmt |
| Program Services | $765,329 | ProgramServicesAmt |
| Management And General | $100,626 | ManagementAndGeneralAmt |
| Fundraising | $124,641 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,984 | TotalAmt |
| Program Services | $79,153 | ProgramServicesAmt |
| Management And General | $11,324 | ManagementAndGeneralAmt |
| Fundraising | $12,507 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,000 | TotalAmt |
| Program Services | $84,750 | ProgramServicesAmt |
| Management And General | $15,820 | ManagementAndGeneralAmt |
| Fundraising | $12,430 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,105 | TotalAmt |
| Program Services | $174,105 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,750 | TotalAmt |
| Management And General | $14,750 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348 | TotalAmt |
| Management And General | $348 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,422 | TotalAmt |
| Program Services | $81,474 | ProgramServicesAmt |
| Management And General | $948 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,651 | TotalAmt |
| Program Services | $3,738 | ProgramServicesAmt |
| Management And General | $4,683 | ManagementAndGeneralAmt |
| Fundraising | $6,230 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,689 | TotalAmt |
| Program Services | $23,954 | ProgramServicesAmt |
| Management And General | $3,326 | ManagementAndGeneralAmt |
| Fundraising | $1,409 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,972 | TotalAmt |
| Program Services | $16,127 | ProgramServicesAmt |
| Management And General | $1,897 | ManagementAndGeneralAmt |
| Fundraising | $948 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,958 | TotalAmt |
| Program Services | $46,760 | ProgramServicesAmt |
| Management And General | $197,685 | ManagementAndGeneralAmt |
| Fundraising | $513 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,331 | TotalAmt |
| Program Services | $5,065 | ProgramServicesAmt |
| Management And General | $633 | ManagementAndGeneralAmt |
| Fundraising | $633 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,515 | TotalAmt |
| Program Services | $98,850 | ProgramServicesAmt |
| Management And General | $37,988 | ManagementAndGeneralAmt |
| Fundraising | $1,677 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,407 | TotalAmt |
| Program Services | $45,221 | ProgramServicesAmt |
| Management And General | $1,055 | ManagementAndGeneralAmt |
| Fundraising | $131 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $1,211,886 | $1,211,886 | |
| Dental Supplies | $99,020 | $99,020 | |
| Laboratory | $89,545 | $89,545 | |
| BANK CHARGES | $34,479 | $21,784 | $12,695 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,339 | TotalAmt |
| Program Services | $58,083 | ProgramServicesAmt |
| Management And General | $36,028 | ManagementAndGeneralAmt |
| Fundraising | $14,228 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,764,518 | TotalAmt |
| Program Services | $3,067,591 | ProgramServicesAmt |
| Management And General | $513,146 | ManagementAndGeneralAmt |
| Fundraising | $183,781 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,325 | BOYAmt |
| EOY | $509,288 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65 | BOYAmt |
| EOY | $366 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,524 | BOYAmt |
| EOY | $152,223 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,059 | BOYAmt |
| EOY | $27,996 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,545,407 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,007,825 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,601,190 | BOYAmt |
| EOY | $3,537,582 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,250 | BOYAmt |
| EOY | $192,560 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,069,292 | BOYAmt |
| EOY | $1,238,307 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,494,705 | BOYAmt |
| EOY | $5,658,322 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,159 | BOYAmt |
| EOY | $161,029 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,964,855 | BOYAmt |
| EOY | $1,914,542 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,126,014 | BOYAmt |
| EOY | $2,075,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,336,017 | BOYAmt |
| EOY | $3,561,516 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,674 | BOYAmt |
| EOY | $21,235 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,368,691 | BOYAmt |
| EOY | $3,582,751 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,494,705 | BOYAmt |
| EOY | $5,658,322 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $48,259 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $164,657 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $1,144 | PriorPeriodAdjustmentsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $939,694 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,796,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,866,132 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,551,777 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,736,226 | CurrentTaxYearAmt |
| Total | $10,890,668 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $469,656 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $503,355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $582,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $660,903 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $655,393 | CurrentTaxYearAmt |
| Total | $2,871,527 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,494 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $430,429 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $540,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $562,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,276,446 | CurrentTaxYearAmt |
| Total | $2,854,989 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,454,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,730,623 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,988,709 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,774,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,668,065 | CurrentTaxYearAmt |
| Total | $16,617,184 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $438,811 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $810,836 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $875,367 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $880,490 | CurrentTaxYearMinus1YearAmt |
| Total | $3,005,504 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $438,811 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $810,836 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $875,367 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $880,490 | CurrentTaxYearMinus1YearAmt |
| Total | $3,005,504 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $13,611,680 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,744 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,006 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,906 | CurrentTaxYearAmt |
| Total | $13,800 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,744 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,006 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,906 | CurrentTaxYearAmt |
| Total | $13,800 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $213,555 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $260,622 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $46,089 | CurrentTaxYearMinus1YearAmt |
| Total | $520,266 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,779 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,045 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,552 | CurrentTaxYearAmt |
