FMRS HEALTH SYSTEMS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FMRS HEALTH SYSTEMS INC (EIN 55-0520303)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-02
- IRS object ID
- 201820339349300442
- Schema version
- 2016v3.0
- 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 | 2018-02-02T17:15:54-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 319 MCCLANAHAN STREET SW | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550520303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMRS HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FMRS | BusinessNameControlTxt |
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY REDMAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3042567100 | PhoneNum |
| Signature | 2018-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN ALDRIDGE | PreparerPersonNm |
| PTIN | P00615668 | PTIN |
| Phone | 5403450936 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 206.248.228.130 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-01-29 | IPDt |
| IP Tm | 10:32:40 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3C0753CBA4C23CE5BB3F224C3EB622564B600679 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 51DFD465520EA625141331F6B90939AE6BEDACC4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL E MAYS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,494,899 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMRS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH OF SOUTHERN WEST VIRGINIA THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 353 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,374,679 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,692,731 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,202,368 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,354,989 | CYProgramServiceRevenueAmt |
| PY Investment Income | $648 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,866 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,148 | PYOtherRevenueAmt |
| CY Other Revenue | $436,313 | CYOtherRevenueAmt |
| PY Total Revenue | $13,668,843 | PYTotalRevenueAmt |
| CY Total Revenue | $14,494,899 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,282,380 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,770,717 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,804,012 | PYOtherExpensesAmt |
| CY Other Expenses | $3,842,571 | CYOtherExpensesAmt |
| PY Total Expenses | $13,086,392 | PYTotalExpensesAmt |
| CY Total Expenses | $13,613,288 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $582,451 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $881,611 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,126,529 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,939,384 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,261,389 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,192,633 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,865,140 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,746,751 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH OF RESIDENTS OF SOUTHERN WEST VIRGINIA THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,376,606 | ExpenseAmt |
| Revenue | $1,375,940 | RevenueAmt |
| Desc | CRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMS | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,212,837 | ExpenseAmt |
| Revenue | $2,497,189 | RevenueAmt |
| Desc | SUBSTANCE ABUSE - FEDERALLY FUNDED PROGRAM OFFERING A COMPREHENSIVE ARRAY OF SUBSTANCE ABUSE ASSESSMENT AND TREATMENT SERVICES TO MEET THE VARYING NEEDS OF THOSE WHO ARE ABUSING OR ADDICTED TO ALCOHOL OR OTHER DRUGS OF ABUSE | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,181,042 | ExpenseAmt |
| Revenue | $2,248,034 | RevenueAmt |
| Desc | WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,741,318 | ExpenseAmt |
| Revenue | $2,678,153 | RevenueAmt |
| Desc | OUTPATIENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS ON AN OUTPATIENT; DAY TREATMENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS IN A DAY TIME TREATMENT; COMMUNITY ENGAGEMENT ( FORMERLY CARE COORDINATOR) - PROGRAM TO DEVELOP A COMMUNITY SUPPORT SYSTEM FOR ADULTS WITH SERIOUS MENTAL ILLNESS AND CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE ABUSE AND/OR DEVELOPMENTAL DISABILITIES WHO ARE AT RISK OF HOSPITALIZATION; PHYSICIANS - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES; SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS' NEEDS ARE MET; SBIRT - FEDERALLY FUNDED PROGRAM DESIGNED TO PROVIDE EVIDENCE-BASED SCREENING, BRIEF INTERVENTION, BRIEF TREATMENT AND REFERRAL TO SPECIALTY TREATMENT FOR PATIENTS WHO HAVE, OR ARE AT HIGH RISK FOR, A SUBSTANCE ABUSE DISORDER; ACT - ASSERTIVE COMMUNITY TREATMENT. AN INCLUSIVE ARRAY OF COMMUNITY-BASED REHABILITATION SERVICES TO HIGH RISK CONSUMERS WHO HAVE A HISTORY OF FREQUENT HOSPITALIZATIONS AND/OR CRISIS CONTACTS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,741,318 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,678,153 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,511,803 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 353 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY REDMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 S EISENHOWER DR | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BRAD WARTELLA | ||||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANIEL CALVERT | ||||||||
| VICE-PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BETTY GILES | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLYDE SMITH | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANA CARR | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CLEO MATHEWS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK TANNER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BETH SIZEMORE | ||||||||
| AT-LARGE COMMITTEE MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL E MAYS | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.00 | Yes (X) | $143,638 | $0 | $23,417 | ||
| MARY REDMAN | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $83,702 | $0 | $13,674 | ||
| MICHELLE PILKINGTON | ||||||||
| PHYSICIAN ASSISTANT | 40.00 | 0.00 | $100,414 | $0 | $15,044 | Yes (X) | ||
| EDWARD BEZ | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $251,075 | $0 | $19,979 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $578,829 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $72,114 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,692,731 | GovernmentGrantsAmt |
| Total Contributions | $5,692,731 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES, NET | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,354,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,354,989 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,354,989 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,852 | TotalRevenueColumnAmt |
| Exclusion | $2,852 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,014 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,014 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,014 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,014 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $436,313 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $436,313 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $436,313 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,494,899 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,799,316 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,852 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,430 | TotalAmt |
| Program Services | $211,544 | ProgramServicesAmt |
| Management And General | $52,886 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,580,763 | TotalAmt |
| Program Services | $6,035,168 | ProgramServicesAmt |
