COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC (EIN 72-1526129)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-11-15
- IRS object ID
- 201703199349305090
- 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 | 2017-11-15T10:03:50-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 631158335 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TUCKER SCOTT & WATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1130 | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 356021130 | 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 | 721526129 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY FREE CLINIC OF DECATUR | BusinessNameLine1Txt |
| Business Name Line2 | MORGAN COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2563095617 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRELL W WATES CPA CGMA | PreparerPersonNm |
| PTIN | P00360808 | PTIN |
| Phone | 2563551828 | PhoneNum |
| Preparation | 2017-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 1ADEE7AB0A623B6A5FA725036B7DC39C51D97012 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 88527337C67C42BE8CA7E6104B7DCE992E016CF7 | 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 | AMY ANDERSON | PrincipalOfficerNm |
| Gross Receipts | $1,979,286 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FREE, QUALITY HEALTHCARE TO LOW INCOME, MEDICALLY UNINSURED ADULT RESIDENTS OF DECATUR AND MORGAN COUNTY, THROUGH VOLUNTEERS SERVING THE COMMUNITY IN A MANNER THAT RESPECTS THE DIGNITY OF ALL PERSONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,008,658 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,849,341 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,775 | PYInvestmentIncomeAmt |
| CY Investment Income | $96,868 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,432 | PYOtherRevenueAmt |
| CY Other Revenue | $25,181 | CYOtherRevenueAmt |
| PY Total Revenue | $2,082,865 | PYTotalRevenueAmt |
| CY Total Revenue | $1,971,390 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $233,046 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $243,462 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,324 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,894,869 | PYOtherExpensesAmt |
| CY Other Expenses | $1,775,180 | CYOtherExpensesAmt |
| PY Total Expenses | $2,127,915 | PYTotalExpensesAmt |
| CY Total Expenses | $2,018,642 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$45,050 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$47,252 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,636,346 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,733,075 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,090 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $156,071 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,624,256 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,577,004 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,986,990 | ExpenseAmt |
| Desc | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | Desc |
| Total Program Service Expenses | $1,986,990 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 7 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| PAM HOWELL | |||||
| PAST PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AMY ANDERSON | |||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TRUDY GRISHAM | |||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RANDALL SANDLIN DMD | |||||
| DENTAL DIREC | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DALE TRAMMELL MD | |||||
| DIRECTOR AT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NOEL LOVELACE | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ROBERT ALLEN MD | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DAVID LANGSTON | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ANNE LEDBETTER | |||||
| SECRETARY | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HON ARTHUR ORR | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ANNIE CORNELL | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| CRYSTAL BROWN | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| VENESSA EDMONDS | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| REVEREND EVAN GARNER | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| LEANETTE JACKSON | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DR SCOTT HARRIS | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DR PAUL MCCAIN | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DR DYRC SIBRANS | |||||
| BAORD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ANGIE HARRIS | |||||
| TREASURER | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR ALICIA NAILS | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| PATSY ROBY | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DR RUSSELL BARR | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| MELISSA BURNS | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| KENNETH ARNOLD | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| CHERIE STANFORD | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| PATRICIA STANDRIDGE | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| DEBORAH HARGROVE | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| JESSICA PAYNE | |||||
| EXECUTIVE DI | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $99,231 | GovernmentGrantsAmt |
| All Other Contributions | $1,750,110 | AllOtherContributionsAmt |
| Noncash Contributions | $1,657,765 | NoncashContributionsAmt |
| Total Contributions | $1,849,341 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,868 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,868 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $33,077 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $7,896 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,181 | TotalRevenueColumnAmt |
| Exclusion | $25,181 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,971,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,868 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $25,181 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,053 | TotalAmt |
| Program Services | $212,481 | ProgramServicesAmt |
| Management And General | $6,572 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,843 | TotalAmt |
| Program Services | $7,608 | ProgramServicesAmt |
| Management And General | $235 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,566 | TotalAmt |
| Program Services | $16,069 | ProgramServicesAmt |
| Management And General | $497 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,980 | TotalAmt |
| Program Services | $3,588 | ProgramServicesAmt |
| Management And General | $1,196 | ManagementAndGeneralAmt |