| Total | $80,295 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,681,340 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,015,200 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,013,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,837,083 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,684,523 | CurrentTaxYearAmt |
| Total | $17,231,545 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.78990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.67740 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00100 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $535,444 | OtherCostOrOtherBasisAmt |
| Book Value | $535,444 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,793,236 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,663 | DepreciationAmt |
| Book Value | $1,724,573 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,360,709 | OtherCostOrOtherBasisAmt |
| Depreciation | $381,110 | DepreciationAmt |
| Book Value | $979,599 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $512,236 | OtherCostOrOtherBasisAmt |
| Depreciation | $429,991 | DepreciationAmt |
| Book Value | $82,245 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $343,782 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,061 | DepreciationAmt |
| Book Value | $215,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,537,582 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Interest in Net Assets of Bethesda Found | Desc |
| Book Value | $1,238,307 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,238,307 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $6,005,431 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $17,641 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $1,648,746 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$15,621 | OtherRevenueAmt |
| Revenue Not Reported | $1,650,766 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,354,665 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$541,888 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$541,888 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,812,777 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,939,528 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,648,746 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $630,271 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,279,017 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,660,511 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $104,007 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $104,007 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,764,518 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XII, Line 2d: Other expenses and losses per audited F/S | COST OF GOODS SOLD $630271 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | INVESTMENT FEES $349 ADMINISTRATIVE FEES $1773 CHARITABLE DONATIONS $13500 SALES TAX $88385 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BIRTHDAY BASH | Event1Nm |
| Gross Receipts Event1 | $159,008 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $141,008 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,000 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $19,996 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,700 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $12,810 | OtherDirectExpensesEvent1Amt |
| Event2 | DR. LUKE DINNER | Event2Nm |
| Gross Receipts Event2 | $112,054 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $105,574 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $6,480 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $23,569 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $7,819 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $13,429 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $271,062 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $246,582 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $24,480 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $23,569 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $27,815 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,700 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $26,239 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $81,323 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$56,843 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY FOUNDATION MID TN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 440225 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 621471789 | RecipientEIN |
| Cash Grant | $13,500 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | SUPPORT DELEK FUND OF HOPE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | The organization closely monitors the use of grant funds provided. The basis of the grant is strictly reimbursement in nature. This ensures that the grantee only receives funding after the associated costs have been incurred. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR JOHN ENGLISH | PersonNm |
| Title | Executive Dir. | TitleTxt |
| Base Compensation Filing Org | $159,819 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $8,866 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $168,685 | TotalCompensationFilingOrgAmt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Noncash Contributions Rpt F990 | $1,289,761 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 13 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,193,609 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt | DescDesc |
|---|---|---|---|---|
| Yes (X) | 1 | $10,000 | FMW | |
| 1 | $1,082 | FMV | pest control | |
| 1 | $420 | FMV | office supplies | |
| 25 | $13,569 | FMV | silent auction |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | A draft of the return will be presented at a Finance Committee meeting for their review. A copy of the draft will also be made available to all board members for their review. Once approved by the board, the return will be filed. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The organization regularly and consistently monitors and enforces compliance with their conflict of interest policy by reviewing the policy at board meetings. Any potential conflicts are discussed and handled as they arise. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Compensation for the executive director and other members of management is determined based on an annual evaluation process undertaken by the board of directors. The process includes an evaluation of the performance in key areas as compared to the expected performance for the position and attainment of established goals. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Disclosure of governing documents, conflict of interest policy and financial statements are made available to the public upon request. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Bethesda Health Clinic Foundation | ||||||||||
| PO Box 1999 | Tyler | TX | 75710 | 202755891 | To provide financial mgmt services for the Bethesda Clinic. | TX | 501(C)(3) | 509(a)(3) I | N/A | false |
| BETHESDA PHYSICIAN ASSOCIATES | ||||||||||
| PO BOX 199 | TYLER | TX | 75710 | 463482286 | PERFORM MEDICAL SERVICES & PROCEDURES | TX | 501(c)(3) | 509(a)(3)I | N/A | false |
| 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 | Yes (true) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETHESDA PHYSICIAN ASSOCIATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | m | TransactionTypeTxt |
| Involved | $174,105 | InvolvedAmt |
| Method Of Amount Determination | cash value | MethodOfAmountDeterminationTxt |