ADVANCE COMMUNITY HEALTH INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ADVANCE COMMUNITY HEALTH INC (EIN 56-1004791)
- Tax period
- 2016-04-01 to 2017-03-31
- Filed
- 2018-02-02
- IRS object ID
- 201830339349300048
- Schema version
- 2016v3.1
- 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 | 2018-02-02T13:47:45-06:00 | ReturnTs |
| Tax Period End | 2017-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561004791 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAKE HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % STEVEN SHELTON | InCareOfNm |
| Business Name Control | WAKE | BusinessNameControlTxt |
| Phone | 9192502923 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 ROCK QUARRY RD | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN R SHELTON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9192502923 | PhoneNum |
| Signature | 2017-11-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920180335000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-02-02 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8BF815C836A3C7FA9EFCE48368DE16337EC77200 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANCE COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PENELLA WASHINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 ROCK QUARRY RD | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,329,426 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADVANCECHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | WHSI DBA ADVANCE COMMUNITY HEALTH PROVIDES QUALITY HEALTH CARE IN SEVEN LOCATIONS TO THE RESIDENTS OF WAKE & FRANKLIN COUNTIES, NC. SEE SCH O FOR ADDITIONAL DETAILS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 217 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,998,986 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,701,747 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,304,399 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,619,138 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$74,419 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,541 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$364 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,228,602 | PYTotalRevenueAmt |
| CY Total Revenue | $14,329,426 | 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 | $3,044,433 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,412,064 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $36,115 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,619,038 | PYOtherExpensesAmt |
| CY Other Expenses | $6,098,668 | CYOtherExpensesAmt |
| PY Total Expenses | $4,663,471 | PYTotalExpensesAmt |
| CY Total Expenses | $14,510,732 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,565,131 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$181,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,699,497 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,301,241 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,593,924 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,327,974 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,105,573 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $973,267 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO DELIVER QUALITY, COMPASSIONATE PRIMARY HEALTH CARE - EVERY PATIENT, EVERY TIME - IN RESPONSE TO NEEDS OF OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,179,049 | ExpenseAmt |
| Revenue | $7,329,783 | RevenueAmt |
| Desc | FAMILY MEDICINE: FAMILY MEDICINE SERVICES INCLUDE PREVENTATIVE, ACUTE, AND CHRONIC CARE SERVICES. THESE INCLUDE BUT ARE NOT LIMITED TO DIABETIC CARE AND EDUCATION, NUTRITION COUNSELING, ASTHMA CARE, WOMEN'S HEALTH, WEIGHT MANAGEMENT AND HYPERTENSION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,599,844 | ExpenseAmt |
| Revenue | $1,616,015 | RevenueAmt |
| Desc | PEDIATRICS: THE PEDIATRIC PRACTICE PROVIDES A FULL RANGE OF PRIMARY MEDICAL SERVICES TO ITS PATIENTS. EMPHASIS WAS PLACED ON WELL CHILD CARE, IMMUNIZATIONS, ASTHMA CARE AND PREVENTION AND WEIGHT MANAGEMENT/NUTRITION COUNSELING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $810,048 | ExpenseAmt |
| Revenue | $567,529 | RevenueAmt |
| Desc | DENTISTRY: THE DENTAL PROGRAM OPERATES IN A STATE OF THE ART 10 OPERATORY SPACE. SERVICES HAVE HISTORICALLY INCLUDED ORAL HYGIENE, RESTORATIVE SERVICES AND EXTRACTIONS, HOWEVER WITH THE RELOCATION THAT OCCURRED IN FY 2015, THE FIRST INITIATIVE WAS TO PARTNER WITH THE PEDIATRICS PROGRAM TO ENSURE SCHOOL AGED CHILDREN AND BABIES FROM THE FIRST TOOTH ARE RECEIVING APPROPRIATE DENTAL CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $536,657 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $105,811 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,125,598 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 217 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | STEVEN SHELTON | PersonNm |
| Phone | 9192502939 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 ROCK QUARRY RD | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAMES R ALLEN | ||||||||
