ST MARYS HEALTH WAGON: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST MARYS HEALTH WAGON (EIN 04-3739083)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-17
IRS object ID
201722909349300827
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

FieldValueIRS element (for citing)
Return2017-10-17T11:34:32-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Larry D Sturgill CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2080AddressLine1Txt
CityWISECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24293ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043739083EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARYS HEALTH WAGON INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone2763288550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7070AddressLine1Txt
CityWISECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24293ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERESA TYSONPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2017-05-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLARRY D STURGILLPreparerPersonNm
PTINP00381273PTIN
Phone2763289593PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$3,349,188GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressTHEHEALTHWAGON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTHE HEALTH WAGON'S PURPOSE IS TO OVERSEE THE DELIVERY OF CHARITABLE HEALTH CARE THROUGH PREVENTATIVE AND PRIMARY SERVICES TO PEOPLE IN RURAL SOUTHWEST VIRGINIA.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee29TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,640,616PYContributionsGrantsAmt
CY Contributions Grants$3,183,473CYContributionsGrantsAmt
PY Program Service Revenue$20,441PYProgramServiceRevenueAmt
CY Program Service Revenue$33,666CYProgramServiceRevenueAmt
PY Investment Income$799PYInvestmentIncomeAmt
CY Investment Income$132,049CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,661,856PYTotalRevenueAmt
CY Total Revenue$3,349,188CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$976,027PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$987,324CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,410CYTotalFundraisingExpenseAmt
PY Other Expenses$600,666PYOtherExpensesAmt
CY Other Expenses$714,813CYOtherExpensesAmt
PY Total Expenses$1,576,693PYTotalExpensesAmt
CY Total Expenses$1,702,137CYTotalExpensesAmt
PY Revenues Less Expenses$85,163PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,647,051CYRevenuesLessExpensesAmt
Total Assets BOY$4,378,161TotalAssetsBOYAmt
Total Assets EOY$6,081,638TotalAssetsEOYAmt
Total Liabilities BOY$72,499TotalLiabilitiesBOYAmt
Total Liabilities EOY$128,925TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,305,662NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,952,713NetAssetsOrFundBalancesEOYAmt
MissionTHE HEALTH WAGON'S PURPOSE IS TO OVERSEE THE DELIVERY OF CHARITABLE HEALTH CARE THROUGH PREVENTATIVE AND PRIMARY SERVICES TO PEOPLE IN RURAL SOUTHWEST VIRGINIA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,306,764ExpenseAmt
DescTHE HEALTH WAGON PROVICES COMAPASSIONATE QUALITY CHARITABLE HEALTH CARE TO THE MEDICALLY UNDERSERVED PEOPLE IN THE VIRGINIA MOUNTAINS OF APPALACHIA.Desc
Total Program Service Expenses$1,306,764TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee29EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTERESA TYSONPersonNm
Phone2763288550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15626 PATRIOT DRIVEAddressLine1Txt
CityWISECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24293ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
MARK LEONARD
Director0.000.00Yes (X)$0$0$0
ROGER RAMEY
Director0.000.00Yes (X)$0$0$0
THOMAS KENNEDY
Vice President0.000.00Yes (X)$0$0$0
VALARIE STEWART
Director0.000.00Yes (X)$0$0$0
PATRICIA SONNER
Director0.000.00Yes (X)$0$0$0
LOU BARNETTE
Director0.000.00Yes (X)$0$0$0
CHARLES KISER
Director0.000.00Yes (X)$0$0$0
SHIRLEY WOODWARD
Director0.000.00Yes (X)$0$0$0
KERMIT ANDERSON
Director0.000.00Yes (X)$0$0$0
SR JEAN KORKISCH
President0.000.00Yes (X)$0$0$0
NANCY LAWSON
Director0.000.00Yes (X)$0$0$0
DR JOSEPH SMIDDY
Treasurer0.000.00Yes (X)$0$0$0
JENNIFER HAMMONS
Director0.000.00Yes (X)$0$0$0
MARY WHITE
Secretary0.000.00Yes (X)$0$0$0
GORDON SCOTT
Director0.000.00Yes (X)$0$0$0
DAVID CATTELL-GORDAN
Director0.000.00Yes (X)$0$0$0
TERESA TYSON
EXECUTIVE DIRECTOR40.000.00$203,016$0$0Yes (X)
PAULA MEADE
CLINICAL DIRECTOR40.000.00$153,905$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$356,921TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$780,094GovernmentGrantsAmt
All Other Contributions$2,403,379AllOtherContributionsAmt
Noncash Contributions$53,849NoncashContributionsAmt
Total Contributions$3,183,473TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL FEE'SDesc
Total Revenue Column$33,666TotalRevenueColumnAmt
Related Or Exempt Func Income$33,666RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,666TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,049TotalRevenueColumnAmt
Related Or Exempt Func Income$132,049RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,349,188TotalRevenueColumnAmt