| Fundraising | $1,196 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,657,189 | TotalAmt |
| Program Services | $1,647,649 | ProgramServicesAmt |
| Management And General | $9,540 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128 | TotalAmt |
| Fundraising | $128 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,569 | TotalAmt |
| Program Services | $2,849 | ProgramServicesAmt |
| Management And General | $2,720 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,735 | TotalAmt |
| Program Services | $73,469 | ProgramServicesAmt |
| Management And General | $7,266 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167 | TotalAmt |
| Program Services | $1,972 | ProgramServicesAmt |
| Management And General | $195 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,536 | TotalAmt |
| Program Services | $17,778 | ProgramServicesAmt |
| Management And General | $1,758 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,876 | TotalAmt |
| Program Services | $3,527 | ProgramServicesAmt |
| Management And General | $349 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,018,642 | TotalAmt |
| Program Services | $1,986,990 | ProgramServicesAmt |
| Management And General | $30,328 | ManagementAndGeneralAmt |
| Fundraising | $1,324 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,849 | BOYAmt |
| EOY | $134,220 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,575 | BOYAmt |
| EOY | $117,347 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,151 | BOYAmt |
| EOY | $1,994 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $748,352 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $301,733 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,633 | BOYAmt |
| EOY | $446,619 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,989,138 | BOYAmt |
| EOY | $2,032,895 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,636,346 | BOYAmt |
| EOY | $2,733,075 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,068 | BOYAmt |
| EOY | $146,093 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,022 | BOYAmt |
| EOY | $9,978 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,090 | BOYAmt |
| EOY | $156,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,535,694 | BOYAmt |
| EOY | $2,506,918 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,562 | BOYAmt |
| EOY | $70,086 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,624,256 | BOYAmt |
| EOY | $2,577,004 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,636,346 | BOYAmt |
| EOY | $2,733,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$47,252 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,108,572 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,496,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,008,658 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,849,341 | CurrentTaxYearAmt |
| Total | $8,462,904 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $203,631 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$18,335 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,868 | CurrentTaxYearAmt |
| Total | $331,939 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,312,203 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,477,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,058,433 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,946,209 | CurrentTaxYearAmt |
| Total | $8,794,843 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $8,794,843 | PublicSupportTotal509Amt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $18,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,181 | CurrentTaxYearAmt |
| Total | $84,323 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,330,345 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,496,566 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,081,865 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,970,390 | CurrentTaxYearAmt |
| Total | $8,879,166 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99050 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99130 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $618,453 | OtherCostOrOtherBasisAmt |
| Depreciation | $205,402 | DepreciationAmt |
| Book Value | $413,051 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $129,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,331 | DepreciationAmt |
| Book Value | $33,568 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $446,619 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ACCOUNT - SANDLIN | Desc |
| Book Value | $2,032,895 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,032,895 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PAYROLL | $3,666 |
| ACCRUED PAYABLE | $2,296 |
| ACCRUED RETIRMENT PAYABLE | $2,143 |
| STATE WITHHOLDING PAYABLE | $1,836 |
| PAYROLL LIABILITIES | $37 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,978 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,971,390 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,971,390 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,971,390 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,018,642 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,018,642 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,018,642 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPECIAL EVENT | Event1Nm |
| Gross Receipts Event1 | $33,077 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $33,077 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $7,896 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $33,077 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $33,077 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,896 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,896 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $25,181 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $90,162 | NoncashContributionsRptF990Amt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $920,910 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $646,693 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | PRESENTED TO THE BOARD BY INDEPENDENT CPA |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE PROVIDED UPON REQUEST |
| FORM 990, PART IX, LINE 11G | DISPENSED MEDICINES 966,613 0 0 DONATED SERVICES 646,694 0 0 UTILITIES 8,958 886 0 TELEPHONE 6,704 663 0 CLEANING AND JANITORIAL 0 6,790 0 PHARMACY SUPPLIES 2,150 0 0 REPAIRS & MAINTENANCE 9,558 945 0 CLINIC SUPPLIES 2,590 0 0 MISCELLANEOUS 1,056 104 0 DENTAL SUPPLIES 2,888 0 0 DUES AND SUBSCRIPTIONS 118 82 0 SECURITY 320 0 0 BANK CHARGES 0 70 0 TOTAL 1,647,649 9,540 0 |
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