| BOARD MEMBER | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RAJ BAHADUR | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ELAINE P BROWN | ||||||||
| BOARD MEMBER | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH CANTY | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LAURA E EDWARDS | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| HAROLD R HICKS | ||||||||
| VICE CHAIR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARY H JACKSON | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LAINI JARRETT | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CARLA A MENA | ||||||||
| BOARD MEMBER | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES KONIGSBERG JR | ||||||||
| BOARD MEMBER BEG 2/2017 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARQUETTE DAVIS RUSSELL | ||||||||
| SECRETARY | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES W TEAGLE III | ||||||||
| TREASURER BEG 05/2016 | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ACIE L WARD | ||||||||
| BOARD CHAIR | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| HERMAN P WILKINS | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PENELLA WASHINGTON | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 0.25 | $176,000 | $0 | $12,527 | Yes (X) | ||
| AMY LEWIS | ||||||||
| CHIEF HR OFFICER BEG 7/2016 | 40.0 | 0.0 | $46,538 | $0 | $4,157 | Yes (X) | ||
| STEVEN SHELTON | ||||||||
| CFO BEG 9/2016 | 40.0 | 0.25 | $44,154 | $0 | $3,233 | Yes (X) | ||
| MICHELLE BUCKNOR | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | $239,500 | $0 | $4,275 | Yes (X) | ||
| JACK JUSTICE | ||||||||
| CFO END 4/2016 | 40.0 | 0.25 | $47,304 | $0 | $1,097 | Yes (X) | ||
| CHARLES FAUST | ||||||||
| COO END 10/2016 | 40.0 | 0.25 | $124,818 | $0 | $6,790 | Yes (X) | ||
| NICOLE BLAKE | ||||||||
| HR EXECUTIVE END 4/2016 | 40.0 | 0.0 | $24,101 | $0 | $640 | Yes (X) | ||
| GLENN FEOLE | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $158,100 | $0 | $3,766 | Yes (X) | ||
| FARAZ AKHTAR | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $170,853 | $0 | $5,610 | Yes (X) | ||
| ISAIAS EMILIO MELO-LIZARDO | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $175,543 | $0 | $8,568 | Yes (X) | ||
| JACQUELINE ROOKWOOD | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $181,303 | $0 | $8,268 | Yes (X) | ||
| DOUGLAS WADESON | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $170,584 | $0 | $10,479 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,558,798 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $69,410 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BKD LLP | |||||
| PO BOX 1190 | SPRINGFIELD | MO | 65801 | AUDIT/TAX/COST RPT | $113,832 |
| HEALTH CENTER GURUS LLC | |||||
| 4915 WATERS EDGE DR STE 23 | RALEIGH | NC | 27606 | BILLING | $243,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,064,274 | GovernmentGrantsAmt |
| All Other Contributions | $637,473 | AllOtherContributionsAmt |
| Total Contributions | $4,701,747 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $9,320,990 | $9,320,990 |
| OTHER REVENUE | 900099 | $298,148 | $298,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,619,138 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
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) |
|---|---|---|
| Other | $8,541 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,541 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,541 | TotalRevenueColumnAmt |
| Exclusion | $8,541 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
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 | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,329,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,619,138 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $8,541 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $735,134 | TotalAmt |
| Program Services | $566,196 | ProgramServicesAmt |
| Management And General | $168,938 | ManagementAndGeneralAmt |
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 | $6,544,098 | TotalAmt |
| Program Services | $4,186,933 | ProgramServicesAmt |
| Management And General | $2,345,050 | ManagementAndGeneralAmt |
| Fundraising | $12,115 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,537 | TotalAmt |
| Program Services | $48,915 | ProgramServicesAmt |
| Management And General | $27,622 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,074 | TotalAmt |
| Program Services | $311,474 | ProgramServicesAmt |
| Management And General | $149,600 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,221 | TotalAmt |
| Program Services | $399,473 | ProgramServicesAmt |
| Management And General | $195,748 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,000 | TotalAmt |
| Management And General | $11,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,250 | TotalAmt |
| Management And General | $263,250 | 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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,419,458 | TotalAmt |