Related Or Exempt Func Income$165,715RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$356,921TotalAmt
Management And General$356,921ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$553,939TotalAmt
Program Services$553,939ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,560TotalAmt
Program Services$13,832ProgramServicesAmt
Management And General$728ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$61,904TotalAmt
Program Services$58,809ProgramServicesAmt
Management And General$3,095ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,425TotalAmt
Program Services$49,804ProgramServicesAmt
Management And General$2,621ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,536TotalAmt
Program Services$3,359ProgramServicesAmt
Management And General$177ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,188TotalAmt
Program Services$41,979ProgramServicesAmt
Management And General$2,209ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$109TotalAmt
Program Services$104ProgramServicesAmt
Management And General$5ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$52,392TotalAmt
Program Services$49,772ProgramServicesAmt
Management And General$2,620ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$135,192TotalAmt
Program Services$128,432ProgramServicesAmt
Management And General$6,760ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RAM EXPENSE$105,958$105,958
PATIENT SERVICE EXPENSE$42,856$40,713$2,143
IT EXPENSE$35,576$33,797$1,779
GRANT- EQUIPMENT PURCHASES$34,430$32,709$1,721

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$208,151TotalAmt
Program Services$193,557ProgramServicesAmt
Management And General$10,184ManagementAndGeneralAmt
Fundraising$4,410FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,702,137TotalAmt
Program Services$1,306,764ProgramServicesAmt
Management And General$390,963ManagementAndGeneralAmt
Fundraising$4,410FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,500,566BOYAmt
EOY$1,500,774EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,157BOYAmt
EOY$46,055EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,004,782LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$274,273LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$716,361BOYAmt
EOY$730,509EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,105,077BOYAmt
EOY$3,772,300EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$32,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,378,161BOYAmt
EOY$6,081,638EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$7,782EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,499BOYAmt
EOY$121,143EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,499BOYAmt
EOY$128,925EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,011,323BOYAmt
EOY$5,712,905EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$294,339BOYAmt
EOY$239,808EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,305,662BOYAmt
EOY$5,952,713EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,378,161BOYAmt
EOY$6,081,638EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,647,051ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,615,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,009,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,492,362CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,661,057CurrentTaxYearMinus1YearAmt
Current Tax Year$3,217,139CurrentTaxYearAmt
Total$10,995,248TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,615,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,009,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,492,362CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,661,057CurrentTaxYearMinus1YearAmt
Current Tax Year$3,217,139CurrentTaxYearAmt
Total$10,995,248TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$10,995,248PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,627CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$799CurrentTaxYearMinus1YearAmt
Current Tax Year$132,049CurrentTaxYearAmt
Total$478,805TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$11,474,053TotalSupportAmt
Public Support CY1700.95830PublicSupportCY170Pct
Public Support PY1700.96320PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held1DonorAdvisedFundsHeldCnt
Donor Advised Funds Vl EOY$124,000DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlfalseDisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsfalseDisclosedForCharitablePrpsInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$28,000InvestmentCostOrOtherBasisAmt
Book Value$28,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$510,660InvestmentCostOrOtherBasisAmt
Depreciation$64,031DepreciationAmt
Book Value$446,629BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$466,122InvestmentCostOrOtherBasisAmt
Depreciation$210,242DepreciationAmt
Book Value$255,880BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$730,509TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ACCOUNTS PAYABLE$6,794
ACCRUED COMPENSATED ABSENCES$54,365
CREDIT CARD PAYABLE$13,004
DUE TO WISE RAM ACCT$32,000
PAYROLL WITHHOLDINGS$63
SALARIES PAYABLE$14,917