| Management And General | $1,545,595 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,730 | TotalAmt |
| Program Services | $240,953 | ProgramServicesAmt |
| Management And General | $66,777 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,921 | TotalAmt |
| Program Services | $702,179 | ProgramServicesAmt |
| Management And General | $182,742 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,873 | TotalAmt |
| Program Services | $573,840 | ProgramServicesAmt |
| Management And General | $159,033 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,054 | TotalAmt |
| Management And General | $75,054 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,897 | TotalAmt |
| Management And General | $139,897 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $825,803 | TotalAmt |
| Program Services | $824,557 | ProgramServicesAmt |
| Management And General | $1,246 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,079 | TotalAmt |
| Program Services | $75,350 | ProgramServicesAmt |
| Management And General | $216,729 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,999 | TotalAmt |
| Program Services | $428,437 | ProgramServicesAmt |
| Management And General | $291,562 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,700 | TotalAmt |
| Program Services | $148,246 | ProgramServicesAmt |
| Management And General | $5,454 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,746 | TotalAmt |
| Program Services | $4,073 | ProgramServicesAmt |
| Management And General | $2,673 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,279 | TotalAmt |
| Program Services | $158,742 | ProgramServicesAmt |
| Management And General | $87,537 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,522 | TotalAmt |
| Program Services | $149,717 | ProgramServicesAmt |
| Management And General | $48,805 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $574,643 | $424,540 | $150,103 |
| BAD DEBTS | $499,326 | $460,291 | $39,035 |
| FURNITURE AND FIXTURES | $110,523 | $74,166 | $36,357 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,613,288 | TotalAmt |
| Program Services | $10,511,803 | ProgramServicesAmt |
| Management And General | $3,101,485 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,622,858 | BOYAmt |
| EOY | $5,287,999 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,078 | BOYAmt |
| EOY | $860,524 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,079,021 | BOYAmt |
| EOY | $1,296,632 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,383,941 | BOYAmt |
| EOY | $1,089,029 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,877 | BOYAmt |
| EOY | $139,906 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,354,296 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,089,002 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,422,754 | BOYAmt |
| EOY | $1,265,294 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,126,529 | BOYAmt |
| EOY | $9,939,384 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,106,852 | BOYAmt |
| EOY | $1,081,538 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,537 | BOYAmt |
| EOY | $111,095 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,261,389 | BOYAmt |
| EOY | $1,192,633 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,865,140 | BOYAmt |
| EOY | $8,746,751 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,865,140 | BOYAmt |
| EOY | $8,746,751 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,126,529 | BOYAmt |
| EOY | $9,939,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $881,611 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $6,196,648 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,848,997 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,451,703 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,374,679 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,692,731 | CurrentTaxYearAmt |
| Total | $28,564,758 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,556 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $335,556 | CurrentTaxYearAmt |
| Total | $1,677,780 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,532,204 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,184,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,787,259 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,710,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,028,287 | CurrentTaxYearAmt |
| Total | $30,242,538 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $30,242,538 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,490 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $887 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $648 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,852 | CurrentTaxYearAmt |
| Total | $13,779 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,511 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $89,883 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,148 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $436,314 | CurrentTaxYearAmt |
| Total | $890,255 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $31,146,572 | TotalSupportAmt |
| Public Support CY170 | 0.97100 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,210 | OtherCostOrOtherBasisAmt |
| Book Value | $119,210 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,375,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,857,897 | DepreciationAmt |
| Book Value | $517,121 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $689,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $456,492 | DepreciationAmt |
| Book Value | $233,445 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,221,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,128,996 | DepreciationAmt |
| Book Value | $92,753 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $948,382 | OtherCostOrOtherBasisAmt |
| Depreciation | $645,617 | DepreciationAmt |
| Book Value | $302,765 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,265,294 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $14,331,130 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $335,556 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $335,556 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,995,574 | RevenueSubtotalAmt |
| Other Revenues Not Included | $499,325 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $499,325 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,494,899 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,449,519 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $335,556 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $335,556 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,113,963 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $499,325 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $499,325 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,613,288 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE FOR 990 499,325. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBTS EXPENSE FOR 990 499,325. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL E MAYS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $143,638 | $0 | $0 | $0 | $0 | $0 | $10,055 | $0 | $13,362 | $0 | $167,055 | $0 | $0 | $0 |
| EDWARD BEZ | ||||||||||||||
| PHYSICIAN | $251,075 | $0 | $0 | $0 | $0 | $0 | $10,043 | $0 | $9,936 | $0 | $271,054 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED REGUALARLY AND HANDLED ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | REVIEWED PERIODICALLY BASED ON COMPARABILITY DATA BY BOARD |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FROM 990, PART XII LINE 2C | FORM 990, PART XII, LINCE 2C NO CHANGE FROM PRIOR YEAR |
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