| Program Services | $739,747 | ProgramServicesAmt |
| Management And General | $657,185 | ManagementAndGeneralAmt |
| Fundraising | $22,526 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,644 | TotalAmt |
| Management And General | $4,644 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,064 | TotalAmt |
| Program Services | $143,440 | ProgramServicesAmt |
| Management And General | $161,150 | ManagementAndGeneralAmt |
| Fundraising | $1,474 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,629 | TotalAmt |
| Program Services | $200,963 | ProgramServicesAmt |
| Management And General | $134,666 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,234,746 | TotalAmt |
| Program Services | $1,162,925 | ProgramServicesAmt |
| Management And General | $71,821 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,188 | TotalAmt |
| Program Services | $8,481 | ProgramServicesAmt |
| Management And General | $5,707 | ManagementAndGeneralAmt |
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 | $99,508 | TotalAmt |
| Program Services | $62,793 | ProgramServicesAmt |
| Management And General | $36,715 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,186 | TotalAmt |
| Program Services | $132 | ProgramServicesAmt |
| Management And General | $48,054 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,563 | TotalAmt |
| Program Services | $60,127 | ProgramServicesAmt |
| Management And General | $41,436 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,523 | TotalAmt |
| Program Services | $46,576 | ProgramServicesAmt |
| Management And General | $20,947 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $1,444,572 | $1,444,572 | |
| MEDICAL SUPPLIES & DRUGS | $526,280 | $526,280 | |
| PATIENT SERVICES | $116,529 | $116,529 | |
| RECRUITING & RETENTION | $89,042 | $87,562 | $1,480 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,486 | TotalAmt |
| Program Services | $12,480 | ProgramServicesAmt |
| Management And General | $4,006 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,510,732 | TotalAmt |
| Program Services | $10,125,598 | ProgramServicesAmt |
| Management And General | $4,349,019 | ManagementAndGeneralAmt |
| Fundraising | $36,115 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,085 | BOYAmt |
| EOY | $226,504 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,966 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,350 | BOYAmt |
| EOY | $57,553 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,162 | BOYAmt |
| EOY | $515,000 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,015 | BOYAmt |
| EOY | $126,113 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,730 | BOYAmt |
| EOY | $48,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,886,195 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,535,649 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,093 | BOYAmt |
| EOY | $350,546 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,736 | BOYAmt |
| EOY | $4,736 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,088,360 | BOYAmt |
| EOY | $2,972,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,699,497 | BOYAmt |
| EOY | $4,301,241 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,888,497 | BOYAmt |
| EOY | $1,596,224 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $208,869 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,397,723 | BOYAmt |
| EOY | $363,956 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $686,727 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,704 | BOYAmt |
| EOY | $472,198 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,593,924 | BOYAmt |
| EOY | $3,327,974 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,099,176 | BOYAmt |
| EOY | $571,159 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,397 | BOYAmt |
| EOY | $402,108 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,105,573 | BOYAmt |
| EOY | $973,267 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,699,497 | BOYAmt |
| EOY | $4,301,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$181,306 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $49,000 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,938,438 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,161,496 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,905,757 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,998,986 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,701,747 | CurrentTaxYearAmt |
| Total | $16,706,424 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,783,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,774,417 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,859,767 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,304,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,619,138 | CurrentTaxYearAmt |
| Total | $34,341,109 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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 | $9,721,826 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,935,913 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,765,524 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,303,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,320,885 | CurrentTaxYearAmt |