FieldValueIRS element (for citing)
Total Liability$121,143TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,349,188TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$3,349,188RevenueSubtotalAmt
Total Revenue Per Form990$3,349,188TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,702,137TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,702,137ExpensesSubtotalAmt
Total Expenses Per Form990$1,702,137TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
PAULA MEADE
CLINICAL DIRECTOR$153,905$153,905
TERESA TYSON
EXECUTIVE DIRECTOR$203,016$203,016

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$53,849NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV -DATE RECEIVEDMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (25 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessBY THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE HEALTH WAGON HAS A CONFLICT OF INTEREST STATEMENT & MEMBERS ARE ASKED TO SIGN ANNUALLY. MEMBERS ARE ASKED TO ABSTAIN FROM VOTING IF A PERCEIVED CONFLICT OF INTEREST EXIST.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBOARD MEMBERS AND PERSONNEL COMMITTEE DO ANNUAL EVALUATIONS AND COMPENSATION REVIEW OF KEY EMPLOYEES
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesPERSONNEL COMMITTEE PERFORMS A ANNUAL EVALUATION & COMPENSATION REVIEW OF KEY EMPLOYEES
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE NON PROFIT WILL PROVIDE THE AUDIT ONLINE & BE MADE AVAILABLE TO ANY INDIVIDUAL UPON REQUEST.
Form 990, Part IX, Line 24e: Other ExpensesBANK & CREDIT CARD FEE'S: Column (A) - Total = $174; Column (B) - Program Services = $165; Column (C) - Management & General = $9; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesBROKERAGE FEE'S: Column (A) - Total = $19874; Column (B) - Program Services = $18880; Column (C) - Management & General = $994; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesBUILDING MAINTANCE & REPAIRS: Column (A) - Total = $14627; Column (B) - Program Services = $13896; Column (C) - Management & General = $731; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesCONSULTING SERVICES: Column (A) - Total = $10248; Column (B) - Program Services = $9736; Column (C) - Management & General = $512; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesCONTINUING EDUCATION: Column (A) - Total = $6327; Column (B) - Program Services = $6011; Column (C) - Management & General = $316; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesCONTRACT LABOR: Column (A) - Total = $34230; Column (B) - Program Services = $32519; Column (C) - Management & General = $1711; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesDONATIONS: Column (A) - Total = $50; Column (B) - Program Services = $48; Column (C) - Management & General = $2; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesFUNDRAISING EXPENSE: Column (A) - Total = $4410; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $4410
Form 990, Part IX, Line 24e: Other ExpensesGIFTS: Column (A) - Total = $3648; Column (B) - Program Services = $3466; Column (C) - Management & General = $182; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesLICENSE: Column (A) - Total = $1821; Column (B) - Program Services = $1730; Column (C) - Management & General = $91; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMEMBERSHIP FEE'S: Column (A) - Total = $22010; Column (B) - Program Services = $20910; Column (C) - Management & General = $1100; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMISCELLANOUS: Column (A) - Total = $9705; Column (B) - Program Services = $9220; Column (C) - Management & General = $485; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMOBILE UNIT EXPENSE: Column (A) - Total = $3041; Column (B) - Program Services = $2889; Column (C) - Management & General = $152; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPEST CONTROL: Column (A) - Total = $687; Column (B) - Program Services = $653; Column (C) - Management & General = $34; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPostage and Shipping: Column (A) - Total = $12105; Column (B) - Program Services = $11500; Column (C) - Management & General = $605; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPrinting and Publications: Column (A) - Total = $8062; Column (B) - Program Services = $7659; Column (C) - Management & General = $403; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesRENT: Column (A) - Total = $6000; Column (B) - Program Services = $5700; Column (C) - Management & General = $300; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesSECURITY: Column (A) - Total = $2704; Column (B) - Program Services = $2569; Column (C) - Management & General = $135; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesSUPPLIES: Column (A) - Total = $15572; Column (B) - Program Services = $14793; Column (C) - Management & General = $779; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesUTILITIES: Column (A) - Total = $32856; Column (B) - Program Services = $31213; Column (C) - Management & General = $1643; Column (D) - Fundraising = $0

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