| Total | $51,047,533 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $51,047,533 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,721,826 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,935,913 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,765,524 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,303,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,320,885 | CurrentTaxYearAmt |
| Total | $51,047,533 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Form4720 Filed | false | Form4720FiledInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, QUESTION 1I | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE NORTH CAROLINA COMMUNITY HEALTH CENTER ASSOCIATION. A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $136,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,036 | DepreciationAmt |
| Book Value | $63,707 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,749,452 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,462,613 | DepreciationAmt |
| Book Value | $286,839 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $350,546 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EST AMT DUE FROM THIRD PTY PYR | $2,820,000 |
| OTHER RECEIVABLES | $150,745 |
| DUE FROM RELATED PARTY | $1,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,972,200 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT PAYABLE | Desc |
| Amt | $472,198 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $472,198 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $12,729,808 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $200,206 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$1,291,283 | OtherRevenueAmt |
| Revenue Not Reported | -$1,091,077 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,820,885 | RevenueSubtotalAmt |
| Other Revenues Not Included | $508,541 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $508,541 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,329,426 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,257,825 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $200,206 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | -$8,541 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $191,665 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,066,160 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,444,572 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,444,572 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,510,732 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, QUESTION 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (1,444,572) BAD DEBT EXPENSE 104,289 NET ASSETS RELEASED FROM RESTRICTION 49,000 TRANSFERS FROM AFFILIATE ------------- $ (1,291,283) |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 500,000 TEMPORARILY RESTRICTED CONTRIBUTIONS 8,541 GAIN ON DISPOSAL OF ASSET ------------- $ 508,541 |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ (8,541) GAIN ON DISPOSAL OF ASSET |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,444,572 BAD DEBT EXPENSE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PENELLA WASHINGTON | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $176,000 | $0 | $0 | $0 | $0 | $0 | $6,917 | $0 | $5,610 | $0 | $188,527 | $0 | $0 | $0 |
| MICHELLE BUCKNOR | ||||||||||||||
| CHIEF MEDICAL OFFICER | $239,500 | $0 | $0 | $0 | $0 | $0 | $4,275 | $0 | $0 | $0 | $243,775 | $0 | $0 | $0 |
| GLENN FEOLE | ||||||||||||||
| PHYSICIAN | $158,100 | $0 | $0 | $0 | $0 | $0 | $3,766 | $0 | $0 | $0 | $161,866 | $0 | $0 | $0 |
| FARAZ AKHTAR | ||||||||||||||
| PHYSICIAN | $170,853 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,610 | $0 | $176,463 | $0 | $0 | $0 |
| ISAIAS EMILIO MELO-LIZARDO | ||||||||||||||
| PHYSICIAN | $175,543 | $0 | $0 | $0 | $0 | $0 | $2,958 | $0 | $5,610 | $0 | $184,111 | $0 | $0 | $0 |
| JACQUELINE ROOKWOOD | ||||||||||||||
| PHYSICIAN | $181,303 | $0 | $0 | $0 | $0 | $0 | $2,658 | $0 | $5,610 | $0 | $189,571 | $0 | $0 | $0 |
| DOUGLAS WADESON | ||||||||||||||
| PHYSICIAN | $170,584 | $0 | $0 | $0 | $0 | $0 | $4,869 | $0 | $5,610 | $0 | $181,063 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | SEVERANCE PAYMENT: CHARLES FAUST RECEIVED A SEVERANCE PAYMENT OF $5,269. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | ORGANIZATION'S MISSION: WAKE HEALTH SERVICES D/B/A ADVANCE COMMUNITY HEALTH IS A PRIVATE, NOTFOR PROFIT, FEDERALLY QUALIFIED HEALTH CENTER (FQHC) OPERATING 4 PRACTICE SITES AND 1 OUTREACH SITE IN WAKE AND FRANKLIN COUNTIES. FOUNDED IN 1972, ADVANCE PROVIDES PRIMARY CARE, DENTAL, MENTAL HEALTH AND OTHER WRAP AROUND SERVICES TO ALL AGES FROM NEWBORNS TO SENIOR CITIZENS. ADVANCE SERVES PATIENTS THAT ARE PUBLICLY INSURED (MEDICARE AND MEDICAID), COMMERCIALLY INSURED (INCLUDING PERSONS INSURED THROUGH THE MARKETPLACE EXCHANGE), UNDERINSURED, UNINSURED AND HOMELESS POPULATIONS. THE STAFF OF APPROXIMATELY 130 EMPLOYEES INCLUDES BOARD CERTIFIED INTERNISTS, FAMILY PHYSICIANS, PEDIATRICIANS, ADOLESCENT CARE SPECIALIST, INFECTIOUS FAMILY PHYSICIANS, PEDIATRICIANS, ADOLESCENT CARE SPECIALIST, INFECTIOUS REGISTERED NURSES, LICENSED CLINICAL SOCIAL WORKERS, LICENSED CLINICAL ADDICTION SPECIALIST, REGISTERED DIETICIANS, CASE MANAGERS, BILINGUAL STAFF AND OTHER CLINICAL AND ADMINISTRATIVE SUPPORT STAFF. ADVANCE COMMUNITY HEALTH PROVIDES REFERRALS TO SPECIALISTS, DISCOUNTED FEES, AND ASSISTANCE WITH PRESCRIPTIONS. IN 2015, THE ORGANIZATION SERVED 17,879 UNDUPLICATED PATIENTS OF WHICH 1,115 WERE HOMELESS AND ONE-THIRD WERE CHILDREN. APPROXIMATELY 90% OF PATIENTS ARE UNDER 200% OF THE FEDERAL POVERTY LEVEL. APPROXIMATELY 25% OF PATIENTS ARE UNINSURED, 40% MEDICAID/NC HEALTH CHOICE; 21% MEDICARE AND 14% HAVE COMMERCIAL INSURANCE. ADVANCE COMMUNITY HEALTH PARTNERS WITH LOCAL HOSPITALS, PUBLIC HEALTH, SOCIAL SERVICES AND COMMUNITY AGENCIES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. ADVANCE HAS FOUR SPECIALIZED PROGRAMS ON THE SOUTHEAST RALEIGH CAMPUS INCLUDING ADOLESCENT HEALTH PROGRAM, CAPUS CLINIC, HORIZON HEALTHCARE FOR THE HOMELESS AND ADVANCE/REX SENIOR HEALTH CENTER. OUR WRAPAROUND SERVICES INCLUDE AFTER HOURS COVERAGE; HEALTH INSURANCE ENROLLMENT; MEDICAID ELIGIBILITY ASSISTANCE; MEDICARE ENROLLMENT ASSISTANCE; AND VOTER REGISTRATION. |
| FORM 990, PART III, LINE 4D | DESCRIPTION OF OTHER PROGRAM SERVICES: HEALTHCARE FOR THE HOMELESS: THE HORIZON HEALTHCARE FOR THE HOMELESS PROGRAM PROVIDED A FULL RANGE OF PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AT THE SOUTHEAST RALEIGH MEDICAL PRACTICE AND AT THE SOUTH WILMINGTON 300 BED MEN'S SHELTER IN RALEIGH. THE HEALTHCARE FOR THE HOMELESS PROGRAM PARTNERS WITH OTHER COMMUNITY AGENCIES TO ASSIST PATIENTS WITH OTHER ENABLING SERVICES INCLUDING HOUSING, FOOD AND CLOTHING. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE RETURN BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS INCLUDED IN ITS STANDARD OF CONDUCTS POLICY AND GOVERNING BYLAWS. THE PROCESS OF MONITORING COMPLIANCE WITH THIS POLICY INCLUDES PROVIDING CONFLICT OF INTEREST DISCLOSURE STATEMENTS TO EVERY EMPLOYEE, BOARD MEMBER, CONSULTANT, AND VOLUNTEER. THE DISCLOSURE STATEMENT IS REQUIRED TO BE UPDATED ANNUALLY AT THE BEGINNING OF THE YEAR. THE FOLLOWING DESCRIBES FOR THE DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AMONG DIFFERENT POSITIONS WITHIN THE ORGANIZATION. - MEMBERS OF, AND CANDIDATES FOR MEMBERSHIP ON, THE BOARD OF TRUSTEES MUST MAKE DISCLOSURES TO THE CHAIR OF THE BOARD OF TRUSTEES. IF THE CHAIR HAS AN INTEREST TO DISCLOSE, HE OR SHE MUST MAKE DISCLOSURE TO THE VICE CHAIR, RESPECTIVELY, WHO WILL, IN TURN BE RESPONSIBLE FOR ADVISING THE BOARD. - THE CEO MUST MAKE DISCLOSURES TO THE CHAIR OF THE BOARD WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD OF SUCH DISCLOSURE. - STAFF ENGAGED IN THE AWARD OR ADMINISTRATION OF CONTRACTS MUST MAKE DISCLOSURES IN WRITING TO THE CEO. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED WITH A BOARD MEMBER, THE BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER OR NOT HE OR SHE HAS A CONFLICT OF INTEREST, AND MAY RESPOND TO RELATED QUESTIONS FROM THE BOARD. HOWEVER, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTING ON, WHETHER THE CONFLICT OF INTEREST EXISTS. IF SUCH CONFLICT IS DETERMINED TO EXIST, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTING ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. IF A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED WITH A PERSON WHO IS NOT A BOARD MEMBER, THE CEO SHALL MAKE THE DETERMINATION. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | EXECUTIVE COMPENSATION REVIEW: THE COMPENSATION OF THE ORGANIZATION'S CEO WAS COMPILED BY THE HR EXECUTIVE USING NATIONAL AND LOCAL DATA FOR SALARY AND BENEFIT COMPARISON. THE FULL BOARD OF TRUSTEES REVIEWS AND APPROVES ANY COMPENSATION CHANGES. THE MOST RECENT REVIEW WAS JANUARY 2016. THE COMPENSATION FOR OTHER OFFICERS IS BASED ON BOARD APPROVED SALARY RANGES. THE HR EXECTUIVE USES NATIONAL AND LOCAL COMPARATIVE DATA TO DETERMINE RANGES. RANGES ARE THEN BROUGHT TO THE BUSINESS STRATEGIES COMMITTEE FOR REVIEW AND THEN TO THE FULL BOARD FOR FINAL REVIEW AND APPROVAL. THE MOST RECENT REVIEW WAS JULY 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: $ 49,000 TRANSFER FROM AFFILIATE |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMERALD QUARRY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 ROCK QUARRY RD | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471270222 | EIN |
| Primary Activities | OWN FACILITY | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12A1 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHSI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| 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 | Yes (true) | 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 | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EMERALD QUARRY | ||
| K | $738,490 | FMV |
| EMERALD QUARRY | ||
| S | $49,000 | FMV |